HomeMy WebLinkAbout622 E Front St - BuildingUse Classification. Business
Group B
CERTIFIQ.A'T °E'OF OCCUPAINCY
City of Port Angeles'
Building Division
This Certifacation:issued pursuant to the requirements of Section301 of the
International Building Code certifying that at the time of issuance thissstructure was
in compliance with the various ordinances of the City regulating Building
construction or use. For the following
Building Permit No. 04 -961 Business Name: H &R Block
Type of Construction. V -N
Owner of Business: Yahni t Services
Building Address: 622 East #Fro_ nt Street.
Post on l"e r` remises'
Shall not be rernoyed'exce
,z,vrzy 11-14
Use Zone: [CA
Address: 1018 So. 3r Avenue. Yakima WA, 98902
Port Angeles. WA 98362
h 2 "1.
arch 2005
(ins ictious place
1/Building Official
CITY OF PORT ANGELES
-;-1 -as _O I
i
LUMMUNi I Y UtVtLU!'IVICIV I
PO BOX 1150
PORT ANGELES, WA 98362
DATE fD -0( -1
Address of Proposed Business
L E arar r 4rt AnTies, wA
Applicant &IrA $elLuic S Abe- 14A
Address _S b I P S r d cue.
YAtcim/ )A 4840»
Phone business 4S a 941 om
Brief description of proposed business TAY PI'eea rail on
Legal Description Lot
Current Use of Property Sgt
Zoning Classification of Property C,O C m F CC-.- 1
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
AP• ROVE REJECTED
)9-o -Se.
ROUTING SLIP
Certificate of Occupancy
$47 00 Certificate /Inspection Fee
L
Block
YES NO
V
k
x
K
x
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
CA
Seru ieeS
is -c Lk
Subdivision
THE FOLLOWING WILL BE REQUIRED
PERMITS BUSINESS LICENSE
1) Building 1) Taxi
2) Plumbing 2) Peddlers
3) Electrical 3) 2nd Hand Dealer
4) Mechanical 4) Pawn Broker
5) Sewer 5) Dance
6) Sidewalk installation 6) Hotel Motel
7) Driveway installation 7) Fireworks
8) Curb installation 8) Ambulance
9) Sidewalk obstruction 9) Tattoo shop
10) Water meter installation 10) Other
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
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
Commbfits Conditions
.-
II
1-;;-1 -0"-;- - 0 I
RUING SLIP
Certif at of Occupancy
$47.00 C rtlf' ate/Inspection Fee
~
DATE 10- 0 1- oL\
Address of Proposed Business
{O~~ E FCLCt...:: SL. {id', An~le.1 ~A
Applicant l(A~lrY)/~ ~r:i..\)\(ES Aba_ l..hR
Address If) I B S. ,3rd (-)u~
'-?AlLlm~ . vA <ig9Q:J
J
Phone: business 4,\ ;J- qLI'1/
16
9YJb;).
~~
~ Ioc~
#6'-1 .- <i b I
New Business . . .....
Transfer of Business location. . . . . . . . . . .
Change of Ownership .. ...... .. ..
New BUilding ..... . . . . . . . . . .. ....
Remodel. . . . . . . . . . . . . . . . . . . . . " .........
Temporary Business . . .. ....... ..
Change of Use .......... ............ .
Bnef descnptlon of proposed business: 'T A'I P (e pc.. (cd " 0'-' Sf' f"U lee')
legal Descnptlon: lot Block
Current Use of Property: S ArnE:
Zoning Classification of Property: Cnrn t'l1 € i!.GL it:\: I
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
_--L
--X-
-~
-~
_ --X-
_ --2L
- --K-
_--L
-~
_-L
-~
-~
-~
_ --.L
-~
_-2L
--X-
_ ---1L
-~
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
knowledge.
REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
SubdiVISion
C.A
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 obstruclion
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
-D'-\
x
~
~
~
~
t
~
'1
1
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,.... -
C E RTI FICAT'E"O'F-~()C~U P ANCY
rd{p".;ii1. City of Port Angeles' '.~~~~~
,<~/ Building Division '~t"
~ ~
, ,
This Ct;ftification issued pursuant to the requirements of Secti01t30 1 of the
lnternatimibl Building Code certifying that at the time of issuance th[~!$tructure was
in coYnpliance with the various ordinances of the City regulating Building
:]' construction or use. For the following: ~\
Use Classifical10n Busin'~ss BuildIng PermIt No 04-961 BusIness Name H&R Block
~ W
Group B (~Type of Construction V - N Use Zone. leA
Owner of BusIness Yakin\k Services Address 1018 So. 3rd Avenue, Yakima W Af198902
o j
Building Address 622 East~Front Street Port Angeles, WA 98362
'\~ ~~h,?;~'~'<~ -~~~~:~-;:;~~~I;< ~ i~;r~:~~~ 1~, :~~J;<~~~~~~i /:~~~ ::X~l .clr~;l
.~",.. "..'~\:k. ;;';r.'" ~'-jf~f"i'" MarcH21 2005
-~ - ~-' ~~" i ~~:.~ _,'"<~':~',"~C2",J!.~~:J~~_,"'Z~~-/,::-,;I,:"~ ~ ~
B..nd' 0 lc'i4L" " "," :"_,. c "_.' . . . Date
T-:'.~. \ ".< _/,~ ~4~;jJ;')',.!<1 ~: ,): .f-!,2:;"~~;;c~.;lj ~~~t!'.l'( '~t~~;~^< .~. <;)-..1 !:;./
Post on .~'Jp'r~'mi$~\$::iry~';~~~Q'D~picu6us place.
Shall not be femg~\JedjexC;'elpttiy B'uilding Official.
..'',.,;IN,'..... ,::' I~ f,,~I.i<H~
,
,
d'O'I'~_
~
'~Plio."on Numho.
Applicatlon nin nllrnl-..,....-
~roperty Address
ASSESSOR PARCEL NUMBER
Application type description
Subd~vis~on Name
Property Use
Property Zoning .
Appl~cation valuation
CITY OF PORT ANGEl,.ES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. W^ 91l~()2
05-00000652 Date
Hllel
622 E FRONT ST #A
06-30-01-7-0-6200-3010-
ELECTRICAL ONLY
7/21/05
I
I
UNKNOWN
o
Owner
Contractor
Permit
Additional desc
Permit pin number
Perm~t Fee
Issue Date
Exp~rat'ion Date
ELECTRICAL NEW COMMERICAL
ANGELES COMM VOICE/DATA
55210
53 60 Plan Check Fee
7/21/05 Valuat~on
1/17/06
00
o
BARNES JOY D
622 E FRONT ST
PORT ANGELES
OWNER
WA 983623320
Qty
1 00
1. 00
Un~t Charge Per
42 2000 EL-LOW VOLT SYS <=2500 SQFT
11 4000 EL-LOW VOLT SYS >2500 SQFT
Extension
42 20
11 40
~
\
~
6"'
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 53 60 53 60 - 00 00
Plan Check Total 00 .00 .00 .00
Grand Total 53 60 53 60 00 00
o
lA
rY\
COMMENTS! ACT10N NEEDED
ELECfRJCAL PERMIT INSPE~JON RECORD
CALL 4 17-4735 FOR ELECTRlCAL INSPECTIONS: PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL AN}' WORK BEFORE rr IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATI
COMMENTS
NO
GENERAL COMMENTS:
PW.II01.1'I4'96I
.. .1.0t;:9'ORT~
8~~
rea
... -=...
~
"4\~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
03-00001207 Date 12/19/03
622 E FRONT ST #A
06-30-01-7-0-6200-3010-
H & R BLOCK
COMM REMODEL
UNKNOWN
800
Owner
Contractor
BARNES JOY D
622 E FRONT ST
PORT ANGELES
HOME SERVICE
223 MARSDEN RD
PORT ANGELES
(360) 457-1708
Structure Information EXT WALL REPAIR
Construction Type . . . . . TYPE V NON-RATED
Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST
WA 983623320
WA 98362
Permit BUILDING PERMIT - COMMERCIAL
Additional desc
Permit Fee 56.15 Plan Check Fee .00
Issue Date 12/19/03 Valuation 800
Expiration Date 6/17/04
Qty Unit Charge Per Extension
BASE FEE 47.00
3.00 3.0500 HND BL-501-2K (3.05 PER C) 9.15
(5"
N'
\'J
Qth~r _Fees_ -.-...
STATE SURCHARGE
4.50
f\(
Fee summary
Permit Fee Total
Plan Check Total
Other -Fee Total
Grand Total
Charged Paid Credited Due
---------- ---------- ---------- ----------
56.15 56.15 .00 .00
.00 .00 .00 .00
4.50 4.50 .00 .00
60.65 60.65 .00 .00
TJ
6
~
~
--:;1\""
c;-;' -
-..-:;-..-:-
f-....,_ _
~,. -. ~
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 penod 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 authonty to violate or cancel the provisions of any state or local law regulating construction or the performance of
cons ction.
""
~Cf3
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 -4 735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR COfVCEAL 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 I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPn SEP ARA TE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING 12-( '1-63- _\LG
DRYWALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIvISIon) SEP ARA TE PERMIT #'s.
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEP ARA TE PERMIT #'s SEPA
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT 417-4735 ELECTRlCAL
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 11)-(9-0< )Lt.- BUILDING
T \PLANNING\FORMS\1102 15 [11114120031
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Date Rec ["2...-1 '0-/:;3
PermIt # ,-i._Of
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
~ ~7< I..J' 7 ~ ..., 7 ( ( 4\-\+ ~Oll/ er
Date Approved
Date Issued
Applicant or Agent:" HOMe, ~ erutc...€...
Owner: j o~ B f\ R:v\lt' <\
Address: ~ ~ ~ ~ ~ Ro(\1-- "'.:> "\. ..
Architect/Engmeer: N I A
Contractor-LfoM'f 5 er V I '<....e
Address: dd '3 M.A8. ~ DeN Rr:\
PROJECT ADDRESS: tbJ.d-. .s A- s+
City:y ft
Phone: 3"&0 -I...jS ,- 17D~
Phone: ~& 0 - '-I>1t. - <64 ~S
ZIp: Wet q g3~
Phone:
State LIcense #: lIotv\-e ~ j)'3Jlhp:
CIty: Pori- ~/Y'.J
g l<oV\+
Phone: 3"0 -'-(5)... t~
lV~ ZIp: q g.3t,~
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdivisIOn:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o ResIdential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
)Q Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT'
S~ l)..fh, /J..:)e ~ Co ~ .....1) Q.,.-
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load.
No. of Stones: Lot Size: EXlstmg Sq. Ft & Proposed Sq. Ft
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
Re D/4C e;
,
SIZEN ALUATION:
SF. @ $ /SF. = $
SF.@$ /SF.=$
SF @ $ /SF. = $
<t ...~~ 00
_ TOTAL1VALl)ATION 'f ~
'2. r~--He a S -f-I...A... ds .j Vi.. ]; (- 4.1<.. <:. N~() "t"")
Construction Type.
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA ChecklIst requITed? 0 Yes 0 No Other:
BillLDING PERMIT APPLICATION SUBMITTAL: The Buildmg DIvision can provide you, with information on the apphcatlOn and
plan subrmttal reqUIrements if you have questIons.
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant This figure Will be reviewed
and may be revised by the Buildmg DivIsIOn to comply with current fee schedules. Contact the Perrmt Coordmator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee IS due it must be subnntted at the time the buddmg perrmt apphcatIon and constructIOn plans are
subrmtted. All other perrmt fees are due at the time of perrmt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno perrmt IS Issued Wlthm 180 days of the date of application, the application will expire. The
BUlldmg Official can extend the tIme for actIOn by the apphcant up to 180 days upon written request by the apphcant (see Section 107.4 of
the Uniform BUlldmg Code, current editIon). No apphcatlOn can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct I am authonzed to apply for thiS permit and
understand that It is my responSibility to determme what permits are req . d ,not the City's, and that I must obtain such permits prior to work
'\
Date:
J;A -1~-o3
T \FORMS\APPS\BUlldmgpenmt wpd
PREPARED 12/19/03, 13 14 20
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
12/19/03
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
622 E FRONT ST #A
H & R BLOCK
HOME SERVICE
BARNES JOY D
06-30-01-7-0-6200-3010-
03-00001207 COMM REMODEL
SUBDIV
PHONE
PHONE
(360) 457-1708
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~~;--~~---~;/~~/~;---1f--~-- --~~~f~~~~-~;~~~~~-~:::-::~~:-::~:~-::::-::::::~-~:~:-:::::~:----
been removed replaced and recovered wlll also be replacelng
flashlng around exterlor at top of sldlng pannels
-------------------------- ----------- COMMENTS AND NOTES -------------------------------_______
.. ~
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
/3 3~
(0/1/17
, I
.
ELECTRICAL PERMIT
DATE
Installed By:
tzz-
~ 't.lES
f..-. -FtLo f..JI
EJ..E c- -t<z- \ L..
(;> Oe:..
o READY FOR
INSPECTION
License Number:
;>(WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Owner/Business Address:
PhO, _ f 1-8 :;
Sq. Ft.
o Residential
Heat KW
o Baseboard
o Heatpu 0 Other
o Com rcial/lndustrial load
Tot Connected load
tach breakdown)
otal Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
./\:l'Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Under ound
Volta
o 030
rvice size
o Temporary
Amps
Detai I s/Descri pt ion:
N'sfM-l JJ<i.vJ
7b /(f PUtc'i.-
.
Sf1J
[)C(J71A16
!/.JE fJ/f77Nj
.96)/
CJ IL.
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough.in/cover O.K.
o O.K. to connect service
D::P Jjf
Site Address: (;; 2 -z..-. , .
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
Installer;
I L..
New Meters
6J-
.
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 Inspect~~n Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
1 r NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT 020!!!:-
, n peetor . Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTl;;RS. INC.
r/
J
~~~.
FE~-RE! IPT NUMBER
CITY OF'PORT,ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
tjPt
PERMIT NUMBER
.
a:
s;;
TOTAL FEE
??
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
'r
Own~r ~lA ~
Owner's Addres:-' . ":) J4-Hd:. :l-7A.c.:;-J P/l6-€.
Day Phone .Lj-,'-::;-7 -~ L.j ~ ~ Installers Phone -1-'2 - ~7~~
:;j lIJ/.....--tJ.4~ . 'S )(<,-,-J
Application is hereby made for Permit to install Electric~1 Equip ent as follows: _._ ~ __ __
~~,&-rA(Ao 5/
Wiring Method tJeJ,J.p-J, ~
.
NUMBER AMP 120V 24QV NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PER- 10 100A FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN I ':? k . ;!//V
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE . . . MOTOR
DISHWASHER FIRE ALARMS .
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY ..
DRYEA RE1NSTAq_ATION 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 A.W.G.
T SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
r this permit will be done by the installer and in con
. ,19?1(. By
Date Application made
CONTRACTOR OR OWNER (OR A THORIZED AGEN
Permission is hereby given to do the above described work,.a~cording to the conditions hereon and according to the approved p ns and
sp'ecificatlons pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
. - DIRECTOR OF. CITY LIGHT
B-;~-(L;~ "~
PLANS APPROVED -~ - ~
,.
,
. (~;;7;;::d
WARNING
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 _
WHITE. Original CANARY. Duplicale PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC ~RINTEB.S, !NC..;.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16229
7-/'ii' .>"
Port Angeles, Wasb!ngton__ooo.oooooo,..ooo",....~(__oooooo......ooo.oooooooooooo_"" 19ooo"'~.
In accordance 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 _____&.__d:__.d:___.m.e___dt.e~___,'JL....___..nnn.nn..ooo occupancyn....,.b""'~___~...____..___..__n
Owner ..n~"'__~:<!_".n.ooo..___.......nn......n...__._n.__ TenanL..__.n.ooo._.__ooo_ooon____.____._.ooo.oooooo__.ooo.__....__.____ooo
Wiring Contra~or --.ooo!'!).J?doooE-1P-:::!~2..--C~..-.n.---.-- By...__oooooo______ooom...ooo__.oooooo________n.._____m.._________.
Light Outlets........................___...._.._..... Service, volts ...L;?Ci.L:!..:.'!.:..? Type of WIring: .
Receptacle Outlets....___m____n_____mu..... No. wires .........:~......................... Annored Cable ..__.....on..............___.
Dryer, KW........____._u___....nn._______n_____
Size wires.............._..n......___......._..
Non-Metallic ........._......________._..__.._
Knob & Tube................................_
Rigid Conduit ..................__.__..___...
Metallic Tubing .___m____m___...____...
Range, KW ____hm_________________
Main fuse ________.n_____mmnm_m__...___
Water Heater:
Enclosure ._..m..m........__________._.......
'le: KW.n__......m____mm__.nn__.m.__._____
- -l
.j tA-..-.b .1" KW......~....'!..l!::..r_::l__:"""'-.,
Motors: size, VOlt8~1l<~:
Type of wIring:
Entrance Cable mm__m
Rigid Conduit ..__m.m.uu
Raceway ..__...._......................=..._
Circuits, LighL~'__.X......;'.:;p-""''''
utility .__~...4........J...........
Heat ...../..:2...............:...........n
3 d-c.. ~~~~!:::::~j~tLT1..:::
g) f" 0..&.,.,".,1,,,4...______...............................
~ 3 \ ?.:___l__.............................___..__.......
d 1, r.....'!......___.___________....._____.................
/'1, () " Se,. No....___.............__........._____......___ jL -:(
I 1, !em:rk:o:ta:__~:f.#;:;~~~..ooo:~.~:__:~~__.~__..~.__~__~.:~__..__..____:__.::.__::........__...ooonm__~.~~.~:__:~:.__.::.:..__.::__.:::.::.::::::
Metallic Tubing ..mmmn
Current transformers:
Range ...__...___________...00.....................
Ser. No............u__.................._...........
Water Heater ..........................__...
Motor Jff!.!-~.c....../.O....--..---.
No. & Size..........m._....m__m___
Ser. No. ..___......__.....____._____.____.____..__...
Dryer ....__n..__.________.n__.____......_.__..__..___
Furnace . ......_....___...........~...................
Permit Fee
. y, F'O
$...____.........000__....000.000000__.
Treas. Receipt
No.............__ooo____ooo.ooo
By .qK2!L.{!.&:.~~~~.~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16229
Address...................___............._...................................................__......____....................................Date..._......_.._.._.._.........._.....__......_..___....
Owner ........________..____........_..___......____......_......_.._.......__.__....___________...____u.....u..u.....__.nn Tenant.____u..........__n.n....__________nn_________.__..___uu.....
WIring Contractor................................_.._...._........._......._...................._...........__.......:.................... By ....................__...................___......n..........
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed ~ue.notice must be given the Inspector so that work may be Inspected before concealment.
\':.
-
W Electrical Contractor
o Annual Permit 0 Alarm
~
V~l
D Owner +"b;Ci.....~
o Carnival 0 Commercial 0 Residential 0 Residential Maint. 0 Signs Cl Thermostat 0 Telecom.
EL~CTRICAL WORK PERMIT APPLICATION
.
o Request Inspection
Job wired by
)(Electrical Contractor 0 Owner
Installation description
\
f
I1-I'r orT
Stale ZI~<I /?.
cd OSV' ./
FAX number
'375 LJf?7-()?..Xc.
premiseOly;p:f /fLd1(dl (pflM
Address of inspecllOn(O Z 1.-. C -Pro 1\ t-
City
License number
l~ I(P c$ tH -hi (!tb~
SC'P<?/ fJ
o
U1
or electrical administrator
o Cash 0 Check #
Kcredit Card Visa Mastercard Discover
Card #
----------------
011.'+;&'/ e
ExpIratIon ate
ofc~~w ()
()
IJ
r-
I hereby certify that I am the owner of the above named property Of a licensed
electrical contractor (or the tirol'S authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
x
WALLS
Insulation Only
CEILING
Insulation Only
THERMOSTAT
SERVICE
Dale
Approved By
Dale
Approved By
Dale
Approved By
Dale
Approved By
DITCH
FEEDER
Cover
Cover
Dale
Approved By
Dale
Approved By
Dale
Approved By
Dale
Approved By
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
o
~
~
~
~'
, ., "
, . ..... "
FORTANGELES
&l1.-&[(011 -r
CITY 0 F
WAS H I N G TON, U. 5, A.
PUBLIC WORKS & UTILITIES DEPARTMENT
DATE:
MARCH 18,2008
To:
SUE ROBERDS, PLANNING MANAGER
FROM:
TRENIA FUNSTON, ENGINEERING SPECIALIST
SUB.JECT:
BLA (LANE WOFLEY / PAUL CRONAUER) AT 622 & 630 EAST FRONT STREET
Public Works & Utilities has reviewed the above referenced Boundary Line Adjustment and have the
following comments;
I, The existing co-shared concrete driveway approach and the concrete sidewalk abutting the
properties at 622 & 630 East Front Street are in good condition. At this time no repairs would
be required.
2. The Front/First alley abutting the properties at 622 & 630 East Front has an paved
asp halted surface. At this time no repairs would be required,
3. The parking layout for the properties at 622 & 630 is pre-existing, appearing to have a one
way traffic flow with angled parking stalls. The main entrance to the parking lot is off Front
Street and exiting out to the Front/First alley,
4, Both properties havc existing utilities (water, sanitary sewer and electrical services),
5, A recorded copy of the parking agreement between 622 & 630 property owners will be
required.
Upon issuance of building permit for connecting 630 East Front business to 636 East Front Street
issues with the parking lot and sidewalk at 636 East Front Street will need to be addressed,