HomeMy WebLinkAbout124 E Front St - Building0
0
U
O
C E RT I Clr
I FTC 03F 0 PA N
,t�� _r
Cit 4 of,Port Ange les Building v ion
This certificate is issued p ursuant to the requirements of Section 1' 0 =of the 20446 International Building
Code certifying that a the'time°of issuance this structure was in compliance with the various ordinances
of the City regulating ibuilding construct -iori orsuse for the following
Business name
Port4Arigeles` Dance, C :eiter
Business address; 4 ;124` E °.'Front 't
of
Owner o business Marcia!
Owner s address: '331 :;BiIIy Smith Rd: Angeles
Automatic fire sprtnZl'er.�System. Not re l irec�
Use occupancy l f ire fo
asst ication Buslr r
e�ss
Building permit nu 07 1R Y
Type of construction
Occupant load Per
10/26/07
Date
Post on the premises in a conspicuous place Afict t be removed except by the Building Official.
(V\ I2.-I -/-0-7
PREPARED 10/26/07 9 28 56 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/26/07
ADDRESS 124 E FRONT ST SUBDIV
TENANT NBR MARY MARCIAL
CONTRACTOR PHONE
OWNER EDWARD BOYD MONICA STEICHEN PHONE
PARCEL 06 30 00 5 1 1607 0000
APPL NUMBER 07 00001058 CO- CHANGE OF OCCP /USE
PERMIT CO 00 CHANGE OF OCCUP /USE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
C099 01 10/26/07 L
Q
BLDG C/O FINAL TIME 01 00
OVERRIDE TAKEN BY LPANGRLE DATE 10/23/07 TIME 13 12 23
04/06/2006 09 03 AM PBARTHOL
October 23 2007 11 11 45 AM 1pangrle
MARY 461 6233
FINAL CERTIFICATE OF OCCUPANCY PORT ANGELES DANCE CENTER
EARLY AFTERNOON ON FRIDAY
COMMENTS AND NOTES
%Irk F*v e) es Nip ce. C e
*-150 t ROUTING SLIP
pD'' P Certificate of Occupancy
$e90 Certificate /Inspection Fee
DATE Ii tzloi
Address of Proposed Business
1 Fro n* Si
Applicant Mar( filar
Address 333 -d S B►t) I* RA, P A kok- '183(07_
Phone business home
Brief description of proposed business an O d (A�`L vi1 r��vf OAS S� S
Legal Description Lot
Current Use of Property
Zoning Classification of Property
WILL THERE BE ANY OF THE FOLLOWING? YES NO
Ma- ncy t 44,44n4y/ab-
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? b jn I _'l
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
VE
REJECTED
_r�C y -00 411
Geis Mat I at
home,
x
x
x
Block
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have supplied is correct to the best of my
nowledge
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
PB I.A.
New Business
Transfer of Business Location
Change of Ownership
New Building
Remodel
Temporary Business
Change of Use
Date
Comments Conditions
Subdivision
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 +C)
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
OPetn 1
Hours ,2 -7 Ohn
PA
6 ///Z
Signed
I
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
o1 i 05 8
'ti
.....r..I'
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~62
05-00000692 Date
949892
124 E FRONT ST
06-30-00-5-1-1607-0000-
ELECTRICAL ONLY
8/02/05
n.!:-'l..u..1.L.:d.L~UIl l\Iumoer
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
subdivision Name
Property Use
property zoning . . .
Application valuation
CENTRAL BUSINESS DISTRICT
o
Owner
Contractor
------------------------
- - --- --- --- --- ------- ---
EDWARD BOYD/MONICA STEICHEN
800 OLYMPIC DR
FORKS WA 98331
OWNER
----------------------------------------------------------------------------
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
ANDERSON/ 2MTR. PAC
56366
ANDERSON ELECTRIC
341.70 plan Check Fee
8/01/05 Valuation
1/28/06
.00
o
...........
~
"l
Qty unit Charge Per
2.00 78.7000 ECH EL-COM ALT 0-200 SRV FDR
1.00 184.3000 ECH EL-COM ALT 201-600 SRV FDR
Extension
157.40
184.30
------------------------------------------------------~---------------------
Fee summary Charged Paid Credited Due
-------.---------- ---------- ---------- ---------- ---------- ~
Permit Fee Total 341.70 341.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 341.70 341.70 .00 .00
~
t:
'\
\J\
~'t
COMMENTS! ACTION NEEDED
ELECTRICAL PERMIT INSPEgION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNU WFUL TO COVER,
INSUU TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.II02.I~ 14'961
~ 9'ORT "'-\:
$~O~~~
~
...~
~
"l.tii:",~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000616 Date
.099088
124 E FRONT ST
06-30-00-5-1-1607-0000-
COMM REMODEL
7/15/04
CENTRAL BUSINESS DISTRICT
2000
t::xP( UZ~
4-/~1 100
Owner
Contractor
------------------------
EDWARD BOYD/MONICA STEICHEN
800 OLYMPIC DR
FORKS WA 98331
OWNER
Structure Information
Construction Type . . . .
Occupancy Type . . . . .
NEW STORE FRONT
TYPE V NON-RATED
BUSINESS:OFF/PRO/MED/REST
-----------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - COMMERCIAL
REPAIR/REPLACE STORE FRONT
92.75 Plan Check Fee
7/15/04 Valuation
1/12/05
60.29
2000
BASE FEE
15.00 3.0500 HND BL-501-2K (3.05 PER C)
Qty Unit Charge Per
Extension
47.00
45.75
Other Fees
STATE SURCHARGE
4.50
~ cp
~
~\
11
d
~
-+
----------------------------------------------------------------------------
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 92.75 92.75 .00 .00
Plan Check Total 60.29 60.29 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 157.54 157.54 .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. G . ,.---:->
~Q~
Signature of Owner (if owner is Ilder)
Signature of Contractor or Authorized Agent
Date
7-(\~()tf
Date
T:IPLANNINGIFORMSII102.15 [11114/2003]
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 UNLAWFUL TO COVER, INSULATE 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
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TlON DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I
CEILING I I
FRAMING
JOISTS / GIRDERS .....
SHEAR WALL/HOLD OOWNJi>...
WALLS / ROOF / C~ING. ""'to.
DRYWALL (INTERIOR BIt"CED PANEL ONL Y)
T-BAR
INSULATION
SLAB I
WALL / FLOOR / CEILING I I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE / PELLET / CHJMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANIT AR Y
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. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:IPLANNINGIFORMSII 102.15 [I 1/14/2003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec. ,-00_ 0
l]t#:~1
Date APproved:~t:P
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, ca
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: E. dvQ vi J ~ 0"10)
~"G'
Address: b ~? Ce ,loA..- p aJi/
Lrr.JD BE..a~ -t
Owner:
iCity: ~bi"\~.J2.0~
<:fVl I Ttf /A.. I ~
Phone: t.-/:~ 7 .:SOO<P
Phone: ~D .- b 7 t.f.- '5 q. ()l)
Zip: 9 ~3(p1..-
Phone: ~;;;2 foll~
Architect/Engineer:
Contractor
5EL-F
State License #:
Exp:
Phone:
Address:
PROJECT ADDRESS: IL tf t I"} 'l
LEGAL DESCRIPTION: Lot: .3
CLALLAM COUNTY PARCEL NUMBER:
City:
/; ~o.v+
Block: } l.,
()fd2J DDOO
Zip:
ZONING: CB D
Subdivision: f.)orfV\Cl..,vt.. R. Srl^:-Je/S
!) il ~7
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o ~ulti-family 0 Addition 0 Move
CV'Commercial 0 Remodel 0 Demolition
lfY1fepair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
''j2.~ PAt (L
SIZEN ALUATION:
SF.@$ /SF.=$
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
S ,O{2.c FPO/~
;:)..1)cV ~ cF!J
COMMERCIALIRESIDENTIAL: Occupancy Group:
No. of Stories: -L Lot Size: -I)D )( (4"0 Existing Sq. Ft.
Total lot coverage
Occupant Load:
5< irv & Proposed Sq. Ft.
%
Construction Type:
<25 = TOTAL Sq. Ft.,57Vb
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with cunent fee schedules. Contact the Pennit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF rLAi~ REVIE'V: If 110 pemrit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, cunent edition). No application can be extended more than once.
I hereby cerlify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, not the City's, and that I must obtain such permits prior to work.
TIFORMSIAPPSI1Nildiogpocmil.wpil Applioont, ~ ~ Dol" " -3 V-51
~ORTANGELES
/~v~
Ii . ,L-2J){'\
. ."'./ .\ i-
~"':..:/' U
WAS H I N G TON, U. S. A.
Public Works & Utilities Department
August 1, 2005
Edward Boyd
Po Box 3239
Port Angeles, W A. 98362
Subject: 124 & 128 East Front Street - New Service
Job# 9977
-
Dear Mr. Boyd:
~
The estimated cost of labor and materials supplied by the City to provide electrical
service for your property is $200.00. This estimate was based on the data you provided
and is subject to review. This quote is good for 180 days.
-- ~-
r---
~
The City will be responsible for the following:
1) Providing and installing the O/H service wire to the meter base{s).
2) Providing and installing the 120/240v meters.
3) Removing the CT's and CT Meter.
\1
S1
]..
1
LA
1
The owner/contractor will be responsible for the following:
1) Payment of $200.00.
If the actual cost of construction exceeds the estimated amount, there will be no further
billing. If the actual cost is less than the estimate, the difference will be refunded to you.
Payment of the estimated amount will authorize the City to schedule the work. If you
have any questions or concerns, feel free to contact me.
Joh G. Hebner
Electrical Engineering Specialist
ihebner(1i)citvofpa .us
360.417.4706
Cc:
James Harper, Electrical Engineering Manager
AI Oman, Electrical Inspector
Dave Yasumura, Permit Tech
Attachments: 2
~
I V .'
~ r,\r6J
~ ~,,'(5I
Ref:
WF40816101
Phone: 360-417-4805 / Fax: 360-417-4542
Website: www.cityofpa.us / Email: publicworks@cityofpa.us
321 East Fifth Street - P.O. Box 1150/ Port Angeles, WA 98362-0217
i
-.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. /3 L~
'1-/0 -87
DATE
,1.
o READY FOR )!!;.WILL CALL FOR
INSPECTION INSPECTION
Phone: J
4 -J,- ~)"?-,
Phone: -~ At'
Z -,,> l)u~
Sq. Ft.
18
_ 0'\.4-
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
J!l.. New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
~Special equipment
(list below)
Amps
Detai Is/Description:
L.,~~", 1==\..+-
'r. v\.:,>kll 0 V\.<C.
'\--o V-=> c... \ \ +-
~I F- ~I'ILP\
I',,^ec\- -\-0
pI ,_s \--,' ~ r-:"6-e.... 1z.:L-"".....
t Y. ,,,.\.. ''''-\ e ,'r-LlA t-.
.
_fJ (''j ~-,f~-AL
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough.in/cover O.K.
o 9.K. to connect service
r;vFinal O.K.
r
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
L;l.L/
Installer:
Z-.
'Fro ,A...'\-
Permit/Receipt No.
/3/3
Site Address:
.
Date:
Itl \ (1/ ll""::> N (,0",,- 'S;-- .'L. 9 -ID-87
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
~/ 1_ ~ ./J NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ ~ ' 00
. Inspe~r rf..; Amount paid
WH1TE - tile by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
~~C~NUMBER
CITY OF PORT ANGELES ~~
DEPARtMENT'OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
)0 ~tJ
i~ 7'/
. PERMIT NUMBER
A
.
. TOTAL FEE /0~ . . - CvjlllJll\
TI~ETOCOMPLETE ' '_ NO. STORIES " . LEGAL OCCUPAN_CY. . "
CONT.lIe. NO.
Site Address
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner
{.
I_C~RRECT
AC:TLtS
'~- (,0'"
.2 - 5Bo~
F APPLICANT ~. PERMITS,WITH WRONG A
. ~ . - ..
(U- In~tallation By.
lristallers Address
~t. --krL
Owner's Address
CIIL. S
fb
[Ll...... l.... ~
fiT'.
Cc--L ~ l' ,
"
Wiring Method
.
AMP 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT NUMBER . PER' 120V l00R FEE USE OF CIRCUIT PEA . l00R FEE
CIRCUITS CIA to 30 CIRCUITS CIA to 30
LIGHT SIGN
LIGHT . 50 VOL'TS ..
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE . MOTOR
DISHWASH~A . FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY .
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL Fi;:E
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC - BASIC FEE
ELECTRIC HEAT ;
TOTAL FEE
ELECTRIC HEAT SIZE OF SEAVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I 'SUB. TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
.19
By
.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) -
Permission is hereby given to do the aboye described wgrk, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of t e City of por~n:pes.
. REC;J IF. CITY LIGHT
Date Permit Issued 1/1/ f 1. . ' ., ,
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O..K. for covering or service has been given by Inspector in
. Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. .
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WARNING
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
, "
REPORT OF INSPECTOR
'"
DATE OF VISIT MADE BY REMARKS
, , \' r
,"" , "
flJ ,11' I -J/A' - II IJ l,.>...,(' CcLt.i1 '" "iJ ' ' ,n ^_ /> ."./j{/; A
-
~ - I .I
,
l.- C.-. .,.'"" i~An 1. ./J-J' /11 ) , J?" ('tlU.
\ ,
, \ ' linn 0 A ~tJ ~~ uJJ.~,. JL Ul-UJLI)/' ..,' r
"
-
, ' ..
, ! '", . /\ /\ ,~
t! ;;1.if'J?? u;?;dd! ~'O_j '. \ ,JL.. -,-or/.,! I ' 1/../-J. ,I.
.. :;
, .... , ,'"
" ;":1 /'A~ (I ~ . -tJl :.5.- I ;.(}~ --I'. /J
'- f..1"'"V ..
I1n n - I
I
,
, c.:tK. FOR COV~RING
- "
" , O.K. TO CON~E~T SERVICE ,
///:1 ilp...., -df FINAL O.K.
II , , ..
, ,
.
I
z
Cl
a:
c(
~
!a
:J:
....
Z
w
....
.
....
o
z
o
Q
.
r
€?/i3/5
FEE EC IPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
3;;zCj
PERMIT NUMBER
.
TOTAL FEE It. t/ 0 ~U..<....~
, ~ONT. Lie. NO. TIME TO COMPLETE , - NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY
Site Address j'-:2.-<..\ E 'f-/LO,,,-r-
CORAECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner ]/IN<..""- L. cgr:.:,-:<..\ 0'\(),,)
Owner's Address ~. o. . 0 'C, z,"} f?
Day Phone '!j-7.--S-Yv'/
Application is hereby made for Permit to install Electrical Equipment as follows:
.1 ff'l i AN',e j rO (;.-0
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Installation By
Installers Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
t1Ht.ke:.f U&';?i?J1 It"
Installers Phone
Wiring Method
.
AMP 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT NUMBER PER 120V 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCU}TS CIR 10 30 CIRCUITS CIR 10 30
LIGHT '1 V SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
lAUNDRY
DRYER . REINST AllA TION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
-
~Ll^l...
-zA
,19S(~
By
Date Permit Issued
.
"
co RACTOR OR 0 NER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
:2,TOR OF CITY LIGHT
By ~J CU~ ~
PLANS PPROVED I
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
~?Y/F7
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - OrigInal CANARY. Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
,
1- J 7 - (f'
~ -;0- <J!;'
lJIi-t
~./~
~"-'
'.'.1
"
O.K. FOR COVERING
'\ ,.
'> \. O,K. T(~,~ONNE.c\!;~~ICE
\,>n ~,.... " ... '>;, \ '"
FINAL O.K.
.
.
-.
p
"
..
, .
'\ \, \ "'I.,'''''~
~.
'.
~'
0717
CITY OF PORT ,ANGELES
'DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A~00440
PERMIT NUMBER
FEE RECEIPT NUMBER
.
TOTAL FEE
2.(P
6-0-
-
'~I G-J
CONT. L1C. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPA~CY OR USE ESTABLISHED U~DER THIS PERMIT J
. C4tf ;;-tiS TA-C-IC-<; , I ZL{ t I' ~ T
ORRECT ADDRESS S RESPONSIBILITY OF APPLICANT:. PER!v1ITS WITH ~RONG ~DRESSES ~RE CANCELL~Dl. J
Owner Installation By K A-1l\)g.;~ !':,LEo
Owner's Address I 2. Lf '~-; Cf2.btJ"I" Installers Address 2-2_~ I p~ 1<--1J.,
Day Phone ?f-6'2.- -h"'lS"G5'" Installers Phone 4 fl2- 52.-2.-L(-
Application is hereby made for Permit to install Elec.trlcal Equipment as follows:
40 LO
.
Wiring Method Uz>1..j 0 IT7VE
.. f CAl5.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R 'FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN I 4$1 ')( 12L~
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE .- MOTOR
APPLIANCE MOTOR
DISHWASHER FIAE ALAAMS
DISPOSAL BUAGLAA ALAAM
RANGE MISC.
.. -
OVEN
WATER HEATER
LAUNDRY
DRYER - . .. REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE. .
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRI~.HEAT - TOTAL FEE " '? /-. ~
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF S,ERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
'I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
li
u,
'I
- . .
I certify that the work to be performed under this permit will be done by the installer and in conforman
~ate Application mad~ J () J I ~ ,19 'ffS- By , .
, CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and.
specifications pertaining thereto, subject to compliance with the Ordinances of the.City of Port Angeles. - . .,
>~', ., DIRECTOR O~CITY, lIGH~:;^ ' .
Date Permit Issued Y l~ ~
~LANSAPR~J~:,
I (),... I J- 1) Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned.on before inspection and O.K. for covering or service has been given by Inspector in
I Writing on Permit Placard. A. . Permits Phone: 457.0411 Ex!. 158,
WARNING, PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
.
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
, .
~ };} ~.'
REPORT OF INSPECTOR
DATEOFVI$IT MA.DE BY REMARKS
"
It)- /s-- 't :;- ) O.K. FOR COVERING
I/[)-IS-_ '11' 't /lDtf7(l O.K. TO CONNECT SERVICE
/()-()-f) T FINAL O.K.
.
z
Cl
a:
<
:::!!
!!!
J:
I-
Z
W
l-
.
I-
o
Z
o
C
.
D'h3'1u
FEE RECEIPT UMBER
CITY OF PORT ANGELES ..
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
3::5 I
PERMIT NUMBER
,.
! . t. 'l2.,,"1H
-, I"" i~ '" '.. ~ 'It;, ,r, {, - . ,j'J\ , ( "\ 't": ,\ <;-
:'~' ? ., - .~ I \', -L.:. < \ , i
TOTAL FEE . ' .. :> .
.., . " '\ - ~ ~ "C.9NT.lIC. NO.) '.. T!MET~ C.OM~LETE " ..'NO: STORIES LEGAL OCCUPANCY
" boo .... . \ . .. . ,
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address Af>Pu AN{@4 Go [ i}.1f'
CORRECT ADORE S IS RESPONSIBILITY OF APPLICANT
Owner PU ~
Owner's Address \ 2..'t G. f12.D NT
Day Phone ':f s;;L -.1-T'{; 0 "f .
b ~otJT
~E~MITS ~ITH ~AONG ADDRES;;ARE CANC~LLED i'
Installation By ftNG iP r r.:::;-r or-f;C.A c...
InstallersAddress ~y G' Fn?a r
~S.)... 1~" y
U~ H-TIf\J&
(' j iec.u', rs
Application is hereby made for Permit to install Electrical Equipment as follows:
It ~o ...JbiJI..f:,
Installers Phone
:~
a/\A.-D
Wiring Method
lLto-e.
,
.
NUMBER AMP . .12QV 240V NUMBER AMP 120V 240V
+ USE OF CIRCUIT CIRCUITS PER . 10 .'00R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT 3 14 It, .Ou SIGN
... . . . .. 50 VOLTS
LIGHT OR LESS
CONVENIENCE' MOTOR
CONVENIENCE .. - MOTOR
APPLlANCE_ . . . MOTOR
DISHW~SHER .. FIRE. ALARMS
DISPOSAL BURGLAR ALARM
.. . -
RANGE MISC.
. -.
OVEN
.
WATER HEATER
LAUNDRY . -
DRYER .. REINSTALLATION LIGHT FIXTURE #
FURNACE - I .. SUB TOTAL FEE
GAS - OIL ..
FURNACE ENERGY FEE .
ElECTRIC .
BASIC FEE
ELECTRIC HEAT - '..... ... .. I~ ...c.
TOTAL FEE -
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
.. . ..
A.C. UNIT 1.00 . AMP , PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
.. -.
SERVICE AW.G.
. ... I SUB-TOTAL .
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to b
performed under this permit will be done by the installer and'
......
,19 15\
~
').7
the N.E.C. Electrical Code.
Date Application made
By
CONTRACTOR R OWNER (OR AUTHORIZED AGENT)
~. Permission i.~ hereby given to do.the above described .work, according to the conditions hereon and according to the approved plans and'
speCifications pertaining thereto, subject to compliance with the Ordinances of the City. of Port Angeles. " f \
DIRECTOR OF. CITY LIGHT '0. ..
\ ....
1
.,.
Date Permit Issued
. - /L' 'j_ '/ ~:j Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
'c"': / C ._~. be covered or Current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457.0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
DATE OF VISIT
(-)7-~r ~
MADE BY
7-). 7-'tF
t. 7-1 ~'br
~ l{ -6:r
..7Jf?J7
/J1"1'J'
1;'(Pf;!
REPORT OF INSPECTOR
REMARKS
1'715 {,.fA.> jJoc<8Le felftvl,'TelJ f71c.cj( f/eIfM.j fI'
~J)-I oi 51. oW -rJ...> ,4""0"'" r Or F lYe>< T rf'e~N/ {r
O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
z
Cl
a:
<
:e
!!1
J:
I-
Z
W
..
I-
o
Z
o
c
.
~o f;i",
"]10
K\)
.'
!\ .
'f
.J
ie.
."
PERMIT NO 3 S'? 7
.54~~
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
DATE
ELECTRICAL PERMIT
Site Address;
Sq. Ft.
Installed By:
o READY FOR
INSPECTION
license Number:
)6 WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
o RESIDENTIAL
lilil COMMERCIAL
tJ BASEBOARD KW ~
o FURNACE KW ~
o FAN/WALL KW ~
o HEAT PUMP KW ~
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
~ SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~ OVERHEAD SERVICE
o UNDER~OU~ SEffillCE
VOLTAGE: 20 2VV
~ SINGLE PHASE
o THREE PHASE
SERVICE SIZE ~dlO AMPS
DetailslDescription:
I
Rr kt: 12u~c1 d!s~/!/1c(J' {/t4I1t;-!J
4.11~ It.JC<<.r c:20& ~,
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Installer:
L
Site Address:
Permit/Receipt No.
;;1sf7
New Meters
--
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and,O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
~
Electrical Inspector
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
6'JO
-?"O -
/ Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PAINTERS INC.
A
Jul 29 05 11:58a
LUU.Jf ~ -n.., '"VI' UV 1'-' 'tv
360-374-8888
Anderson
p.l
m.&_.......
...... '
- , -'- -- . ,~,~ .-
ELEctRICAL WORKPERMrr APPLICATION'
Jab w;re4 by
a Electrical Cootricwr a OWller
I~.l"nClft dCKJipnoo .
)f Commercial a RcsldeDtiaJ
, iOl:llLge numbEr Dm Bl.pinos
}\1\)D.i:RE *455pu C"rD
[J New
D ASterrilAddllioa
t4l.Ir-:,.",-..J 'tC'l C: L"" e \~ y" '" tncz:--'-.
'" ,:+'~,,~ -.-:;;)...,.,0,. c...."'t /Cf.L,lC;Z-';
-l
~brt- AnOf,\f,L) i \.\JA-
rbone au bu to $cbed-:iP I Sptrt!OD: d.A
, , .- - '1 S ) t)IJ1"-
~"er as diflMd by RCw'19.18.J.6J:(l) 0.".,. wjfl occlll'Y fJreSIP1lCWJO<</or twO
)oY:#n qftf!r,1t~_ctnetl.'JMTmif u/i1lalizDL (]) OMtIlT,U I'8pindlO ltinall mctncal
CChtP'.t:Ictor if Qbove sfJid propur, jJ ft:rr Jolt. rent or lnu.
~o r~m& the .bo~e satcmad, I hadry cmify Ihld: IIIJ'Q the ownct" of the: ahoY!:
ntmed pt1)pCny or: & ~ccased cltct1'iui cantrac[Or. I am mattac the cleccriul in$tll~
la~IO.D or alt.cratioD in' complilDu widl: \he. el<<aical laws. l'J.B.C., RCW. ChiplCT
ISt28~ WAC. Chaptzr 296-468, The Cit} of Pem ADIClc:IO Muni.cipal Code, cd
Utility Speciflt.bons.
Siloaturi1oC owner,- cI .cal.coDtrac1aT 0.. electrical adlhini.tra1or .
X SC'V'''l ',.c,-,-,1.lA-- Date.: 01-2 -C15.
E t,i a ditiona 8 d or aub ctian.!l
. NO LOAD CHANGES
a BaSeboard KW
o Furnace _ teN
q Hsat Pump Ton
Cl Fan-Wall ~ KW
- e~'18.
. a Cash a Check ~
iitCr<dit Cald &;) MastClc:ord Oiscov""
~dii .{g139..
ElCpiration Date .
ofc:ard
Service Information
Volla". Im/2'i0
Pho&e ~ 1 D 3'
SorvioA Size: '-t (Ie ....;-
Feedet" Size; ~:X2-
tAR
'iii Ove<h..d SeMoe
C Tamp Service
rJ Underground Service
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN r 11IERMOSTAT SERVICE
Po. A,~Jlr D.lC ~pr...uJlr D., ........ .,
FINAL DJrCB FmlER ....,
'- o.w Ape,.....B, ... ~u:!I, ..W u,
Inspoctioll ~ Buildi"g or J!qujpmeQl Inspect'" AetioQ Taken Elccmcal
D~tc . Inspector
,
....
I5M'"t/'~ r//vtA-L /1P /#.-r -7
, -u---
, , "
, "
- ,
-
I
~
(q
\
\S'
--Q
~
,
\
.