HomeMy WebLinkAbout416 E 1st St - Building
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CERT~~gaA"1t ';~&~f~~.~ANCY
Oity.,gf"Port Angev"'BUlI.v,ISIOn
This certificate is issuelf;lTiijl,UfI.~i~qUirements of Section 1,10 of the 2~6 International Building Code
certifyl11g thataUhejj,m.4!fft~~~u~~~;!h~1;,t"!:;,~;'ir~,w.a~I11-'20m ha 'e wzth the V~tlOUS ordl11ances of the City
regulatl11g bwldl11g const,u "use
Business name:
Business address:
Property OWner:
05-29-08
Date
nail not be removed except by the Building Official.
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CERTlFICA TE OF OCCUPANCY APPLlCA TlON Permit# 0'6-tfCo3.
~~\\er pri~ in?u)
I
t.
"
~ FEES
$50. Certificate / Inspection . ,
pvr< .. "-
$ 0.00 Parking Business Improvement Area (PBIA . wO I~
. fee charged for downtown locations r~ f\ J-5:
u 0 ,
Business owner's name IC-
Business owne(s home address
Phone #
Zoning C; ,{
77
PLEASE NOTE:
A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawn broker, Dance, Hotel-
Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information.
ACTION ./
New business
Transfer of business
location from a
PBIA location
Transfer of business
location from a
non-PBIA location
Change of ownership /
Remodel
Temporary business
Change of use
Will THERE BE ANY OF THE FOllOWING? NO/ YES/ IF YES, CONTACT
Electrical channes J/' Electrical Dept. at 417-4735
New or relocated sinns L/ Buildinq Division at 417-4815
Construction chanaes c/ "
Mechanical chanaes (heati~ cooli~ stoveS) ,/, "
Plumbing chanaes ./ "
Fire sprinkler svstem chances tV, "
Fire alarm svstem channes I/' "
Is this a home occupation? r , Plannina Division at 417-4750
Second~hand dealer oroawn broker? 1// CitVClerk at 417-4634
New or relocated sewer or water service 1// Public Works at 417-4807
Excavation or fillinn of lots Y / "
Work done in the Citv rinht-of-way 1/'/ "
New drivewav openinas r "
Gradinasite drainaae (oarki-n-a lots, downsDouts, etc.) j "
Landscaoe irriaation svstem (backflow devices) (/, Water DeDI. at 417-4886
Off-street oarkina I/' '"
Existinn streets paved rw ~
Existin sidewalks ;/;/
Curb and gutter
Call for Certificate of Occupancv inspections before openinq business:
Building Department Inspection 417-4815 & Fire Department Inspection 417-4653
Please provide a minimum 24-hour notice for inspections
Please sign up for utility
services at the cashier counter.
I hereby apply for a Certificate of Occupancy. I acknowledge Ihat I have read this application an
supplied is correct to the best of my ~<w'elg~
Date Lf-:1I-06 Print Name &LcE" c..tZfJ!J+Tr Signature
For Cit use ani .
Department
Rejected
Initials & date
Comments I Conditions
Building
Type of construction
Occupant Load
Fire
Automatic fire sprinkler system required
no
yes
PBIA
Planning
City Clerk
Public Works
T:FormslBuilding Division/Certificate 01 Occupancy Application
e
CERT/FICA TE OF OCCUPANCY APPLlCA TlON Permit# O'O-tfIo3.
I
~
~~V\a- pri~n inplJ1
u
~ FEES
$50 Certificate / Inspection
pUI'"
$ 0 00 Parking Busmess Improvement Area (PBIA 0 ",",0
fee charged for downtown locotlons p~ H
no
IO.Se
IL.
I-c
""1
~I
Zoning - r: A
-2 77
Phone #
(
IV-l.
Business owner's name IC-
Business owner's home address
PLEASE. NOTE:
A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawn broker, Dance, Hatel-
Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information.
Call for Certificate of Occupancy inspections before openinq business:
Building Department Inspection 417-4815 & Fire Department Inspection 417-4653
Please provide a minimum 24-hour notice for inspections
ACTION -./
New business
Transfer of business
location from a
PBIA location
Transfer of business
location from a
non-PSrA location
Change of ownership V
Remodel
Temporary business
Change of use
Will THERE BE ANY OF THE FOllOWING? NO/ YES/ IF YES, CONTACT
Electrical chan es V- Electrical Dept. at 417-4735
New or relocated signs c./ Buildina Division at 417-4815
Construction chanaes c/ "
Mechanical chanaes (heatina, coolina, stoves) // "
Plumbing changes ,/ "
Fire sprinkler system chanqes y/ "
Fire alarm system changes 1// "
Is this a home occupation? v Planning Division at 417 ~4750
Second-hand dealer or pawn broker? /// Citv Clerk at 417-4634
New or relocated sewer or water service /// Public Works at 417-4807
Excavation or fHlinq of lots v / "
Work done in the City riqht-of-way t// "
New driveway openings Y "
Grading site drainage (parking lots, downspouts, etc.) j "
Landscape irrigation system (backflow devices) i/ Water Dept. at 417-4886
Off-street oarkina v "
Existina streets paved IV ~
Existing sidewalks 1//
Curb and Qutter V
Please sign up for utility
services at the cashier counter.
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application an
supplied is correct to the best 01 my ~,w/elg~
Date t;-210~ Print Name Uc.-& L-1<-tJ!J,fT( Signature
For City use onlv:
Department Approved Rejected Comments I Conditions
Initials & date Initials & date
Building Type of construction Occupant Load
Fire Automatic fire sprinkler system required no yes
PBIA ~~ ~ 0--\ a'--'_T--'-'--"---'~Y--~ ~~-
Planning ~"h,M '1'\.0 ~ U~~
City Clerk /
Public Works
T:FormslBuilding Division/Certi1icate of Occupancy Applic<lIion
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
16610
,> - .;J ;> :>;;:-
Port Angeles, Washlngtonoomoo_oommm_.._..__oomm.__.m.oom..moo..... 19..00000.
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 Jtrlcal work as listed below.
~::::s._::~;;~~~::~::::::::::.-n;~:~~~:::.n~::~~:.~:~:::::::=::::::::::::::::::::::::=::=:::::::::
Wiring Contractor ...ooi)l.~~.-g;-::;.::~.:r....o'n_::"-".oo By_oon.oooomoooonoomoommmoomoo__nm_.oooo______oonoooo
Light Outlelo......._......._...____.__....._.._...._
Receptacle Outlets.....m.........h............
Dryer,' KW _._.u.u.................................
Range, KW......................__...n.............
Water Heater:
KW..-m..<?57~--..m....-..m
Hea', KW__..__L~..........'Jur.....n_____n
M~i:~~:f~
" -
Total Load.............................
Service, volts .......................................
No. wires .......................................
Size wires..................................._..
Main fuse .....h...................h....h.....
Enclosure ................n...h................
Type of wIring:
Entrance Cable h.h...h.....huo..",,,',
Rigid Conduit ..00..00.......................
Metallic Tubing ..mmmn.nn.........
Current transformers:
No. & Size..n...................................
Ser. NO.....h...............h......................
Ser. No. .............................................
Ser. N9...h.........................h...............
Ser. NO:;,;h............._..........................
Type of Wiring;
Armored Cable ..................__........_
Non-Metallic n.............................._
Knob & Tubenn..n........................_
RIgid Conduit _____n_..__..._.._......._...
Metallic Tubing ...........................
Raceway ...............................__..._
Circuits. Llght...........dh...................._..
Utlllty ......_m............__...__n.............
lIeat ..__..................................._..__
Ran.ge ........h...................................
Water Heater ..h.__........................
Motor ..._..00....................................
Dryer................................................_
Furnace .........................__......_...........
Remarks: _________oom.moommoo...______oo__.____m.mnmm.mm__.nmmoooonoooo__oom__oo...__oooo__00000000000000000000000000000000000000000000.
Total.......................................
.__.___.__.__...._.____n_.__u__.___........_._.__.__..____._._....__.__._______._~.____.__.u.__._......_._.._..______________._.__....______.__.______.....__............_.
Permit Fee
_...___hnn.nnnu......____.__..u.nnnu.....__nu__nnuu.nh__..h_._.h.._._n...nu.u.n...uuuun.uuh....____nnnn....nn__n__n......_..n..u__
Treas. Receipt
NOh__.mmoo.oooooo__oo.....
By oo<j~ilA~;t~L~~,J
$....00...00....______00000..00000.....
NOTICE-Current must n()t be turned on until Certificate of Inspection has been issued. It 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?
16610
Addressnnn..nnn....._...........nn......h.................h..........................h.............................h..............Date..._n..h_.._h_n_.nn....._.._n_......_......._
Owner..................................._......_n_......_......_.._.............._...........................................Tenant......................................................._..........
WirlngContractor................nn......................................._.............................................................By..............................................................
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work iI!i to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment."
1M
Olympic Printera, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16105
Port Angeles, W8BblngtonnmmLnmL.~......n...mm.m...m....., 192r
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 ~ectrlcal work as listed below.
Address n.Yi.i.m..E:.....!:..m..m.m..............w'..mnn.n.... ocCUpanCy....n...k~n.........h.m..
~::gr~.:~~t:~0~::~::~..~~:~~~;:::..:::::::::..:.:...~::::::::::=:::::::::::::::::::::::::::::::::::::::
, v
LIght Outlets.............___.......................... ServIce. volts ./.?:.O'/-9J.:.l.~.__
3
No. wires .......................................
SIze wlres...//..c?.2.C;/~{;)
Main luse .__..jl/?..t!.&..........
Enclosure .....C.7i.s.........
Receptacle Outlets...............................
Dryer, KW....h..............h....................
Range, KW....h.............................
Water Heater:
KW..__.___...._____..._________.______.6'___.
He." Kw.---.'f:..~/f.t;r....4~... y.
Type of wiring:
Entrance Cable .......................
Motors: size, volts and phase:
Rigid Conduit ...m......m..
Metallic Tubing .....................
Current transformers:
No. & Size........................................
Ser. No........................................_.....
Ser. No. ..............................._.............
Ser. No...............................................
Type of Wiring:
Armored Cable ..............................
Non-Metallic ................................_
Knob & Tube.......................__........
Rigid Conduit ...............................
Metallic Tubing ............___...______...
Raceway ..............................._......_
Circuits, Light.......................................
Utillty....___.________.............................
Heat h....................................._.._..
Range .............................................
Water Heater ...............................
Motor ..._.._.....................................
Dryer ....................._.......................__
Furnace .........................'_...................
Total wad....... .................... Ser. No.............................................. Total ...................................._._
Remarks: .m.....mm0nna.~~n.......n.mn,d..-!'<<f?(~~..nm.mnmh....nmnmnmmnnnmmmn
.mnmmhmhh.........h.n...........n...................................................m............~mnm1k:;. ...nmm..n..nh.......n.mm.mm.
P~rmlt Fee . Treas. Receipt (lI ~ i rj;j~---if~.._.
$.m....m..nmm..mm.mn... NO.nmn.m.mmm...m. By ~...Cmm ...ml.~m..mmm..........c........,~
NOTICE-Current must not be turned on untU 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 belore concealment.
~
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Address
N'?
16105
Owner .................._................_.........._......_......_.._........................................................... Tenant....................................................................
Date..._.........._......_.........._......_.....____.......
Wiring Contractor................___............._.._......................_............................................................. By..........................,.__......................_.........
NOTICE-Current must not be turned on untU Certificate ot 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.
1M ()\vmnl.... Print",!'!':'. Tn,..