HomeMy WebLinkAbout616 E. Front Street Address:
616 E Front Street
1 �
CERTIFICAtE ' OF aCCUPANCY
City of Port Angeles . Building Division
This certificate is issued pursuant to the requirements of Section 111-of the 2009 International Building
Code certifying that ate , e Itame of issuance this structure was in compliance Ah, the various ordinances
of the City regulating-lbuilding.constructaon or use for the folloivang
Business name: l 3. Kort-anrWomen's Association ---'
,.
Business address . 616-E--Front Street A;� t
Business owner: rtAnsaraBusiness owner's�U�, esS 123 E 96tt';Sireet Tacoma;' 1A 9$445 1
W � 1
Automatic fire sprinkler-system: N/A
Use & occupancy classification: Business
Occupant load: Per`2009 IBC, Table 1.004.1:1
Type of construction.`., '�lB x
-4,
11
3/29/2013
"'Sue Roll°erds;�Plcz ng Miinager Date
Post on the premises in a conspicuous place This certificate shall not be removed except by the Building Official.
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Cit ���r' ;.. CERTIFICATE.OF OCCUPANCY APPLICATION Permit#1;--1(a3 f
c...........
CITY OF PORT ANGELES 50 Certificate/InsEecStion
,;�1lrlr Attn: Permit Technician $ P
' 321 E. Fifth St., Port Angeles,WA 98362 $100 Parking Business Improvement Area (PBIA)
(360)417-4815 fax(360)417-4711 fee charged for Downtown locations
PLEASE PRINT IN INK
Teck one:New business in P.A.?❑ Change of ownership only?Moving location from within P.A.? ❑ Zoning
BUSINESS NAME k0je A 14)19 t',�Ps A n C i A!10"J ----
Business address a g addEess:val».e
Phone number Za Opening date Days&hoti"r6 of operation
Business owner's name Contact phone
Business owrter's addres i33 C & - ' v `✓ S
Brief
description of business. 50 7 i;c. C 3 _!'. DY owe
Property owner's name �l n tJoI17Pn'� 4st�Lid ntact phone�5AS —1
Property owner's address/contact Same a.4 exb4y e
BUILDING DEPARTMENT phone 4174815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No
Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work,
adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc).
Work planned:
FIRE DEPARTMENT phone 417-4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes ❑ No
Work planned:
PBIA (Parking Business Improvement Area-Downtown) phone 417-4623
Square footage of business? J 50 __ P
Is business moving within the PBIA? Yes ❑ No lkl
CITYCLERK phone 417-4634 City Cie
i
Second-hand dealer/pawnbroker business?Yes ❑ No ;R1
Will there be dancing at this business?Yes ❑ No A;
A City of Port Angeles Business License is required for:
Taki,"Peddlers, Second-Hand Dealer, Pawnbroker, Dance,
Hotel-Mofe'l, Flrewtorks; Amf6616rtce; and Tattoo Businesses.
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COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on
Number of off-street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall-mounted,freestanding, projecting, awning,A-frame,etc?)
Signs planned: -
I
p •k e Y
PLEASE NOTE: NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles.
PWE approval by on
PUBLIC WORKS DEPARTMENT-ENGINEERING phone 417-4812
Is site work planned (new or re-located sewer or water service,
excavation, grading or filling,work in City right-of-way,
new driveway openings, site drainage, parking lots, downspouts, -
irrigation system backflow devices, etc.). Yes ❑ NoJ
Work planned: f�gno� G�stsLiiily ataG� �-a%/2f , Clf / f �i
PUBLIC WORKS WASTEWATER phone 417-4845 Pwwapproval by on
Will waste, other than domestic household waste, be discharged into the sewer system? Yes,fk7 No ❑
If yes,what will be discharged:
Call for Certificate of Occupana inspections BEFORE ojoehirlim business:.
Building Department Inspection 417-4815
Fire Department Inspection 417-4653
Please sign up for utility services at the cashiers' counter.
I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge. Incorrect. information may result in revocation of
permit.
Dat e.l� Print Name �T�� ,\1,5..4Signature °
T1Forms\Building Division\Certiflcate of Occupancy Application(2010).doc
Page 2 of 2
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