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Home My WebLink About1414 E 1st - Building Certificate of Occupancy 1414 E id St 13 - 120 <>? CERTIFICATE OF OCCUPANCY 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 at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use for the following: Business name: Holiday Lodge '§s Business address: 1414`E 1St Street Business owner: Balbir Signh / Gupreet Singh Business owner's address: 1414 E 1St Street Port Angeles, WA 98.362 Automatic fire sprinkler system: N/A Use & occupancy classification: Business Occupant load: Per 2012 IBC, Table 1004.1.1 Type of construction: 7 VB r" ` 10/28/2013 jcSue o erds,'Plan. g lllanager Date Post on the premises in a conspicuous place. This certificate shall not be remoN ed except by the Building Official. d pORTgtiGf CERTIFICATE OF OCCUPANCY APPLICATION Permit# /3- i2& ��1 '• SFJ. +► .1151111 CITY OF PORT ANGELES FEES $50 Certificate/ Inspection Attn: Permit Technician W 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 Check one: New business in P.A.?L Change of ownership only? Moving location from within P.A.? Zoning .\ BUSINESS NAME +to I ckt/ """GI L Business address I I4-/ E d + 51fu f. Mailing address 2 32 2-to 3011A /4i/e 5- Phone number 2 067 - `7 3g Opening date Days & hours of operation /_9- Business owner's name &I I S,>^?I,./(.,H(fret 4- Contact phone -2' G' 3 -/- ;g Business owner's address /ti/9 E 54- I-. Pori- / rr. t'i ), (ivy} 63g3&2 Brief description of businesst-f v� 1 / Property owner's name 13-11121‘r 331%L 7b141,91-6 + ‘21)1t‘ontact phone 2°4''30-1-g 3V. Property owner's address/contact 0411-1 5f S'F rRHt ,e/(5, wf-1 °!8'34,2- BUILDING BUILDING DEPARTMENT phone 417-4815 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 g Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? I ', ° `' `'sy' I PBIA notified on Is business moving within the PBIA? Yes II No' CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business?Yes 11 No Will there be dancing at this business?Yes 11 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 s COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on • Number of off-street parking spaces available for employees and customers? (,o )e,1IGt h 2 5)9.1D-fs (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. 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 ❑ No g Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes 11 No)Z If yes, what will be discharged: 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. 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 r71/0 Print Name /'t"\r r-e—c 4- 54"91 Signature / T\Forms\Building Division\Certificate of Occupancy Application(2010)doc Page 2 of 2 PREPARED 8/14/13, 13:42:27 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/14/13 ADDRESS . : 1414 E 1ST ST SUBDIV: CONTRACTOR : PHONE : OWNER . . : HOLIDAY LODGE LLC PHONE (206) 384-9388 PARCEL . . 06-30-00-5-6-0095-0000- APPL NUMBER: 13-00000120 CO- CHANGE OF OCCP/USE PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 8/14/13 JLL BLDG C/O FINAL * OVERRIDE TAKEN BY JLIERLY DATE: 08/13/13 TIME: 16:24:36 August 13, 2013 4:22:00 PM jlierly. COMMENTS AND NOTES When recorded return to: zeta- p vsL Ya6 o Protct Covenant Batblr S:n9h ?'j�//3, /Z 5/,y,i�.�74 Ciallal' County +last•.ire;'n ',05(351201a 0103 '6 oM l //( OU 1111 roar Cl�:�l�' �Yyi lit! I ki ' — S -S5e oaz_ PA-12cc, OUn/13tf-i) • fi )7/ i/= L S -11 _12..& lS U td tl/ 3) 36 z 6-Pr DC-1-S(_21 P•j1vN) -See- arf-ac.ti. cf- ZONIN OT • ' - - 1 I/WE the undersigned owner(s)of the following described property: /°//'/ t_, / sT re (insert legal description, address if available,and Assessor's Parcel Number) o �-,i cJc S, F/ UL�^f ✓ 3e.-)c)c) ��s�,s- /- 4, 64./ ,z / .� . r �u(cxJ t vt S r r ru O /C/i'T /-9-,-;(7 /,.. 1,4 0 w,V R � - LI LLC- do hereby covenant that said property shall be designated as one zoning lot as de tned in section 17.08.130"Z"of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may,only be removed through compliance with Chapter 58.17 RCW (subdivision regulations)and/or the City of Port Angeles short subdivision regulations (Ordinance No.2222, as amended). This covenant shall be binding on the owner(s),heir(s),assign(s),and successor(s)in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s),heir(s),assign(s),and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. / DATED this J day of ��ru ,20%7 Print Name: ./ .1")l f/i Print Name: Y7/1,-7ZVt.---c__/(51 (Owner Signature) (Owner Signature) Phone:206-3.4)L/—CI 0 Phone: ' — ti —CY 2 U j STATE OF WASHINGTON) ss COUNTY OF CLALLAM ) c: L��'l 10, � `��r�- �� ,Notary Public in and for the State of Washington,do hereby certify that or this-)day of ` hrl;° ,201`jpersonally appeared before me S 'i..\�,, known to me to be the individual®described in and who 115 titRhA executed the within instrument and acknowledged tha: G'}c' signed and sealed the same as ; free DOES Nor and voluntary act and deed for the purposes herein mentioned. C'OM C, UP IN �tnnt GIVEN LINDE,1t' 1 4D- OFFICIAL SEAL this day of y 20 „ �0 9 r..»»..,�5 •,�, 0 F TRXPA`YE,f2 • ■ n iNftZL,4'IAT'1Gtit " o• v +o1; �L.-''e i^�� ` _Yes tN r-j E • ost' NOTARY PUBLIC in and for de State of CUe T � � : D t3A}S G - Pl�9 �2 Washington residing at Putt Angeles. iiistisittivo- Noith Peninsula Electric CITY OF PORT ANGELES PERMIT APPLICATION Buildin e, Division/Electrical Inspections 321 East Fifth Street— P.O. Box 1150 / Port Angeles Washington, 98362 Ph. (360) 417 -4735 Far: (369) 4174711 Multi- Family or Commercial* 928 -9409 p.1 RECEIVEW cr ELECTRICAL. INSPECTIONS �--�► * Plan Review May Be Required Plea q Corn I to Elec�ical Plan Re iew Information Sheet .lob Address: -11 Building Square Foulage: Description of above Owner Inform i n fi r Contractor, lnirrpat' n .v �-rytG Name: t' Dame: ( Mailing A dr°_ss; 1 Mailing A re s, City: State: Zip: ��- City SZIP, Phone: Fax' Phane: uIcarnse #! Erp. Li cense # 1 Exp. Item Unit Char C3yt Total fQty Multi lied by Unit Charget 5ervicefFeeder 200 Amp. $132.00 - $ ServicelFeeder 201 -400 Amp. $ 160.00 $ Servicellceeder 401 -600 Amp $ 225.04 $ Servicer,=eeder E01 -1000 Amp ServicelFeeder over 1000 Amp. $ 2810 $ 410.00 $ /(10 Branch Cir�:uitW /Service Feeder $ 5.00 $ Branch Circuital /0 Service Feeder $ 74 -00 $ Each Additional Branch Circult $ 5.00 6 Branch Circuits 1-4 s 85.00 s Temp, Serrtcel Feeder 290 Amp. $102.00 5 Temp. Service/Feeder 2C1 -400 Amp. $121.00 $ Temp. ServlcelFeeder 401 -600 Amp, $164.00 $ i emp. ServicelFeeder 601 -1000 Amp • $185.00 Portal to Por121 Hourly $ 96.00 Sig niNtlineLighting S 85.00 $ Signal Circuit( Limited Energy -- Multi- Family 5 64.00 S Signal Circuit! Limited Energy i First 1500 sf - Commercial S 96.00 Note: $5.00 for each addiliona11500 sf Renewable Electrical Energy - SKVA System er Less s 113.00 $ Thermostat Note: $5.00 for each additional T -Stat $ 5600 $25 Totall owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above stalement, I hereby certify that f am the owner of the above named preperty or a licensed electrical contractor, i am making the electrical installation or alteration in comp':iance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -468, The City of Port ,Angeles Municipal Code, and Utility Specifications and PAfAC 14.05.050 regarding Electrical Permit Applications. Signature f owner, electrical contractor or electrical administrator: C] Cash 0 check rr / redit Card # X C � � 0110112012 Dated; S a Noith Peninsula ElectriC 928 -9409 p.2 CITY OF PORT ANGELES PERMT APPLICATION wilding DM&i,DWEl ecMcal Llspecti8ns 321 EastFifth Street —p,0. Sox 1150 /Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 4174711 Date: 3111,- i * Flan Review May Be Job Address: _ Building Square Footage: oeWption of atvve Owner Information AUG RECEIVED, 1 2013 ELECTRICAL INSPECTIONS Plan Review infonafion Sheet Name , C Contracts Info o on alai ing As: N Name: _ _` l � C Ciry: S State: � , LiCertse #lE..ep� � �' p^• � •� Item L un;t Charge Total M ied nitCfrar e -400 A $ 205.00 $ $ SeMcelFeeder 661 -1000 Amp. $ $ 262-M $ $ SeNicelF'eedal over %M Amp. $ $ 373 - $ Branch Circuit W/ Service Feeder S -06 $ $ Each Additional Branch Circuit $ $ Branch Circuits 14 $ $ 500 $ $ �--- Terre. ServicelFeeder201- 400Arnp. $ $ 93.00 Temp. SeruicelFeeber40l- 6W Amp. $ $110.00 Temp. SeMCe/Feeder601- IGMArr1a . $149.00 $ . $ $ i6$.00 $ �, $ $ Signal C ircuitf Limned Energy -1 & 2 Family DweII S $ 9660 � VanufaMred Nome Conneoiion $ S 64.00 RanaWdbte Electrical Energy- tKVA System or Lm $ $120,06 $ Note: $5.Qo for each additional TStat S $ 58.G0 ` `� $ $ EW CONSTRUCTION ONLY. n� First IWO Adds luii a $ 120.60 Each Outbuilding or Detached Garage $ $ 4D.04 $ Each Swimming Pool cr Hot "tub $ $110.66 Owner as d f e ern by RCW.19.28.261: (1) Omer wit OCCUPY the structure for two years after this elecirical p it is finalized. (2j Owner � required to hire an electrical contractor it above said properly is for sale, rent or lease. Permit expirEs after six months of last inspec8on. After reading the above statement; I hereby certify that I am the owner of the above named property or a licensed electrical contractor. f am making III electrical installation a alteration in compliance wrfh the electricdl laws, N-1 =C., RCVV. Chapter 19.28, bVAC. Chapter 29646B, The City of Part Angeles Municipal Code, and Utility Speciticagorrs and PAMC 14.05.050 regarding Electrical Permit .2a, lions Signature of owner, electrical contractor or electrical administrator: Q cash Q Chock x I`i -l�1 0 0 -�r�rrts cede Ofra1MI2 Forth Peninsula Electric 928 -9409 p,3 RECE11 CM OF PORT ANGELES PERMIT APPLICATiON iACil�l s, Building DiiF^ision/ElectricaE inspections ' 321 East Fifth Street — P,O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -0735 Fat: (360) 4174711 Date: C/C `CY) f yw .Y'C 1) * Plan Review May Be ited, PleaseLortlplete Ejrr," Job Address: 1 Plan Review Information Sheet Building Square Foaag% Description of above Owner Info natipn1 �Q.�� Name: \\ Contractor Info on Name;1 Hieilrng dr �— City dip: Mailing Ad fig U Phase Fax. u 1 MY, Phpne: ^ Stater Fax: y cense Ex p. p License # I Exp. C� Item � 5oavi/Feeder 200 Amp, Lint 0.00 $120.00 ( To tal Muld ied b Unit pia e Servi !Feeder201-4QDAmp. $148.00 $ SMiae/Feeder 401 -600 Amp $ 205.0Q $ Serrice<FeWer 601 -1000 Amp- S262.00 $ $ Service/Feeder over 1000 Amp, $ 37300 $ Branch C!rcult W / Service Feeder $ 5.00 Brancd rircuh W/O Service Feeder $ 83.00 $ Each Additional Branch Circuit S 5,01 $ Branch Circuits M $ 75.00 $ Temp.Servic& Feeder 200Amp, $ 93.00 $ Temp. SeNiceJFeeder 201.400 An-p. $110.00 $ Temp. 5erAcelFeeder 401.&00 Amp. $149.00 $ Temp. Servioe/Feeder601 -1000 Amp • $1R.00 j $ S Portal to Portal hourly $ 96.00 f Signal CtrcuV Limited Energy -1 &2 Family D eting $ 64.00 $ Manufactured Home Connection $120.00 Renewable Sectricel Energy - 5KVA System or Less $102.00 $ Thermcstat $ 56.00 $ $ NOW: $5 -00 for each additional T-Stat NEW CQMST— RUCTION ONLY: First 1300 Square R. $120.00 $ Each Additional 500 Square Ft or portion of g 40 Each Outbuilding or Oetached Garage -00 $ 74.40 $ Each Sdrnming Pops or Hot Tu b $110.00 $ $ g Total Owner as defined by RCW.19.28.261: (1) Cermer will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required ID hire an electrical contractor if above said properly is for sale, rent or lease. Permit expires after six months of last inspedon. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the electrical installation or alteration in compliance with the electrical iaws, N.E.C., RCW, Chapter 19.28, WAC. Chapter 296 -46B, The City of Fort Angeles Municipal Code, and Utility 5pectfacations and PAW 14,05,050 regarding Electrical PermitAppiicatlons. Signature of owner, electrical contractor or electrical adminlstrMor: p Cash G7 check �i--'r � J�v , �,� �.i ��redir CaR1 A _ �J ✓� ' t / „ L.�L_../ X �tEd: I Of 101@012 " A 0 , ELECTRICAL INSPECTION c� ul WIRING REPORT RKS 417-4735 [DATE PERMIT 4 INSPECTOR 77�-TTAETOF +4 rz-o-4 ADDRESS 7 7- '-- APPROVED OT APP Cl ......... DITCH ..... 0 0 .......... ROUGH IN/COVER ............... 11 0 .................... SERVICE .... .............. 11 El .............. ...... FINAL.... ....... ❑ CORRECTIONS NEEDED: -L7 acAmp LZ(-ATv9--12 J*-,r- N 19 AM) Af -9 r-- IE d4 a -3 -a. 2-1- NOTIFY INSPECTOR WHEN CORRECT*NS ARE COMPLETED WITHIN 15 DAYS ELECTRICAL INSPECTION 1p flvWft WIRING REPORT 417-4735 DATE: PERMIT 9 OVVNr -CONTRACTOR L- ADDRESS APPROVED 0 ...... .... DITCH .................... 0. .............. ROUGH IN/COVER ............... 0 0 .................... SERVICE.. . ........ ...... . 11 0 ... ................. FINAL .................... M CORRECTIONS NEEDED:! 144-ps-rm- V, -a:rzz)r., LA r- LI-T' 20 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ! ! 1 -919111 rel 1-1-6 fi =- I Ai li 00 = m "o oOHT.4,� Q�<t. ELECTRICAL I NSA ECTION "I , 'o, 0m, WIRING REPORT 417-4735 APPROVED T APPROV :D ................. DITCH ...... 0.. . ............. ROUGH IN/COVER ............... 0 0. ................... SERVICE ............ ...... 0 0 ..................... FINAL ............ — ... . - 0 5r) CORRECTIONS NEEDED: M911) 14) Qi-> Tjg�Q Va- -a� /,4v- '3 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS �§ 0 �Zs �,.k MOB ;_ = ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . , 13- 00000426 Date 8/01/13 Application pin number . , , 060334 Property Address . . . . • , 1414 E 15T ST ASSESSOR PARCEL NUMBER; 06--30-00-5-6- 0095 -0000- Application type description ELECTRICAL ONLY Subdivision Name , , . . . Property Use . , , . . . . . Property Zoning . . • . . . . COMMERCIAL ARTERIAL Application valuation , , . . 0 Application desc 1 feeder and 32 circuits remodel Owner Contractor HOLIDAY LODGE LLC NORTH PENINSULA ELECTRIC. 23226 30TH AVE 761 FRESHWATER PARK RD DES MOINES WA 98198 PORT ANCELSS WA 98363 (206) 384 -9388 (360) 477 -1764 - -- - Permit a -_. . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . , Permit Fee 777.00 Plan Check Fee .00 Issue Date 4/24/13 Valuation , , . . 0 Expiration Date 10/29/13 Qty Unit Charge Per Extension 32.00 5,0000 ECH. EL- BRANCH CIRCUIT W /FEEDER 160.00 21,00 5,0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 205.00 1,00 96.0000 ECH EL- LIMITED IST 1500 SQ FT 96.00 4.00 5.0000 ECH FL- ADDDNT LIMITED 1560 SQ FT 20.00 3.00 132.0000 ECH EL -COM 0 -200 SRV FEEDER 396.00 FT`^'Fee summary Charged Paid Credited Due -- ` Permit Fee Total 777.00 777.00 .00 .00 Plan Check Total ,00 .00 ,00 QO Grand Total 777.00 777.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN R tip FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical. ContractorX Date: GAEXCHANGEIBUILDING 1 .- "'� I Vorth Neninsula lziectrc 916-041}9 p.1 RECEIVED o�?OR r '�c� CITY OF PORT ANGELES PEF=1T APPLICATION Building Division(Electrical Inspections ELECTRICAL i 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,9836 2 NSPION Ph: (360)417-4735 Fax: (360)417-4711 Date: 2A - 13 ---multi-Family or Commercial* �� .� Plan Review May 8 e uire6, Please Complete Electrical Plan Review Information Sheet Job Address; Building Square Footage: Description er above f' Owner Inf al:10n Contractor Jnforma tic . Name: � - r�✓ Name: '.i;^ t � i,. . L.� e- _ L.�� . Meilin Address: t ° -� Failing Address: City `- i S e, Zip: ' c I State' r109 Zip: Ll Phone: K, - Phone: Fax License#I Exp. License#I Exp, h c a L!1 L- Item Unit Charge Total(Qtv Multiplied by Unit Charge) Se.vicef Feeder 200 Amp. $132.00 5 ServiceJFeeder 201.400 Amp. ServicelFeeder 401.800 Amp $225.00 5 ServicelFeeder 801-1000 Amp. $288.00 5 ServiceJFeeder over 10'CO Amp. $410.00 5 Branch Circuit Vdl Service Feeder S 5.00 3 Branch Circu-tt WIO Service Feeder S 74.00 Each Additional Branch Circuit S 5.00 $ Branch Circuits 1-4 5 862 5 Temp.Service!Feeder 200 Amp. $102.CO S Temp,ServicelFeeder201.400 Amp. 5121.00 S Temp.Service/Feeder401.600 Amp. $164.CO S Temp.Service/Feeder 601.1000 Amp. $185.00 S Portal to Portal Hourly $ 96.00 S SignJOutllne Lighting $ 880 5 SignalCirouiL lUrritedEnergy-MuN-Family $ 64.00 S Signal Gircuitl Limited Energy I First 1500 st-Cornmercial $ 96.00 S Note: 35.00 for each addi€ienal 1500 sf Renewable Electrical Energy-5KVA System or Less S 113.00 w Thermostat S 56.00 $ Note:$5.00 for each adcitionai T-Slal fJ $hC 0- Total Owner as defined by RCW.19,28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease Permit expires after six months cf last inspection. After reading the above statement, i hereby certify that I am the owner of the above named property or a licensed etectricai contractor.I am making the electrical installation or allerafion in compliance with the electrical laws,N.E.0,RGW.Chapter 19,28,WAC.Chapter N646B,The City of Part Angeles Municlpal Code,and Utility Spedfications and?AMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check lz]��redit Card# C Dated; 13 0110112012 m ELECTRICAL PERMIT CITY OF PORT.ANGELES � 360-417-4735 Application Number . , , , 13-00000581 Date 5/31/13 Application pin number 046535 Property Address . . 1414 E 1sT ST ELEC. REPORT SALES TAX ,�... ASSESSOR PARCEL NUMBER; 06-30-00-5-6-0095-0000- on our excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name . . . . . . to the City of Port Angeles Property Use (Location Code 0502) Property Zoning UNKNOWN - Application valuation . , . , 0 ' ---------------------------------------------------------------------------- Application desc 320 AMP SERVICE Owner Contractor HOLIDAY LODGE LLC NORTH PENINSULA ELECTRIC 23226 30TH AVE 761 FRESHWATER PARR RD DES MOINES WA 98198 PORT ANGELES WA 98363 Q�7 �j�[ j . ----- (206) 384-9388----_--- .-_- --- (360) 4'77-1764------------------- 7.5 q14 D :. : Permit , . . , . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Pee 160.OQ Plan Check Fee DD Issue Date 5/31/13 Valuation , . , 0 Expiration Date 11/27/13 n� Qty Unit Charge Per Extension 1,00 160,0000 ECH EL-COM 201-400 SRV FEEDER ].60.00 --__ - -- ---------- .--- ---------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 160,00 160.00 .00 OD Plan Check Total .00 .00 Q0 00 Grand Total 160.00 160.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL ' COMMENTS: PERMIT WILL EXPIRE SIX.(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING RECOVED CITY OF PORT ANGELES PERNIIT APPLICATION � � 013 Building Division/Electrical Inspections 321 East Filth Street—P.O. Box 11501 Port Angeles Washing toil, 98362 b b Ph: (360/)417-4735 Fax: (360) 417-4711 Date: c� Multi-Family or Commercial* *Plan Review May Be Re red, Please Complete Electrical Plan Review Information Sheet Jot?Address: �si�� - Building Square Footage: Description of ve Owner Inforipption ContractorMo oration Name: LIB Name: 11:W_ Mailing Address: Mailing Address: City: State: Zip: City: State: Zip Phone: Fax: Phone: Fax: License 4 I Exp. License#1 Exp. J i Oz Item Unit Charge tV Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ ServlcelFeeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288,00 $ Service/Feeder over 1000 Amp. $41000 $ Branch Circuit W!Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp.Servicel Feeder 200 Amp. $102.00 $ Temp.ServicelFeeder201-400 Amp. $121.00 $ Temp.ServicelFeeder401-600 Amp. $164.00 $ Temp.ServicelFeeder601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit!Limited Energy—Multi-Family $ 64.00 $ Signal Circuitl Limited Energy 1 First 1500 sf—Commercial $ 96,00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113,00 $ Thermostat $ 56.00 $ Note,$5,00 for each additional T-Stat 7—Total$ Owner as defined by RCW,19.28 261: (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of cast inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C.,ROW,Chapter 19.28,WAC,Chapter 296-4613,The City of Port Angeies Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of e el r cal contractor or electrical administrator: ❑ cash X checx /I- El Credil Card# x Dated: 0 1 fa112012 W ELECTRICAL PERMIT `- CITY OF PORT ANGELES W 360-417-4735 `C. Application Number 13-00007364 Date 11/26/13, Application pin number 193656 Property Address . . 1414 E 1sT Sr REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-5-6-0095-0000 Application type description ELECTRICAL ONLY on your excise tax form subdiviHion Name , , . . .. , to the City of Port Angeles Property Use . . . , , . , . Property Zoning . . , , . , , COMMERCIAL ARTERIAL (Location Code 0502) Application valuation . , , . 0 Application desc Lighting and reader board Owner Contractor ------------------------ ------------------------ HOLIDAY LODGE LLC BLACK DIAMOND ELECTRICAL CONTR 23226 30TH AVE 502 BLACK DIAMOND RD DES MCINES WA 98198 PORT ANGELES WA 58363 (206) 389-9388 (360) 565-1035 -- ---------------------------------- --------------------------------------- Permit . , . , , , ELECTRICAL ALTER COMMERCIAL Additional. desc 1-4 CIRCUITS Permit Fee 86.00 Plan Check Fee .00 Issue Date 11/26/13 Valuation 0 Expiration Date 5/25/14 Qty Unit Charge Per Extension SASE FEE 86,00 Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 100 Grand Total 86.00 86,00 .00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPME SIX(6)MONTIiS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING North Peninsula Eleotrio I928-9409 P.3 RECEVED SEP 19 2013 CITY OF PORT ANGUES PERM T APPUC-, TiON Building DivisionMectric!1d]rnsrectiions ELECTRIM 0 321 East FYfth Street-P.O.%x 1150/Port Angeles Washington,941PECTIO.NS 00 Ph: (360)417-4735 F=(360)4174711 Date: Q-/ 942 DwLqlinq C-0 rN- Plarl Review May Be R ,julted, P11 Cc Job Address� e%e implige Ejectical Plan Review Infourl9on Sheet 9ulldirx)Square Foolage; GescdXon of above Contra ;or,lnf atia Nam, m Cup�A : ' Narne V ov, Stale: Malik A Phone: Fax Cky. State: P: U sa I-Exp Phone--k- Faf: can Aa-V-A L a-,-A- C� License#/C-xp I., V R' Z Item Unit Charge Servica'Feeder 2G0 Amp. $12000 Total b Mul SarvlceiFsedar2014 . 00 Amp. $146.00 Service)Feeder 401-600 Amp $205.00 servcWFeeder 603-1000 Amp. $26ZOD ServicdFeeder over 1000 Amp, $373,00 Branob Circuit W/Service Feeder S 5.00 Branch Circuit wto Service Feeder 63.00 Each Additional Branch Circuit 5 C- Branch Circuits 1A 4g&OL-'-' Ternp.Servicar Feader2oo Amp. S 93.00 Temp.Sanvr4cefFeedef 2ol-400 Amp, $110.00 Temp.SerV1WFE*Jer401-600 Amp, S 149.00 Temp.ServiceTeeder-601-10W Amp $168.00 Portal to Partal Hourly $ 96.G0 Signal CkwV Limited Energy-1&2 Family DNpiling 8 64.00 MarILAXILl red Home Connection $120.00 Renewable Bectical Energy-5KVA System or L,,, $10ZOD T'herniostat 3 56.00 Nota'$5,00 for each addilicnal TStat NEW CONMUCnom ONLY• First 1300 Square Fl. $120.00 Each AdCWMal 500 Square Ft or porficn of 5 40.00 Each Outbuilding or Detached Garage $ 74.00 Each SWI-nn ing Pool or Hot Tub $110.00 $ 1 Total Owner as defined by RCW,1928.261:(1)0Knerwill'occupy the structure for WD r-TZ after this efgcftal perrnitis finalized.(2)Owner is required to hire an eleafcal contractor if above said properly is for sale,rent or lease, Pen-nit expires after six months Of last inspection. After reading the above statement,I hereby certify that I am The Owner of the above named prop"of a licensed deeMcd contractor,I am making the electrical installation or alteration in compliance with the eiectrical laws,N.E.C.,RCW,Chapter 119.28,VVAC.Chapter 296-4613,The city of Port Angeles Municloal Code, and WRY Specifications and PAMG 14.05,050 regarding BecWcal Perffj t AppliCatons. Signature of Owner,electrical Contractor or electrical admials"or: ❑ C2Sh - 0 x t�j OV01012 ELECTRICAL PERMIT CITY OF PORT ANGELES 350-417-4735 �' Application Number . . , , 13-00001085 Date 9/2D/13 do Application pin number , , . 362845 Property Address . . , . , , 1414 E 1ST ST ASSESSOR PARCEL NUMBER! 06-30-00-5-6-0095-0000- REPORT$ALES TAX Application type description ELECTRICAL ONLY on your ;)(Ise tax form Subdivision Name . . . . . , Property Use to the City of Port Angeles Property Zoning , . . . . . . COMMERCIAL ARTERIAL (Location Coate 0502) Application valuation , . . . 0 Application desc 4 circuits exterior lighting Owner Contractor HOLIDAY LODGE LLC NORTH PENINSULA ELECTRIC 23226 30TH AVE 761 FRESHWATER PARK RD DRS MOINES WA 98198 PORT ANGELES WA. 98363 (206) 384-9386 (36D) 477-1764 Permit . , , . , I ELECTRICAL ALTER COMMERCIAL Additional dear 1-4 CIRCUITS Permit Fee 86.00 Plan Check Fee 00 Issue Date 9/20/13 Valuation . . . , 0 Expiration Date 3/19/14 Qty Unit ,Charge Per Extension BASE FEE 86.00 Fee summary Charged Paid Credited Due Permit Fee Total 86,00 86.00 .00 .00 Plan Check Total .00 .00 ,00 .00 Grand Total 86.00 86.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: r m PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION ✓"` G �+ Signature of'owner or Electrical Contractor X Date: GAF-XCPIANGEISUILOING JAN-28-2013 08:47A FRON:ELECTRIC SERVICE 4526424 TO:4174711 P. 1 Es s CITY OF PORT ANGELES PERMIT APPLICATI0N Building Division/Electrical Inspections ! t 321 East Fifth Street—P.O.Box 1.1.501 Port Angeles Washington, 8352 Ph:(360 417-4735 Fax: (360)417-4711 _ ulti-Family or Com rcial' �.�. Plan Review May B Required,PleasstCornplete Eleddeal Plan review Inf atiorl Sheet Job Address: t LS T Building Square Footage, n a Description of above ems_ Owner Inlomlil%n h� � "ontmetor Infor netlon � Name: aj me: t¢ Mailing Ad Tess k ailing dresn v Cily; State: a Zip: jr 3 s. : 5kale, a Lip: d �w, Phone: Fax; ion 1-" `� r asc —�-`^C31 r 3 License#I Exp. _ rase#l Exp. - E em t C rrr a qty Tgisi(t;lty ufttnlled by Unit Charge) Service/Feeder 200 Amp, $13220 S ServlcelFeader201-400 Amp, $160.00 S ServicelFeeder 401-M Amp $225.00 S ` ServicelFeeder 601-1000 Amp. $288.00 service/Feeder over 1000 Amp, 5410.04 $ Branch Circuit Wl Servir:a-Feeder S 5.00 S Branch Circuit W10 Service Feeder $ 74.00 5 Each Additional Branch Circuit $ 5.00 S Branch Circults 14 $ 86.00 $ Temp,Service/Foedor 200 Amp. $10220 5 Temp.Servioefeeder 201400 Amp. f 121.D0 $ Temp.service/Feeder 401&00 Amp. $164-DO S Temp,Service)Feedar 601-1000 Amp. $185-00 S Portal to Portal Hourly S 96,00 Signl0ufline Lighting $ 89.00 5---- Signal CirculU Limited Energy-Multi-Family $ 64.00 S signal CireulV Urnied Energy 1 First I 6 sf-CommefdEll $ 96.00 S Note: $5.00 for each additonal 1500 sf 11D0 I Electrical En -SiNA System or Less $1 Renewable ergy ys $ Thermostat $ 562 Note:$5,00 for each additional T-Stst g2ys °' Total Owner es defined by RCW.19.28.261:(1)Owner will occupy the strucWre for two ye rs after this electrical permit Is finalized.(2)Owner is required to hire an electrical contractor If above said property Is for sale,rent or lease,Permit xpires after six months of last Inspection, After reading the above statement,I hereby certify that I am the owner of the above lectrical amed property or a Ileansed electrical contractor,I am matting the electrical installation or alteration In compliance with the electrical lawns,N.E.C., CW.Chapter 19,26,WAC.Chapter 296-468,The Clty of Port Angeles Municipal Code,and Utility Specifications and PAMC 14,05.050 regarding Permit Applications. Signature of owner,electrical contractor or slaetdcal adminlstrrtor: 0 Cash 0 Chak r}, 0 C+edltCIA1 all Dates: E E I� 1 0 i ��o�poargN��C ELECTRICAL INSPECTION N WIRING REPORT c�ORKS&J4` DA PERMIT 4 INSPECTOR g i3-�La j O ER/ ADDRES APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ®. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED; Fv?A v 1 V-1 b ? v)fm IQ 44 E-- D� "1 mss' NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS � Nr. — DO NOT REMOVE -- OLYMPIC PRINTERS,INC.(360)452-1381 ELECTRICAL PERMIT W t CITY OF PORT ANGELES 360-417-4735 Application Number 13-00000101 Date 1/29/13 Application pin number . . , 144640 Property Address . . , , , , 1414 E 1ST ST ASSESSOR PARCEL NUMBER; 06-30-00-5-6-0095-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . , , , Property Use . . . to the City of Port Angeles Property Zoning . . . . . . . COMMERCIAL ARTERIAL (Location Code 0502) Application valuation . . , , 0 Owner Contractor YOUNAN WILLIAM/ABSATEF ELECTRIC SERVICE 1414 E IST ST 82 DRAPER RD PORT ,ANGELES WA 983624608 PORT ANGELES WA 98362 (360) 452-6424 Permit . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 600A SVC � Permit Fee 225.00 Plan Check Fee 00 (^ Issue Date , , 1/29/13 valuation . , . , 0 �"�• Expiration pate , , 7/28/13 Qty Unit Charge Per Extension 1.00 225,0000 ECH EL-COM 401-600 SRV FEEDER 225,00 ---- __- --' -^ -- - - - - -- - ________ Fee Summary Charged Paid Credited Due ----------------- ----------- ---------- ---------- ---------- Permit Fee Total 225.00 225.00 .00 OD Plan Check Total 00 .00 Do .00 Grand Total 225.00 225.00 00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE 7j ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCI IANGRBUILDING W A S H I N G T O N U S A. Community Economic Development Department October 20, 2009 Mr William Younan Chinook Motel X414 East First Street Port Angeles, WA 98362 RE 1414 East First Street CERTIFIED MAIL Chinook Motel Dear Mr Younan Sincerely, Sue Roberds Planning Manager On June 24, 2009, the City issued a Notice of Violation and Condemnation for the above described property due to noncompliance with the 2006 International Property Maintenance Code Section 108 Since that notice, you verbally indicated to City Manager Kent Myers that you would not be pursuing repairs required for occupancy of the motel units or site improvements that are required due to existing violations of the City's Property Maintenance Code. Furthermore, you indicated to both the City's Finance Department and City Clerk's Office that you would not be conducting a commercial business at the site. City records indicate that (in July, 2009) you chose not to renew your business license for operation of the Chinook Motel It is understood that you continue to reside at the location. Residential occupancy is permitted at that location. Section 14.36.080(H) Prohibited Sians of the Port Angeles Municipal Code prohibits signs which no longer serve an ongoing business The free standing sign that identifies the "Chinook' motel does not identify a valid business activity at this time and must be removed. It is important that you contact the Department of Community and Economic Development no later than October 29; 2009, with a time table for removal of the sign. If you are unable to remove the sign, the matter will be forwarded to the City Attorney's Office for action as the sign is in violation of the City's, Municipal Code. Cc City Attorney's Office T NGELES n Phone 360 -417 -4750 Fax 360 -417 -4711 Website www cit 'ofpa.us Email smartgrowth @c,tyofpa.us 321 East Fifth Street P C Box 1150 Port Angeles WA 98362 -021 ti CITY OF PORT ANGELES NOTICE OF SERVICE RE Chinook Motel 1414 East First Street I, JAMF LIERLY. state that on the 26 day of June 2009, I served William Younan with a notice of condemnation, a tru- opy of which is a ed t his notice of service. a es Lierly, Building I sn pec�6r Fr\ DATE June 26, 2009 The violations are identified below ORDER. W A S H I N G T O N U S A NOTICE AND ORDER TO William and Awatef Younan Chinook Motel 1414 East First Street 98362 PROPERTY 1414 East First Street, Port Angeles WA Lots 1 6, Block 121, Thomas W Carter's Subdivision, and Tax Lot #297 of Sub Lot 10, Parcel Numbers 0630005600950000 and 0630001010300000, Clallam County, WA NOTICE The Building Official of the City of Port Angeles, exercising authority vested in him pursuant to Chapters 14 01 and 14 09 Port Angeles Municipal Code, has determined that the property identified above is in violation of several provisions of the International Property Maintenance Code, as adopted by the City of Port Angeles in Port Angeles Municipal Code Chapter 14 09 The Building Official of the City of Port Angeles, exercising authority vested in by law, has determined that the portion of the property identified above that is intended for use as a hotel is unfit for human occupancy Effective immediately, that portion of the Property that is designed and intended for use as a hotel, as defined in RCW 19 48.010, is hereby condemned. The portion of the Property that is designed and intended for use as a hotel shall not be used for human occupancy You, and everyone acting on your behalf, are prohibited from allowing or permitting any human occupancy of that portion of the Property that is designed and intended for use as a hotel. VIOLATIONS. BUILDING AND PROPERTY MAINTENANCE Several units have damage from water and or mold in ceiling areas. This appears to be caused from a leaking roof and /or plumbing. The State Health Official confirmed rodent droppings and signs of bed bugs (including dead bugs) during the inspection on June 17, 2009 New water heaters were installed without permits and have not been properly installed. Most ventilation fans do not function. Exhaust fans in kitchenettes are inoperable Smoke detectors were missing or not working, some were laying on the floor Exterior vegetation is penetrating exterior windows Water damage from a bathroom shower is extensive enough to have caused failure of the adjoining wall. Carpet was nailed/stapled to the walls as a repair The swimming pool area is surrounded by a sagging fence that is overgrown with vegetation. The pool is covered by a sagging tarp and was not available for closer inspection. The tarp was filled with stagnate water High weeds and grass (over 12" tall) exist on the property Exterior painted surfaces are pealing and the wood is exposed to the elements. Parking space identification is difficult. This includes the ADA parking if it was required during the time of construction. Fire extmguishers need to be available for inspection. Verify service and maintenance of this item with fire department. An approved, certified, third party asbestos and lead paint abatement agency inspection shall be required as per the Olympic Region Clean Air Agency Please contact our office if you have any questions about this item. ELECTRICAL VIOLATIONS. Seal all unused openings in boxes, panels, and lights (NEC 110 12A) Canopies required for all light fixtures (NEC 410.22) Conductors entering lights shall be part of light fixtures and properly installed (NEC 410.20) Receptacles and phone jacks shall not be installed above baseboard heaters (NEC 424 9) Non metallic cable not to be installed outdoors in damp locations (NEC 334 12(B)(4)) Non metallic cable to be protected from physical damage (NEC 334 15(B)) GFCIs required in bathroom, kitchen, and exterior locations (NEC 210 8) All exterior devices to have weatherproof covers (NEC 406 8(B)) Label panel circuit breakers (NEC 408 4) All exterior signs to be listed and properly installed (NEC 600.3) Equipment grounding conductor to be installed to hot water tanks (NEC 250 4) Single conductors shall be installed in a recognized wiring method (NEC 300 3(A)) Provide proper working space around electrical equipment (NEC 110 26) Extension cords are not a substitute for fixed wiring method (NEC 400 8) Damaged lamp or TV cords to be replaced (NEC 400 9) All wiring splices to be installed in a box (NEC 110) f Al damaged electrical equipment to be replaced (NEC 110) Boxes required for all devices (NEC 314) Boxes installed on combustible surfaces shall be flush (NEC 314.2) APPLICABLE CODE SECTIONS The following are the code sections applicable to this Notice and Order Chapter 14 01 PAMC Chapter 14 09 PAMC The following sections of the 2006 International Property Maintenance Code Section 106 1, Unlawful Acts Section 108, Unsafe Structures And Equipment, including all of part 108 1 of that Section Section 302, Exterior Property Areas, including parts 302 1 through 302 8 of that Section Section 303, Swimming Pools, Spas And Hot Tubs, including parts 303 1 and 303.2 of that Section Section 304, Exterior Structure, including parts 304 1 through 304 7 and 304 14 of that Section Section 307, Rubbish And Garbage, including part 307 1 of that Section Section 505, Water System, including part 505 1 of that section Section 604, Electrical Facilities, including part 604 1 of that Section Section 704, Fire Protection Systems, including parts 704 1 and 704.2 of that. Section National Electric Code, sections cited above under the heading ELECTRICAL VIOLATIONS OPPORTUNITY TO CURE You have the opportunity, and are encouraged, to cure the violations found by the Building Official. You may do so by repairing, fixing, remedying, correcting and/or refurbishing as necessary to eliminate the violations identified above If the violations are corrected, the Building Official may rescind or revise the foregoing Order Note: If you intend to cure the violations, you must obtain the appropriate permits before commencing work. APPEAL. You have the right to appeal this Notice and Order To appeal you must file a notice of appeal with the City Clerk within thirty (30) days of the date of this Notice For additional information about filing an appeal, see PAMC section 14 01 090 NOTE Filing an appeal does not stay, defer, or postpone the effectiveness of this Order The Order set forth above remains in effect until the conclusion of the appeal process. lam' Kent Myers C anager City of Port eles CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16379 fL-Y: ?/ Port Angeles. Washlngtonmm___________________m__m_____m___..._.___mm. 19___00___ In aClCordance with the City Ordinance to regulate the installation. extension, or repair of elec- trical equipment in. on, or about any building or other structure In the City of Port Angeles. per- mission Is hereby granted to do electrical work as listed below. Address _oo/[/lm__m;;;:;.,_/Atl.'}/m_______~oooo_____mnnn_n________ occupancy_n__..~~""~_______________m. Owner n____(/..e.~",_::'.:~('!::J.~_____d!IJ...id(__..___oo Tenant_mooo.__moo_oom_oom___:_______m_n________m__o.o.oo____oom c2 r*.' ~~ e- Wiring Contractor __ooooX_~~!!._~__:?_::ooL_J?oomoooooo_'___n________ By_noo________oooom_no.__o..m_nn_______moo___m_______oo_._oo . ..; Light OutletSoo......o........_...................... Service, volts __..l...__m......__.__......n..... Receptacle Outlets............................... Dryer, KW __unnn...h..................n....... No. wires ....................................... Size wlres.........__........................_.. Range, KW.....u.............. Main fuse ......__............................... Water Heater: Enclosure ____.__................................ KW.oo......mmm.___.........___............ Hea" KW.....0...G.!....8..1}.............. Type of wIring: Entrance Cable ....................... Motors: size, volts and phase: Rigid Conduit ...................__ MetalUc Tubing ....n__.....__.. Current transformers: No. & Size......__....__................ Ser. No..............................__.__............ Ser. No. __....__..__.......__.....____.__.__......... Ser. No.......__...__.____..................__....... Type at Wiring: Armored Cable .............................. Non-Metallic .................____..........._ Knob & Tube____...____....................... Rigid Conduit ...._.......................... Metalllc Tubing ......................._... Raceway ......................._........_...._ Circuits, Light....................................... Utilit~r ........______.......__.n................... Heat .......................................-...... Range ............................................. Water Heater .......n...................... Motor __._....................................__.. Drycr..........________........n__.................._ Furnace .........................._................... Remark:~ta:__~~:_~;.A2.:::~::__.e,~~_::~~:~:~:::-__________m_________~:~_~:__~:_:.:::.__::.__~_:_~:::.:::~::~:: -- ~ _~~;;;,;~__;~~__oo___nnmmmno._____;~~~~.oo~~~~;~~_m___oomm_moomm_oo__.n.O)-;jJ--:~(;12-mm'""7!mm- $oooo....oooo__m______m__o.______.. NO.m.....__...._____....____ By o.,I::___:__!.__~______...._!?::::-:__m':"~__:?:__!:.':'-:';~_.-" NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16379 Address..................._...................................................................................................................Date..._......_.._.._.._.........._......_......_......... Owner ..........................._..n.._n...._.._......_......_.._.............._........................................... Tenant.................................................................... Wiring Contractor..........................n.............................................................................................. By.............................................................. NOTICE-Current must not be turned on until Certtficate of Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. \ , l~iI_ n!.~~;~ t)~;~.~~~ r~~ ../- - ~ ..... CITY OF PORT ANGELES DEPARTMENT.QF PUBLIC WORKS . . INSPECTION REPORT. . . . . . Ow -~ -IUo5 3 ..... REQUEST: Date 7 - } I - V (/ Time 7 ~ C(; It (11 Received by IJ I L. L (phone, ~~n) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): If' I S'. f' / '- c.. / 7 1- If Phone No. Permit No. ~ ~ ---- ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~ INSPECTION NOTES: Inspected: Date 7 - J I - ti' C; Time Remarks: LeA Ie. P /tI S e i"Tel( .. TI IE P M e 1e~. By tIf~ IV / AI r {/ ~ t"? c .k: -- \p "-\ /JF . RESTORATION REQUIRED. . . . .. YES V- NO ,A N ~ ~ ~ -... '-J o - -- /6 :? - - ~ a I - . (' V\ ~R\ ::t>~ ~~ r-. ", SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel o Repaired by City [] Repaired by Permittee [] No Damage Found e€l?J' .117 e ie ~ ~phalt 0 PCC 0 Other Work Order # I' .> J DQ COMPLETE 1-7-00 !J1/l ~... /' . B1NCOMPLETE ,IV X P /f~ ~u e: STREET SUPERINTENDENT (DATE) ~w. '2-00":{- Ifo::r3 City of Port Angeles Public Works Department Water Distribution Repair Report 'work Order No: / , ...> 3 Reported: ~I }'IOV Condition: Repaired: .1J'} II V'(;; Source: R~air Location: Component Repaired: Main: Service: Line Valve: Hydrant: Other: Address: Loc. Description: Joint Long. Break_ Tap_ Flange Nuts, Bolts Branch 5'c rTe ,e Repair Type: Clamp _ Site Condition: Surface Curb Damage: , Crew: If 1/11 / I? I C lir?/(~ , , Emergency i,../"- Routine Citizen Complaint ....-' Leakage Survey _ Other lilY E 1/11 r J( IIN T IS f or eH IN~f/1' )11J7t?L (JrFIC~ Main Line ID#: Cir. Break: Hole Valve I/V-1-S Split Bell _ Clamp _ Pipe ~ Stem Barrel L e /I-/C. i IV t:. Curb Stop _ Bonnet Other Corp. Stop _ Dresser Other If f 1J /I / (. or IJ /J c )( SIP € V F S Ir 7 Te If Gravel Roadway _ Asphalt Street V"". Sidewalk Top Soil Area _ Soil Type _ Cuts: Street Cut: Ft. Sidewalk Cut: Ft. Main Condition: Apparent Cause of Leak: 5/19198 Curb Cut: Ft. Diameter: Inches Material: Depth of Cover: Ft. Internal Lining: Tuberculation: NI A External Corrosion: NI A Special Conditions: Bedding: Other Structures: ,. t.-.-.. Joint Type: External Prot: Minor Localized Severe Extensive Samples Taken: Pipe Section _ Coupon _ Water Off: From 7 i3 II ~~ To j ~ U{/~M From "1 I J II , ~ To;) ~ If) yo M sef-rEf{ t- e- /f-,c I A/ # Page 1 PW-902.09 ~ --- ~ t"\ \]\- --\