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Home My WebLink About511 S Lincoln St - Building CERTI FIC_ATE~i,,()F':;QCCU P ANCY ,~!(,},('O"City of Port AngeI'es':[' t"i Building Division ',,, f ' This C~Pfification issued pursuant to the requirements of Secti~'301 of the Internatiorigl Building Code certifying that at the time of issuance thft~tructure was in compliance with the various ordinances of the City regulating Building ,;' construction or use. For the following: ;::j Use ClassificatIon RetMil BUilding Penmt No 04- 285 BUSiness Name ~i Scrubby's 'dl ~i' ~rwl ~J ;.\ Owner of BuslnessfReslden2~ \ Dawn F. Smith Address' 136 East 8th '\~'\ BUilding Address '511 SO. Lincoln Street. ..11,,, "f' ~1.r""",,~='-lf"",~ill-;'d'~.!~":JjCI..J;f;;r'''-.JI2r.ih.';::t ~\~~, Use Zone' " csJ5 Group' M VN Type of ConstructIon, ~~..~ i- ,,.- -~ . f' _'<:~,' ~' ~~';r sc.....v.bb ~ Of>e. Y't M a.. ~ 1- "'- ROUTING SLIP io.. Certificate of Occupancy 14 $47.00 Certificate/Inspection Fee DATE l-ll'l I b L( Address of Proposed li3usiness' 5/1~. UV)('bJtL Applicant '{:vLC0Yl F SVI"'U.-'h A~ress (~v E ?'Th -td I 2> ( ~~~S wVT q~a6d.- , Phone: business home LlS7 - ? f, dLp Brief description of proposed business: legal Description: lot Current Use of Property: O~: c:..~ Zoning Classification of Property: Block Will THERE BE ANY OF THE FOllOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks. New sewer service Admission charged to patrons Is this a home occupation? Excavation ot tilling ot lots ". Work done In City rlght-ot-way Is there sufficient off-street parking? New driveway openings A grading plan tor site drainage (parking lots, downspouts, etc ) Are the eXisting streets paved? Are there eXisting sidewalks? Is there curb and gutter? Other .""". YES NO _A- - -I..- - -'-- -L- -1:- _1- _L- --4- - --X- -~ _L- 1-_ _L- -~ _-L ~- ~- 1::.- _ New Business ,.,.,.".".,.,.,..."""., (K Transfer of BUSiness location, . , . , , , . , . , . , . ,. ( Change of Ownership , , . , . . , . , . , . , . , . , . , . ,. ( New BUIlding, , . , . , . , . . . . . . . . . . , . , . , , , , . ,. ( Remodel. , , , . , . , . , . , , . , . , . , . , . , . , . , . . , . ,. ( Temporary Business ,. ...,.,.,.,.,.".,." ( Change of Use , . , . , , . , . , . .. . ".,.".,.., ( rYlutl[ a-{ (jD~ 1aJ:tl;RWies SubdiVISion c,s~ THE FOllOWING Will BE REQUIRED: PERMITS 1) BUilding 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Driveway Installation 8) Curb Installation 9) Sidewalk obstruction 10) Water meter Installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) TaXI 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other I hereby apply for a Certificate of Occupancy and acknowl- 4/ ~ U edge that I have read this application and state that the Information I have supplied IS correct to the best of my knowledge. :i::~d: . ~ b ~/1L A PR VED REJECTED } ,'I 0) -].!V 7 /1/0'-1 cr12- I I f\()D ~/r/Dlf ,eV-- I BUilding Section Public Works Department Planning Department Fire Department City Clerk P.B,I.A. I \ , Parcel Lookup Page 1 of 1 Parcel Number 0630000200400000 Site Address 509 S LINCOLN ST PA Quit I Back I Taxpayer: KETCHUM JAY E Title Owner: KETCHUM JAY E 258663 HIGHWAY 101 SEQUIM, WA 98382-7426 258663 HIGHWAY 101 SEQUIM, WA 98382-7426 Description: S77'L TS8&9&N3'VACAL YABT BL200 Value Summary: Note: listed values do not reflect adjustments made for exemption programs such as SenlorlDlsabled or Current Use programs (except Commercial Forestland properties) Land Value 120,000 Improvements Value 195,900 Total Assessed Value. 315,900 Property Characteristics: Note: Use Code IS for Assessor's purposes only Contact the appropnate plannmg or bUlldmg departments for Zoning and allowable usage of property. Use Code 5900 OTHER RETAIL Land Size (acreage) 00 Note Acreage IS not listed for a II properties In the Assessor's records More information about land size Tax Status. Taxable i Tax Code Area' 0010 ~ote ZOning and zoning codes change constantly Venfy all zOning with the appropnate planning or building department I Building Characteristics: (CliCk 011 Bldg # for more details) _tL_ 6Jd_gLIYQe n_ a-'dg,_StylE}__~ IoJaLS...f"" BD Ji~ 01 One Story 4984 Tax History Sales History ~~ 111.628.06011 http://apps.clallam.net/we bsitel sitis --p. pgm ?parcel=063 0000200400000 2/11/2008 ~~. This certificate is issue Code certifying that a of the Czty regulatm 8382-7426 01/15/08 Date be removed except by the Building Official. ('fl~ 2 (0~/o8 ~ ~ , ~ o \J7 - \j) .. r ,-" ~ g --- S ~ "- e. PREPARED 1/15/08, 9 16 01 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 511 S LINCOLN ST BERGEN DACHS INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 5 1/15/08 SUBDIV: JAY E KETCHUM 06-30-00-0-2-0040-0000- 07-00001040 CO- CHANGE OF OCCP/USE PHONE PHONE 12/12/07 12/12/07 JLL DA PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 BL99 01 1/15/08 Pf BLDG C/O FINAL TIME 01 00 * OVERRIDE TAKEN BY LPANGRLE DATE 12/12/07 TIME- 08-24-26 December 12, 2007 8 22 46 AM Ipangrle BERGEN 457-4838 OR 461-5035 C OF 0 FINAL - BERGEN'S GROOMING AFTERNOON December 12, 2007 4-36_49 PM ]11erly prov1de t&P 3/4" 1d and strap or encase w/h per code/] 11 BLDG FINAL TIME: 01 00 * OVERRIDE TAKEN BY LPANGRLE DATE 01/14/08 TIME: 08 48:45 January 14, 2008 8:43 36 AM Ipangrle BERGEN 457-4838 C OF 0 FINAL - BERGEN'S DOG GROOMING AFTERNOON -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 12/12/07, 9 07 55 CITY OF PORT ANGELES ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL APPL NUMBER: 511 S LINCOLN ST BERGEN DACHS INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV. JAY E KETCHUM 06-30-00-0-2-0040-0000- 07-00001040 CO- CHANGE OF OCCP/USE PHONE PHONE PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 12/12/07 1'11- 7 BLDG c/o FINAL TIME 01 00 * OVERRIDE TAKEN BY LPANGRLE DATE 12/12/07 December 12, 2007 8:22 46 AM Ipangrle BERGEN 457-4838 OR 461-5035 C OF 0 FINAL - BERGEN'S GROOMING AFTERNOON ~~/ PAGE 7~ DATE 12/12/07 TIME: 08 24'26 -------------------------------------- COMMENTS AND NOTES -------------------------------------- 9~ w/J '- ,4f ~C( " ;-iJ 1 , B e.r e,n$ t>o GroOhlJ1n ROUTING SLIP .....\. Certificate of Occupancy '('_, $50.00 Certificate/Inspection Fee DATE 9..bJ 0'1 Address of Proposed Business 6\\ ~ ' U V\~O\'l\ ~\ "1> .~ I APPlicant~ ~~ '"V"kC ~-S Address '0\ ~ <J..X"D~€.J\"\ ~ ~ ~~~~ \J..:),~ qy>~~ Phone: busmes home Uff;J. 4.\'130 ::If- 01- \() 0 New Business. . . . . . . . . . . . . . . . . . . . . . . . . . .. (y-. Transfer of Business location . . . . . . . . . . . . . .. ( Change of Ownership ..................... ( New Building ............................ ( Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( Temporary Business. . . . . . . . . . . . . . . . . . . . . .. ( Change of Use ... .................... ( Bnef descnptlon of proposed business: '\Jo~ ~ ~C:O~\ '<'\.~ legal Descnptlon: lot Block Current Use of Property: Zoning Classification of Property: Co~~e.r<..1c\.... 0 Will THERE BE ANY OF THE FOllOWING? Construcllon changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? . Excavation ot tilling ot lots Work done In City rlght-ot-way . Is there sufficient off-street parking? New driveway openings A grading plan tor site drainage (parking lots, downspouts, etc ) Are the eXisting streets paved? Are there eXisting sidewalks? ... . . Is there curb and gutter? . Other... . YES NO -~ -~ 'f... ~~ ~f= i= -~ -A- ~- ~- ~- ~- SubdiVIsion THE FOllOWING Will BE REQUIRED. BUSINESS LICENSE 1) TaXI 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other PERMITS 1) BUilding 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Driveway Installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter Installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Condlllonal use 17) Other r I OJ') S -fo 0 fe\'"'\ OCt- 5~ 206, lue5-So:k- 1;30PJrPo-bp. I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge Signed: .~ REJECTED BUilding Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. \-< \J D ~VO~-2J-07 Comments / Conditions When you are almost ready to open your bUSIness, please call for CertIficate of Occupancy inspections: Call 417-4815 for a BUIldIng Dept Inspect. Call 417-4653 for a FIre Dept InspectIOn Please provide a mInimum 24 hour notice t?;e rO\€.ns; l>oq 6\"00r11; h q -J ~. < " . t f # 01- \oL10 ROUTI NG SLI P :r.. Certificate of Occupancy ~s., $50.00 Certificate/Inspection Fee DATE 41 Yl! 0"1 Address of Proposed Business ~ S\ \ C; . U n(~ ,-"\h, <",.ir l? I APPllcant~'\:)e"(e,,, U)..( Y'\~ Address 6\~ ~<..;..X'~~~, ~d \?~ ~~~( e\~ v..:.Jf\ ~~&.~ Phone: business) home LJf)~ ~l\'1 ~O New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . Transfer of Business location . . . . . . . . . . . . . . . Change of Ownership .............. New BUilding .................. ......... Remodel. . . ..~ ................... Temporary Business. . . . . . . .. .............. Change of Use . . . . . . . .. ...... . . . . . . . . . . (~ ( ( ( ( ( ( Bnef descnptlon of proposed business: -\'~)cc..,. en c- <.:::.:<..J\ y, \ ",< "- .....) --' I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: legal Descnptlon: lot Current Use of Property: Zoning Classification of Property: Block ,"\ \":'.0\ 'f\~'~C\(\.. f) Wll:l THERE BE ANY OF THE FOllOWING? Construction changes Electncal changes Me,chanlcal (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks NeW,sewer service AdmiSSion charged to patrons Is thiS a home occupation? Excavation of filling of lots Work done In City nght-of-way Is there suffiCient off-street parking? New dnveway openings .. A grading plan for site drainage . (parking lots, downspouts, etc ) Are the eXisting streets paved? Are there eXisting sidewalks? Is there curb and gutter? Other. . . . . . . . YES NO -~ 'f... -~ - --::r )(~ == 'l\ X == X -~ -L- ~- ~- L-_ ~- APPROVED REJECTED Building Section PubliC Works Department Planning Department Fire Department City Clerk P.B.I.A. Subdivision (~<;J) THE FOllOWING Will BE REQUIRED: ft PERMITS 1) BUilding 2) Plumbing 3) Electncal 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Dnveway Installation 8) Curb Installation 9) Sidewalk obstruction 10) Water meter Installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) TaXI 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker _ 5) Dance 6) HoteF- Motel ..w 7) FlreV'(orks 8) Ambulance 9) Tattoo shop 10) Other f l C\ n -:; '-hi 0 f e \"'\ Oct 5> -t~ 2001 Ive';-:;~ 7 /0 L ; / f'rrtl - p,. '- P~erGieW') ~Clch5 ELECTRICAL PERMIT Ai"D INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Applicat~on type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001130 Date 10/24/07 266910 511 S LINCOLN ST 06-30-00-0-2-0040-0000- ELECTRICAL ONLY COMMUNITY SHOPPING DISTR o Owner Contractor KETCHUM JAY E 258663 HIGHWAY 101 SEQUIM WA 983827426 APS ELECTRIC 546 BENSON RD PORT ANGELES PORT ANGELES (360) 452-6753 WA 98363 Perm~t Add~tional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL APS/ 1-5 CIRCUITS 112177 APS ELECTRIC 58 00 10/24/07 4/21/08 Plan Check Fee Valuation 00 o <.l\ ......... ......... Qty 1 00 Unit Charge Per 58 '0000 ECH EL-COMM ALT <5 CIRCUITS Extension 58.00 lA Fee summary Charged Pa~d Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 58.00 58.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 58.00 58.00 .00 00 ~ ~ ~ ~ ~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: oP<\"l Mt".(. . ~1-~ ;> Sc. ,- \;I,.b b .s DATE l_1 1'1 I b L( Address of Proposed Business' S I I .2). U I'~)(' b J I'L Applicant Nl. I L-Yl F ~jrYLL hl Adqress I~LI E Y'P'I. ~ I () [ ~(5y{yqy\~te~ (,0 \1 q ~~ ~ ,', Phone: bUSiness home L/S7~ y~)~ I -l.f ') &fCLL{ Bnef descnptlon of proposed business: legal Descnptlon: lot Current Use of Property: O~: c::..€- Zoning Classification of Property: Block Will THERE BE ANY OF THE FOllOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes . New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done In City right-of-way Is there sufficient off-street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc ) Are the eXisting streets paved? Are there eXisting sidewalks? Is there curb and gutter? Other YES NO _A- - -I..- _-L- --L- -L- _1- _1- --k- --X- -~ -~ 1-- _1- -~ _ --A- 1-_ L-_ 1-_ :i-~~-- L, C5 1- 'J. -D0- - 0 '-I New BUSiness . ..... ...... Transfer of BUSiness location Change of Ownership .. .. .., . . . . . New Building Remodel. . . . Temporary BUSiness ...... Change of Use .... ({.. ( ( ( ( ( ( IIYI.1dJ. ( {L ( (j lJfhM0(j q att1;f~\oY/ e S Subdivision C"S'~ THE FOllOWING Will BE REQUIRED: PERMITS 1) BUilding 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Driveway Installation 8) Curb Installation 9) Sidewalk obstruction 1 0) Water meter Installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) TaXI 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 1 0) Other )-- ~ Crt -. --- r -... ~ I hereby apply for a Certificate of Occupancy and acknowl- 4/ ~ U edge that I have read thiS application and state that the information I have supplied IS correct to the best of my knowledge ::t:ed: ~ b <inuf1t REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B I A. Comments / Conditions ( ~ ~~~~ ~ .(.?~ \' CE RTI FICA T-E,'<OF..:()CCU P ANCY ~ ~& ,-' City of Port Angeles-~~" \', ,)sj.jj, Building Division "'Y!~II;iiril', ,;.l' '~~, ~ .~ This Certification issued pursuant to the requirements of Section"301 of the Internatio,{~l Building Code certifying that at the time of issuance thi}I'structure was , " in co'inpliance with the various ordinances of the City regulating Building i'~ construction or use. For the following: (', " Use ClaSSificatIon Redm BUlldmg Penmt No.. 04-285 Busmess Name ~;l Scrubby's ,I 1-11 ~ ': M Type of ConstructIon VN Use Zone' csb Group d ~:I C,11 Owner of Busmess!Reslden~~. Dawn F. Smith Address 136 East 8th BUlldmg Address '~1 Street. Suite 121. Po~ Angeles. W A 98362 )f " ~~rt .~Il~el.es~ W~ 98362 .; ,;iW:;:~~~f,r~F;~I:~ll~Y'd ..:' " ~"~" ",' '~:0~t',"~ . - j:"Marcli24 2005 ~ . ~ ~ - ~ r. I, t; f'" ...- " ~. . 1: '" ~ "...;,~ -t~' <-" f .. / - uti mgOfficlal,., "I" ',;. "':"~.,,.., ',', '" Date Po t "'~~pr:~,rrI~~~,$::~~,!:a:A;~!1s'pi'cuous place. Shall not be remQ'y~a!feX'ce~t))y Building Official. '" ~ CITY OF PORT ANGELES L1GHT DEPARTMENT ELECTRICAL PERMIT N~ 17863 /- j/ Port Angeles, Washlngton_______u___________u.........____.___________________..__.__, ~--, 19_______:':; In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trlcal 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. / - Ai dress ______:?_!I._____,4_____:i?,:::!____:__::__L?.:,.~_______________________ Occupancy___________'"'",:__:>dd______________..______ O\,~er ----\-'-!.t::L---<L-!;(-:;-:(:-)-c';b~~--~_--~(-(; :enanL___________________u_.___________________________._____.._____________. W nng Contractor ____________~.._______________..___________________________m____ By_______________.___________________.._____________..____m___________ fO (/ Li ~ht Outlets....__________....................._n... Service, volts m..............n..n_.._____n_..... Type of Wiring: Rt ceptacle Outlets_____n........_..._.._._____n No. wires ............._.n__.._...n.._.._nnn Dr 'er, KW ~........_u.___...........u.__.__.______ Size wires.........n......n._...n__n._._.__. Rn 1ge, KW Uhm_hh._____nm___ Main fuse ......................__nnnn_n.n. W:tter Heater: Enclosure __...................nn KW_mmm_uu_uumuu___mmuumm C,51t 158 H, U: KW__umm__mu____m_mut-'..?_mumm___ Type of wiring: Entrance Cable ......___________n___ Mlltors: size, volts and phase: Rigid Conduit m_____m_m_ Metallic TUbing nnn___ Current transformers: No. & Size........................._....__....... Ser. NO.....n._n.......n........nnn_........... Ser. No. nn_..n..........................._......_. Ser. No. ...n_....................................... Armored Cable ............._.________....... Non-Metallic .................__n...h_....._ Knob & Tube________u____mmmum_m_ RIgid Conduit uu_u_m__m_m_m____m Metallic Tubing m__u_u__mmm_m__ Raceway ................_._...................._ Circuits, Llght....n....__............._m....._.... Utility _mm_m_umuuu_mmm___m_uu_ l-feat h______......................_....._......_ Range .........._........____.____.___............. Water Heater ............n_nn............ Motor ........__.__.._________................_.... Dryer _..._..__....._.._..._n.._nn._n._.........__ Furnace .................._...__.'_._._..___._...___.. Total Load............................. Ser. No. ...........................n................ Total n._.._..nn__n._..................._ f' :1:' R(.marks: .._____..___________tr...!.td;:_?..__:~_,!:I?_Lm___nnn__nn___m______________________..._m________n___.__________________________________ ---~ .___._..n_.~.___.._______h.____n.hUUnhn.__~_._...._..__..___.hhUUU..._uuuuu.__n._..__.....Unn_.U__....h.n.nunnnnn_n___n_nnnn__.__n_. Pormlt Fee ~ I () -.L'_>~ $00 __";{____!._________________________ Treas_ Receipt No.____________._______........ {(j;__ I,' - /" , I' / -- - ',(,' . / / By ___.f___.:___J..____f..__~_.:ln~_:.f::S!.__!:::..__~:l~:Ce~~$<-- NOTICE-Current mUst not be turned on until Certificate of Inspection has been issued. If work is to be con. ce4led due notice must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 7 8 6 3 Address......................................................................_......_....__....._..._.........__...............................Date_______________.____._........_.__.___............___.. Ov'ner n_........._...._._.........._..._____.n_n___.__._n...._.._.......n_n_......._n......_nnn.nnnn.n_n_.n_n. Tenant.........nn__n_n__._n__nn....n._nnnn_nn...___nnn_n WI ring Contractor ....________.._.___.___.....__..__._..............._............__.._.,..._..____.__..____________.__....__._.._.._._.._. By..........._._......_......................................... , '.- NOTICE--Current must nDt be turned on until Certificate of Inspection has been issued. If work II!! to be COn- ce: LIed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. ~ \~ ....... .lob wired by ~ledrical Contractor I:l Owner Hlectrical contractor.name - , / License ~~~ _-J., Date ~pircs A P 56'Ie.a('f &:i._ ~O~<lr P=hae;"S4"~ 'd~~1'1 ~~ Y1 ~acf) ChYfD r---t A '€- -e~ State ZIP uJ A q :6363 FAX numhe:r d -b 75 broom"", h t..61r'\. !'hUDt number to scbedule Jn$pectlon~ '-lhl-5035 OIliMr as dtifilled by RCw'19.28.26J:(1) OWnf..I' will OCCU1}Y th..' .flrw:rurejor two Yf.'ars 'lifer ,hi.v electrical permit tv jil1afiz.ed. (2) Owner is require.d 10 hire an e/eclr;e.ol c()fllraclor if abovf.' said pTOpury if for sale, rem or {ease. After reading the above statement, I hereby certify that I am the owner of the above named properly or a licensed electrics! contractQr. I am making the ekGtrical instal- l."lion OT alteration in compliance wilh the electrical laws. N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.46B, The: Cily of Port Angeles MUllicir3.] Code, and Utility Specifications. S1gnncurc of' owner, electrical co R x Date/[ ,,;l.lf07 Electrieal La . .0"5 and or subtra ti D NO LOAD CHANG~ o Baseboard KW o Furnace _ 'f.:rN CJ Heat Pump Ton D Fan.Wall KW ELECTRICAL WORK PERMIT APPLICATION.. !nsta1l3ti(Ul dU"ripli<m ~ Commercial 0 Residential o New ~ltcrcdlAdditiOn ~ G ~ i" C-lA it:; , (J - 5 ) , o Cash 6>'L (;..1l I:l Check # I:l Credit Card Mastercard Discover Visa Cardll ____.____-____-____ Expiration Date of card Inspection r;;. 00 $ b'- Service Information tAR ~ Overhead Service U Temp Service CI Underground Service Voltage PhaseD 1 D 3 Service Size:_ Feeder Size: ROUGH-IN TIIERMOSTA:f SAME'DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 O;tle ApIlN"I::c1 Dr D.l~ ANAL DITCH ~ D..IC Inspection Dal~ Area, Building or Equipment inspected 1d W~G[:01 L00G VG oddS [SL9 GSV 09[ Appro-S ~y SER"lCE Oal<: ....llpnlvcclDy FEEDER D~le AIlF'"lvedny/ ;\1'jJl"()~OlI By Action Taken Electrical Inspector 'ON X~-" ~O~J~~~NOJ l~JI~~J3l3 -S-d-~ WO~-" ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 16- 00000195 pate 2/11/16 Application pin number 209170 Property Address , , 511 S LINCOLN ST ASSESSOR PARCEL NUMBER; D6- 30- D0- 0- 2- D040 -D000- Application type description ELECTRICAL ONLY subdivision Name . . . , Property Use , , . . . . . . Property Zoning , . . , , . . .COMMUNITY SHOPPING DISTR Application valuation . . . . 0 Application desc Altering three circuits ------ ------- - - - --- ----- ------------------- - - - - -- ----------------- -- - - - -.- Owner Contractor I<ETCHUM .JAY E SHAMP ELECTRICAL CONTRACTING 258663 HIGHWAY IDI PO BOX 383 SEQUTM WA 983827426 PORT ANGELES WA 98362 {360) 452 -1669 Permit . , . , , . ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Fee 86.00 Plan Check Fee .00 Issue Date 2/11/15 valuation 0 Expiration. Date 8/09/16 Qty Unit Charge Per Extension -BASE FEE 56.00 Fee summary Charged Paid Credited Dug Permit Fee Total 86,00 86,00 .00 .00 Plan Check Total QO •00 ,00 .00 Grand Total 86,00 86,00 .00 .00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 5502) INSPECTION TYPE t DATE: RESULTS: INSPECTOR: DITCH REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 5502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT" WILL EXPIRES ff (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X GAIEXCHANGMBUILDING P- - L RECEIVED -1D FEB 2016 Crry ov Powi, Am-,virs P crumn AtTIACATION ,121 East Fifth Si; im! -- P.O., B(jx I 150 1 Pod A.agellus Waslkhiglon. 98362 Ph 60) 4 17 -4735 Fw,.- (3 6 0) 4 11 -47 11 r /wIll-Family w Comr1l9rclal" 'Ritj Rvlew P-lay Be RePred, Plwa-, FnOM- a Elocuical n Revienv loformation Sheet. JkA, A f I drm: 'a -U kf- UF,w",PFGr, Ili abovP Owner o 11viati o I) r informo t. lon Z, A Ax Ls N. ------- item 1plied )1.9,nit Ch4.rggj S��IvicqPopd("f MO Amp, S `12fvicuffi -der 2 0 1 ACO Amp ci L I 401-6CO ArnO $ 229, W AT—p OCOApp� 4 1 nrmt, Orcud 'A1j'8fn%,x, Ff,,fjdpr .. . .................. Br nch O-WO VW� arvico Feodw rZ • plo Addi*m�,l Bran-0 Cimud S 511JO — Brand). Nuuil-i 1.41 86,00 remp. Svivic�,VFrailer NO Amf ,, Tt�mp carvia-dFb b, d& 201,40 Amp 2 +k ............ ._...,..w_... ut) I -I GIA Ax, p PVT1t 1 1.0 prxinI Haudy WOO Skv,4 C!,miv Limil ed ------ [or co.-,h ad.ddJuniil 1,505 U Rew%,AAe Ele4rtji Cal 151ergy 5KVA �ipipfv of Less S Total Om ii�'r as dokifxl by RDICI �, ?8-2,0: (1) Ovone• vAl ==Popy tht. �Ifmctu re tar i'm �Pajrs afta 1hts cluticai. pe mij I. is rij illized. (2) 0.4wer o'. requiral 141 Kfe &I dedvull Contractor if above said prop;ty iS hr r,,AZ7, tent of lease. Penrit npires after six monffis of last impOloll P,,u readioiq T SULAcment, ! liQrvby tedify Mal lani fiia ownef of the ahave foamed pmporty gr a Hce is alectical mntracwr, f aw rmking. Pir,, eladrical imMallaflon of iteratot) 1,icompliance with the �,, UrWcd lom-;, N,E,C,, RON. C fioplw '19.28, )NAC, Vile es" 2961,462, The Uy of Nx Ana ki,,, M o ri �b PO � odf,,, �ivld 04 1! ty sv ,ci P,,-A�kxm a A PANG' 14.1,5.1;& mpgll ng. Electrk,-nj Nn rflt Applicti o n s, 819,natum of owner, eled0ol Gontractor orploctficaf admialsbator: 1-1 ta.,;b Ej duck WF0206973 / 001 City of Port Angeles PAGE 1 REQ. ,° DATE: ,.,- 3,:x./25/15 11/25/15 15:58:08 SCHED STAr -1`T: 11/25/15 SCHED COMPLETION: 11/25/15 CREW: I Electric Meter 01 EM01 LOCATION: 513 S LINCOLN ST LOC ID: 151758 SUBDIVISION: LOC. ZIP: 98362 REQ DEPT: - us omen Service PRI Medium REQUESTOR: COUNTRY WOODWRIGHT ORIGIN: Staff REQ USER: KHANEY AUTH USER :KHANEY WRK TYPE:Routine Investigate PRIMARY CONTACT INFORMATION COUNTRY WOODWRIGHT (360)670 -5330 ( ) ( ) ) Investigate CATEGORY: E Svc /Meter Maint SVCM TASK: In.vesti ate INVS READY DEPT: PW- E1ectric PWEL SCHED START: 13.125115 SCHED COMPLETION: 11/25/15 CUSTOMER: COUNTRY WOODWRIGHT CUSTOMER ID: 110639 OUST. PHONE: (360) 670 -5330 ( ) JOB ORDER INSTRUCTIONS hermanne went out to turn off the power at this�y location and when he did the eople at 511 s lincoln came out and said that the power in the back of their building went out but the front of the building was still on. JUR:PORT ANGELES CL:COMMERCIAL SERVICE /SEQ EL 000 ELECTRIC CYCLE /ROUTE: 08 15 ` °°" `" METER NUMBER E8817 f �'Z �✓ �' MAKE G GE SIZE 477 VOLT STYLE MEE030 MECHANICAL ENERGY ONLY CATALOG # jf:P-Pr J PHASE NO. OF WIRES: 3 LOCATION �? ( b SPECIFIC LOC: HAZARD READING SEQ : COMMENTS FROM S SIDE E WALL PREVIOUS- 11/04/15 CURRENT READING: NEW READING: KWH 38835 00 KWH COMPLETION INFORMATION DATE: / / J NrF mp m$ q � d� ACTION TAKEN: FACILITY SEC FACILITY DESCRIPTION FACILITY.ADDRESS ACT ELECT= Electric utility System city M PARENT ID: FACILITY TYPE: M Miscellaneous SUBTYPE: SYS System START TIME: COMPLETION TIME: START DATE: / / COMPLETION DATE: UNIT OF PRODUCTION: QUANTITY: -------- LABOR ------- - - --- - EQUIPMENT -- ------- - - - --- MATERIAL - - - - - -- DATE EMPLOYEE HRS OT NUMBER HRS ITEM QTY COST Mrs. Ketchum, have had difficulty finding an active phone number to call you on, I'm contacting you on electrical issues at your building at 513 S Lincoln Street. City of Port Angeles meter department discovered that the back half of 511 S Lincoln is being powered off of the service at 513 S Lincoln. Please contact me to discuss what will need to be repaired. Trent Peppard City of Port Angeles Electrical Inspector 360 417 4735 pORTgq, _ ,ELECTRICAL INSPECTION r WIRING. REPORT KS �V 417-4735 DATE: 7 1 PERMIT f-I INSPECTOR )-2-1 -1 b � OWNER f CONTRACTOR p AD RE APPROVED APPR ®VE C7.............. ......DITCH.........,.......... ❑ ................ ROUGH IN /COVER .............. . ® ............... .....SERVICE................... ❑ ❑ ............... ......FINAL.................... ❑ CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - � °F�G ELECTRICAL INSPECTION y ` WIRING REPORT 417 -4735 OAKS 1 DATE: PERMIT 0 INSPECTOR 1 4 N OWNER k � CONTRACTOR ADDRESS 16 L s APPROVED NOT APP D ❑ .............. ......DITCH.................... ❑ ❑ ................ ROUGH IN /COVER ..........--.0 ❑ ............... .....SERVICE................ . ❑ ........ ......... ....R'NAL ... ............. .... CORRECTIONS NEEDED: G12GJlTS r 90m e' m rz VIL fie, SltALL -. SL21FTLi�? LOA ps -- -- ri l s U l Ll L.a G'wr 16 i- t jWf r 1 Vrd ff ,�� f4 ,Z 6LAJ 5fr 15A NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS -- DO NOT REMOVE —