HomeMy WebLinkAbout1850 Marine Dr - Building c--
ELECTRICAL PERMIT T
CITY OF PORT ANGELES
360- 417 -4735 OJ
Application Number 11- 00000768 Date 7/26/11 CA)
Application pin number 308992 REPORT SALES TAX
Property Address 1850 MARINE DR
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 4600 -0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning INDUSTRIAL LIGHT
Application valuation 0
Application desc
Relocate panel
Owner Contractor
NIPPON PAPER INDUSTRIES USA ANGELES ELECTRIC
PO BOX 271 524 E. 1ST ST.
PORT ANGELES WA 983620044 PORT ANGELES WA 98362 (:)Q)7
(360) 452 -9264
Permit ELECTRICAL ALTER COMMERCIAL 0
Additional desc
Permit
Permit pin number 189738 \"1
Permit Fee 119.90 Plan Check Fee .00
Issue Date 7/26/11 Valuation 0
Expiration Date 1/22/12
Qty Unit Charge Per Extension
1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90
Fee summary Charged Paid Credited Due
Permit Fee Total 119.90 119.90 .00 .00
Plan Check Total .00 .00 .00 .00 7
Grand Total 119.90 119.90 .00 .00
4
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH IN 2121 t' R
FINAL I bll� 1^ 4V W
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X r Date:
G: \EXCI -IANGE \BUILDING
0 t ELECTRICAL INSPECTION
U WIRING REPORT
417 -4735
DATE: /1) PERMIT I ECT R
OWN
►.1 \WOE
CONTRACTOR
ADDRESS
$�JO ,t o '9i7--1 U e-
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
r CORRECTIONS NEEDED:
L bt1 S 6-4- G✓ 1, R 1D4 -1
-T 15 O tkiL 3
o k 4_
-...,i
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
07/25/2011 15:.22 .FAX 360 452 9265 Angeles Electric 1210001 /0001
0
Cit -JUL JUL 2 6 20ij :---r 6
121 riififrt..ftaotiiso ELECTRICAL
Ped rlp ...adfiNto6, 302 1NSP
P 4 1Ti191 ECTIONS
D ate.
•1 4; Single Fa dlyDwe1llr
M amrlyct.4ornnteita'
mM.erdalAdi$tycri /Alteration 1 Remodel I Repair
r PlanRbv1$w.ltiley8 Required, Please Complete Election! Plan Review Information Sheet
JobAddtes$ /��A�J �'J
footgguartff ape: /J not
Desaiptlon of Bbori. il./ IS IL/J 4 4 Q" kwlo�sll •nab '`•r„
,-Name• L "4 r C '�..L w/ Name L r,:
:,MaJUrtgAddris: :15��!` I■lf M the r
"':7: S tate: P TV np: 3" City: State: 1 t
:Phone• arc PM= —z Roc "Z—
i
:,UnitCbertte fit ID Total (Ottn.Mut9nifed bl�UnIt Martial
f 191 1 11 Se vic.IFaedeT200Amp
1,45:60' SsMalf�rar201- I0OAmp•
.$204.60 SenicelF.eder401403
$28220 Senite&Faid r. A00)An
:.4372.50 8ern araederbrer1000Amp. j
2.60 Branch *CAW Sankt Feeder
:73.50" Br and Cb YYIO :Bm,* Fee
2.60 Each AddIDan Br4itlti "Ctrault
Tamp..8ank&f
.....$110.30, Tarp. S40rb.IFNdar20140OAmp.
,$148.70 Tamp. Spatiiif oiti409�8011M8i. E
3 Temp,.BerNvVFaeder.004- �O�Mrp
Portal b PortettiMaly
e 3:eo S i eIhke
55 :90 Sind CtroulR Wad Enp,�r- Cgrrdr�erdai.AaaPoond MOO $6.00
°$,,63.60 Stla Oran/ ponpy 1 A2F
8_:1;390 tom• t
•$119.90 A
:-5102.0 RaiseBleeAailJret *I S$rirn .rtes
:311030 Fi>it1300.BritidsF't
'.:.$.1:
3520 EaadrAedmad000`tiprrer.Ror Porond I
73;60 Eath Cu 9 et.ttlrtr+diedG,eraaf y.. Each etrYir or;}fat7tib
s .8 Tot Thenni
i
'-"'.0►Yn.rpa.d Mad wRCMC11uu el: pJ &arrar all Noun' tMetrrrctrrn *An Mat OWOhlsNaetrlafpinpitB finalized. a Orer.►trn6olrkaaAe.an.le al n''
404'4140plr Allsikpota R after •Droronths ofkallhyeeCar.
:A 7a1oi 61r� d roerr edlmrent, I Aer ofi ib that t am tlu a mr d th. a tm named proparq►era. eleetrtd eorrtraeter. /era the ataeblcde or
7idpiiiA(dhlir !hit ttg.eterrh1g41tira, .ttg.O, ROW. CMpbr 19.21, WAC. CtrtPtt6B, Micro d PoRArgo Mll:e ii i'
S10petor.9i.tnet; elw6leal eontraatorerelectrical edmiela titer i'
i n
26 1/ W Card E 0N
ELECTRICAL PERMIT t 1
CITY OF PORT ANGELES 1
360- 417 -4735
C,
Application Number 11- 00001060 Date 9/27/11
Application pin number 530740 REPORT SALES TAX CJ'
Property Address 1850 MARINE DR our excise tax form
ASSESSOR PARCEL'NUMBER: 06- 30- 00 -0 -1- 4600 -0000- on y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning _INDUSTRIAL LIGHT
Application valuation 0
Application desc
1 circuit 5 flood lights
Owner Contractor
V .f..,,,\
Nippon Paper ANGELES ELECTRIC
PO BOX 271 524 E. 1ST ST.
PORT ANGELES WA 983620044 PORT ANGELES WA 98362
(360) 565 -7030 (360) 452 -9264
Ille Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 193292
Permit Fee 73.50 Plan Check Fee .00
Issue Date 9/27/11 Valuation 0
Expiration Date 3/25/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
Fee summary Charged Paid Credited Due
Permit Fee Total 73.50 73.50 .00 ..00
74
Plan Check Total .00 .00 .00 .00
Grand Total 73.50 73.50 .00 .00 111
Il d
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 1/
FINAL f 1 15,11— c -4Y)
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X s., j Date:
G:AEXCHANGE\BUILDING
°FP °ATaN ELECTRICAL INSPECTION
WIRING REPORT
U N
,s�`�� 417 -4735
DATE PERMIT NSPECTOR
/DM J, 2. n T -IofO 14PP
OWNER/CONTRACTOR
ADDRESS
/6 56 MAW
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: C ,r) V `p C.7 2, W C--14.
A L,L Y--1 A U A
.ap A hi d 2, Li )I Frzo
utn,MA ICA m 2z5 19 9
OV I t' (1.0749 o1 '6o V
Acv 64
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381
09/26/2011 12:29 FAX 360 452 9265 Angeles Electric Z0001/0001
1
ECEI'll‘
1
City o1 •PortAngples Penult Application 01
laldliittilaloNEl OMalletoecttons S 2 6 2011 C7 321 iiittl h' 0.0:111:1150 0.-- PodAlipelydVili1hMbEe9, 8382 ELECTRICAL r
Ph 13s0):d1T' 'Rot 4174711 a
INSPECTIONS
1 2 Single Famiy-DwoiII g
Om tl- Fenim!orCommeldar
merdal Addition l AlteraSon Remodel Repair'
Plan J3evleMMay84 Required, Please Complete Electrical Plan Review Information Sheet
"Job Address: /*►A'1duf LS
Bti;llding quarefootspe 42 e
Dosaiption of above v A .w O 4 N P!
r
r rr
•Name: 4 •0 ,&uL.✓6 Name: .1 f maid_
;Mallinp Mg Address: 52Y re iacxr Sr
CKy Stets Al gi City State f826t
Phone• arc Phone: 4Es'z -f21�� Y Fax: Gd zzG6
:Ucense l.Exp, License E.x p..9Al64 c E$ 4' 'o,P_S
Unittheme Qpt Total (ON Multiplied br MitCharoe)
`:'.$119:90' SevicalFeeds200Mp.
:S :14530' SeMceiFeeder201400 Amp.
204.80 8 ServlceiFeader 401400 Mrp.
826210 SeMealFaeder 001.1000 Mip.
•..:$37230 aeMoe/Fords Over 1000Mp.
i 2.80 Busch ClraftW(8arvks Radar
A :..73.80. Z i •3m Branch CYddt W!O Sake Feeder
:260. 1 Eadr Addlam. BMdli Circuit
1••92.70 Temp. Suvloef Fah* 40Pmp.
1 Tarp.BaMarFeeder2014W
4148.70 1 Tamp. SerricaFaeder401400Anp.
167,10: 1 Tamp. 8ervloelPeeder601- 10o0
1 .95:90 Portal to PormlHoudy j
•''1 :x1:20 8 8igMOu0netJOhilq I
95:90 1 Sinai ClrwW United Fnapy Curinack.. Additional 1f10015 00
a .Q3.00 Signal CYarl 9 Wiled Bins 1d2 Fan* Nang
1;113.90 i Signal CtaiW IJiNOed •Eroerpl' Mu�Fanroy Melly r•-• 1 119.90 Renewable Dad $cal A *stern or Lass I
11 First 1300 Soots 'FL
Each Winona! 60ottquaraFta Patron of j
't `'173 Each 00411 or bitched Garens
S T
73
Orlmares •calmed biRCW lULt11: (0 Owmer veal occupy Um soroadrn for Iwo yews Je
w aft els Wks! "minis Rabat at a) Ownerk 'overfly bba.an a.eotcal earbaetor B
ekIPOpiipli*ruI onto( Mae& Panr: f j
••ARar.nbdlna the above slslm I hanky certify that I am Ma come Ina above named property ore Beanad slscMra1 contractor. 1 am eOefbn or
ilteri0oein toarpthinCS rAIN Vie doctrk9bltrs, N:EC.� RCN. Chapter 19.18, WAC. Cheplar215408, Ms Clpr of PonAngslla Mwi1c sl Coda, d the alsoblealigE
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0 i! �radtt Card O� 'tom
c—,_
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
vl
Application Number 11- 00001154 Date 10/19/11
Application pin number 780800 REPORT SALES TAX
Property Address 1850 MARINE DR
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 4600 -0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning INDUSTRIAL LIGHT
Application valuation 0
Application desc
Low voltage fire
Owner Contractor
DAISHOWA AMERICA CO LTD PERFORMANCE SYSTEMS
PO BOX 271 7324 SW DURHAM RD
PORT ANGELES WA 983620044 PORTLAND OR 97224 00
(360) 457 -4474 (360) 681 -8971
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 194597
Permit Fee 95.90 Plan Check Fee .00
Issue Date 10/19/11 Valuation 0
Expiration Date 4/16/12
Qty Unit Charge Per Extension a i
1.00 95.9000 ECH EL- LIMITED 1ST 1500 SQ FT 95.90
Fee summary Charged Paid Credited Due
Permit Fee Total 95.90 95.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.90 95.90 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 6 ti� L cl4V
FINAL I�!I
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X 1 d ft Ar 410 Date: �8
G:\ EXCHANGE\BUILDING
""44
'0 ELECTRICAL INSPECTION
0
WIRING REPORT
c m`'c w 11.11V 417 -4735
DATE PERMIT INSPECTO
/0 1 R 1 Tzle.Q0 L�Z�
OWNER /CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
L AAJZ_
42 (.70 2 7 Z
oCO L i Zz 2)31 65i 09`
PS 1 t xt`r'r 12,O="riS.-J
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381
~ pORT ~
cS~O~~~
ha
L~
~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000737 Date
.227199
1850 MARINE DR
06-30-00-0-1-4600-0000-
ELECTRICAL ONLY
8/30/04
INDUSTRIAL LIGHT
o
Owner
Contractor
NIPPON PAPER INDUSTRIES USA
PO BOX 271
PORT ANGELES WA 983620044
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
(360) 452-9264
WA 98362
----~------~-------------------------------
Permit
Additi'onal desi::
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW COMMERICAL
200/125/50 AMP+F.A.- ANGELES
ANGELES ELECTRIC
234.20 Plan Check Fee
8/30/04 Valuation
2/27/05
.00
o
"
~
~
Qty
2.00
1. 00
1.00
Unit Charge Per
48.1000 ECH
95.8000 ECH
42.2000
EL-COM 0-100 NEW ADD SRV FDR
EL-COM 101-200 NEW SRV FEEDER
EL-LOW VOLT SYS <=2500 SQFT
Extension
96.20
95.80
42.20
~
~
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 234.20 234.20 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 234.20 234.20 .00 .00
~
...
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDA TION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # - LA PS ~ &2tJ ~
ROUGH-IN 1'tf1 - , k1C.
PLUMBING A~
UNDER FLOOR / SLAB 9-.10 -~ A-f? I'(~
ROUGH-IN ~ vc!.. h '" ..... VI
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER I
AIR SEAL I
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4 17-4735 '1"1O~/)L/ I<.k ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 4 I 7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102. 15 [11/14/20031
8-16-204
~~~.
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-u."I1;~ ,.0#:1
8002AM
FROM ANGELES ELECTRIC INC 360 452 9265
HI::C IRIC/l,L PERMIT APPLICATION
P.l
,
.\
"T1}(! I:-k>r.lIiC:ll r""C!lIf.il AppliC:::llion must be 1lJlcd out comDlelelv.
,..... \'" '\ "II. \"":U'~', I
(h,rlllt<':
1'"",.,11
I),.. 1."I""vr~:
U...I........":____...
1-
..
Pleas(> 1yPp. or rcptil,l Inlnl1.
If you hOllYF!' :'Uly qu~sllons, please call (360. 417-4735 ~ - 937
fa" F1vmtWr: (3&0) 417-4111 ./'
REQUEST INSPECTION ~
"
Own., 0' Elec, ConlraclOl Ag.nt:-1ll'JGELES--EL~_ rhon,e-4 "> ') _ q ') (;L- r-ax:.A "> ') _ q ') (; 'l
r'opM~Ownc" j.hPfbll) Pl'ff~ :zAJ/JVtSTl!.L{;5 Phone:
hV- ~
Addless; " z. ~ Cily; Zip:
Eleclncal Contfaclo'; ANGELES ELECTRIC INC.
Address; 524 EAST FIRST
lINGE!.F: 14 60R5
liC0.IlSC n: Exp:
Phone' 4 'i7_Q7E;4
CIly: PORT ANGELES. WA
Z;p: 98362
INSTALLATION WIREO BY:
LI OWNER
f.lt'LECTRICAL CONTRACTOR
Credil Card Holder Name: _-.:!),n c;; mp""'"
City:
- Exp. Date:
- Q!..l)
Zip:
VISA:_MC: V
TYPE OF WORK: Check allthal apply: [J New
o Residenlal 0 Multi-family ~mercial
~alion/Addition
PROJECT ADDRESS:
. 0 Mobile Home
Sq.Ft.
o Remote Meter 0 Detached garage [] Hot Tub 0 Swim Pool 0 Septic Pump ~ Voltage 0 Telecom. 0 Sign
Number of Circuits added or altered:
DESCIlIPTION OF THE ELECTRICAL PIlOJECT,
#/~'I..~
j11t:1U.11 JI/Lfl
Elecirical Heal Load Additions
_KW
KW
_KW
_KW
'J& "rt-
v io
(
~ad Service
o T ernp Service
LJ Underground Service
Service Inlormatlon
o Baseboard
:J Furnace
::J Heat Pump
~ Fan.Wall
Vollag.: /2O!z.r.I/J
Phase: ~
Service SIZO: ~W~
FeederS;.o: 7~~$Z)~
'AMC 14.05.060(B): F~r industrial. commercial. & rosidenlial projects large' Ihan a duplex, a one - line drawing of the Electrical Service &
=eeders, building size (sq. ft.), load cnlc'JJalions, and 1he type & or conduclors andlor raceway Is required and shall accompany the
::Jectrical Permil application.
'hereby cerMy thai I have read and examined Ihis application and know that same to be true and correet,'and I am
wthorized to apply for this permit. I andersland il is nollhe City's legal responsibility to determine what permits
ire required; il remains the applicants responsibilily to determine what permits are required and to obtainsuoh.
ff4bTp'x
. ~- (\ f yjcmK- 6j{(~ ~.",. p 1_ h'/'
rf ~\ ::::,:::.::':::::::::::: ~I~ ~'r::: ~/ttr
'W-9019 ~ Z f3;Jc>If ~/t!.-C.
~ 0- 02....-oA 95. ~ 90 ' b4 -
O-/:J.'5"A '/8".10
2;;'/ O.-~A"'f"S 7'f}./O
!Jj/"/tJY rrN-;#t.- 9~j"o-o</ K!k H' , /)/) .~u~ _. ._ .., .,..01_
$(/
~
~ ROUTING SLIP '* DY -1-'13 ~,OItT -1....
"'o~.~
~~.<;.
. ~ 0-1 Certificate of Occupancy . ~..:; l/l
L~
-=-
$47.00 Certificate/Inspection Fee ~
'tot",.,....
.
DATE AP R-1 L- 0'2...) 2..00 4- New Business ........................... . ( )
Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( )
~ <2>>~--o ~~~ ~ ~~ Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( )
Applicant "-lIP Po~ -PAPe~ J..JO\lSTfU GS ~-A New Building ............................ . ( )
Address --p ,0. f.:,o'X,. 2(/ Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
~oa..:; ANGr6"\.6~ I LoA . ge3b2- Temporary Business ...................... . ( /~
Phone: bUSines~~4~"2-~ I home Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . (
Brief des~ription of proposed business: ?'2a-V ~ 0 VS STr2Ar;r V'E:.~ ~l LJNI~ "&2Al\Cl4-
~-p I (...0 UJI !.,;L" (36- ~6-o AS CFF1~ ~PA c:..E: 13~ rv \ PPON
legal Description: lot Block Subdivision
Current Use of Property: VA.CANf
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? Y,- NO THE FOllOWING Will BE REQUIRED:
Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . PERMITS BUSINESS LICENSE
Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~- 1 ) Building 1) Taxi
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . ~~ 2) Plumbing 2) Peddlers
Plumbing changes ............................. ~ 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . 4) Mechanical 4) Pawn Broker
New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5) Sewer 5) Dance
New sewer service ............................. - 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons. . . . . . . . . . . . . . . . . . . . - 7) Driveway installation 7) Fireworks
Is this a home occupation? ..................... . - 8) Curb installation 8) Ambulance
Excavation of filling of lots ....................... - 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-ol-way . . . . . . . . . . . . . . . . . . . . 2:_ 10) Water meter installation 10) Other
Is there sufficient off-street parking? . . . . . . . . . . . . . . . 11 ) Fire
New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . ==* 12) Occupancy
A grading plan for site drainage. . . . . . . . . . . . . . . . . . . 13) Sign
(parking lots, downspouts, etc.) ................. . ~~ 14) Shoreline
Are the existing streets paved? ....... . . . . . . . . . . . . 15) Home occupation
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . _7 16) Conditional use
Is there curb and gutter? ........................ 17) Other
Other........................................ . --
I hereby apply for a Certificate of Occupancy and acknowl- AP R.'! L.-. 021 wo4-
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my ~~~f:~~
knowledge. Signed:
~ REJECTED Comments / Conditions
Building Section
Public Works Department
~/ J 6/o'i SR- Planning Department
~&V- Fire Department
City Clerk
P.B.I.A.
en
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