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Home My WebLink About330 E 1st St #10 - Building8 CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This certificate is issuedipui t the requirements of Section 111 of the 2009,,International Building Code certifying that at the timetafiissuanciliis*ructure was in compliance with the various ordinances of the City regulating building consknOtiOniornseforOef011oWilig Business name ?,Petiirlistila W ofkrit: Business address 30;E 1st St. #10 Property owner Erickson Family propertieS:1L;C: Property owner s acldr`eSS' 1519 S GOlf:COOrse Pot Angeles WA 98362 Automatic fire sprinklersystem. Not Required Use occupancy clasSification. Business: Building permit number k5 '4" Occupant load. Pei T able! 1 ;„..t.,?.._.....,...; Type of construction. VB: t„ A Jr 4 09-13-11 ue ,e vcls b tang Manager Date Post on the premises in a conspicuous place. This ceiiiffente not be removed except by the Building Official. C__/6 PREPARED 9/07/11 9 11 38 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/07/11 ADDRESS 330 E 1ST ST 10 SUBDIV TENANT NBR PENINSULA WORKFIT CONTRACTOR PHONE OWNER ERICKSON FAMILY PROPERTIES LLC PHONE (360) 461 3888 PARCEL 06 30 00 5 9 2900 0000 APPL NUMBER 11 00000737 CO- CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 9/07/11 s r BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 09/07/11 TIME 08 37 42 September 7 2011 8 36 25 AM 1pangrle NANCY 797 4667 (I CALLED HER TO FINAL THIS PERMIT C OF 0 FINAL PENINSULA WORKFIT AFTERNOON COMMENTS AND NOTES PLEASE PRINT IN INK Check one New business in P.A. Change of ownership only? Moving location from within P.A.? )(Zoning BUSINESS NAME ?Ph i Yt S LtlG't k O k I-rf Business address Y Eas-t F krs-f Si ct 1 O Mailing address E U 2m. 0 to 3 Phone number 3b 0-'199-410(d? Opening date Auy),„)-o if Days hours of operation !~1- I Neanct,, Contact phone 3& 00-') G ,2 E. Firs Po rf -e vs tit) A- 9 .P Business owner's name Business owner's address Brief description of business r �.�u th J T("-MrecDt-, S.or Property owner's name try c\cs tm: L 4 Pr 6 LLC Contact phone 3(6 Property owner's address /contact P•D R eW 7 (e P W ►4 9 �3 t. BUILDING DEPARTMENT phone 417 -4815 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 Yl r v\- (5-0- glom -P F 064'',x' 2 7/O Changes to a fire sprinkler system or fire alarm system? Yes No Work planned FIRE DEPARTMENT phone 417 -4653 PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? Is business moving within the PBIA? Yes NoX CITY CLERK phone 417 -4634 CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Second -hand dealer /pawnbroker Yes No y Will there be dancing at this business? Yes No A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker. Dance, Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 Permit •fl 137 FEES Certificate Inspection $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations Bldg approval by on Fire approval by ,'4 on #Z7/ILL PBIA notified on City Clerk approval by on COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off- street parking spaces available for employees and customers? r 4 4'7 (A parking plan may be required.) Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned Work planned Date EA Print Name Worms Building Division \Certificak of Occupancy Application (2010).doc, Cz m (h 1246 1 51 h. PLEASE NOTE. NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. 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 No PUBLIC WORKS WASTEWATER phone 417 4845 Will waste other than domestic household waste be discharged into the. sewer system? Yes No X If yes what will discharged Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 41 -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. Page 2 of 2 CED approval by sick D tp PWE approval by on PWW approval by on Signature RoQx CERTIFICA TE OF OCCUPANCY APPLICATION Permit CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK Check one New business in P.A.? Change of ownership only? Moving location from within P.A.? Zoning BUSINESS NAME Peh, S Lila boor -Fr Business address Easy F■r -s-f 5 fi IO Mailing address E U 3 cow Phone number 3 t 7 97- 4(0(d) Opening date Au_ 1, 1 Days hours of operation Pi- i a- L, Business owner's name Nav cA,, 3.J kvt-v Contact phone 3k, O '79 G Business owner's address ac4 a, r, r.S4' S 1 Po r4 Fehr ecoS (iU J 9,P le a. Brief description of business O r• fi 7(1/1 r S Px Ii Property owner's name E ricks 0 F I H Pr p v4 s.LL.0 Contact phone 3(0 O u G, 1- (S'Rr" Property owner's address /contact P -O I (W 7 L- Pd -P e /i w ►4 9 L- BUILDING DEPARTMENT phone 417 -4815 FIRE DEPARTMENT phone 417 4653 Changes to a fire sprinkler system or fire alarm system? Yes No L Work planned FEES Certificate Inspection $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations 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 Yl h v'-e C)-e t c'nr-P Fire approval by on PBIA (Parking Business Improvement Area Downtown) phone 417 4623 Square footage of business? PBIA notified on Is business moving within the PBIA? Yes N CITY CLERK phone 417 4634 Second -hand dealer/pawnbrokerbusiness? Yes No y Will there be dancing at this business? Yes NoX A City of Fort Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance Hotel -Motel Fireworks, Ambulance and Tattoo Businesses. Page 1 of 2 City Clerk approval by on f -T37 COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by on Number of off istreet parking spaces available for employees and customers? Q-1477 run( (A parking plan may be required.) Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned PLEASE NOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. 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 No Work planned PUBLIC WORKS WASTEWATER phone 417 4845 Will waste other than domestic household waste be discharged into the sewer system? Yes No X If yes what will be discharged: Please sign up for utility services at the cashiers' counter 1 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. Date I s, A Print Name T' \Forms \Uuilding DivisionlCertilic of Occupancy Application (2010).doc t CONk 1) v1 246 fi v cmle v M Cq in k Page 2 of 2 Signature PWE approval.by V on -Z7- Ale? C o nov-e. S PWW approval by on Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417-4653 CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK (f�� Check one New business in P.A.? Change of ownership only? Moving location from within P.A.? Zoning 0_11) BUSINESS NAME Pel� i Yi S rtila lil)ork I Business address Eas-t F„- -s-F Stre,,t .&I O Mailing address e 0 2 me to 3 Phone number 3k, 6-'799-449(0 Opening date A51,a -011 Days hours of operation P1 Business owner's name Marlcti 3 1.►,s Contact phone 310 O —')9 G !o Business owner's address a: E. r r4 S+ I Pp r c--e( os (Ai 4-- 9 21„ Brief description of business 0 n,e fi rsv i `a.9v-crpe., S -r to U.-, i Property owner's name E lrf'e\c-S o' Pam Pr61:11v4s.u-C Contact phone 3(o O 4.1 Property owner's address /contact P.O. 0 T'lolu, Patel- Av.eQQ� W rl- 9 r I I r .d N I ii I dm Bldg approval by Q u on BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Yes No X 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 Yl n'vt P 11'-t forrti FIRE DEPARTMENT phone 417 4653 Changes to a fire sprinkler system or fire alarm system? Yes No L� Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 4623 Square footage of business? Is business moving within the PBIA? Yes N );K CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes No y Will there be dancing at this business? Yes Nox A City of Port Angeles Business License is required for Taxi, Peddlers, Second- Hand-Dealer Pawnbroker Dance Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 FEES Certificate Inspection $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations Fire approval by on PBIA notified )C on Permit 11, —7- 137 I t it City Clerk approval by't on 1 (I I COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by on on Number of offstreet parking spaces available for employees and customers? C/✓ r vi (A parking plan may be required.) Signs? (wall- mounted freestanding projecting, awning A- frame, etc Signs planned PLEASE NOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles 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 No Work planned PUBLIC WORKS WASTEWATER phone 417 -4845 Will waste other than domestic household waste be discharged into the sewer system? Yes No X If yes what will be discharged. 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. Date tCtnr., h 5 h bv1 2.46 D h Sick m le W ira0 a- cQ®o 9 t. Sire u Print Name T \Forms \Building Division \Certiticat of Occupancy Application (2010).doc Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter !V G� c,t, J ja, >nJ' Page 2 of 2 Signature PWE approval by KV on �Z7—I( i PWW approval by V on 0 Cft