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Home My WebLink About528 E 1st St - Building On OF PORT ANGELES PERMIT APPLICATION Building DivisiolrVElectrical Inspections � 321 East Tlt';ith Street-P.O" Box 1150/fort Angeles Washington,98362 RECEIVE], M� Yb: (360)41.74735 Fax: (360)41.7- 711 � � �� Multi-Family or Co k Et.EUTRICU INSIPFCTIONS *Plan Review May Be Re uired,Please Co , Iete Electrical Plan Review Information Sheet ,lob Address; `S - BuildingSquamFootage; L -- Oescrlptlon of above owner Inform Lion Contractor Information lvame; i '? Name; �11n �vt Mailing Ad ;a; �/� Mallln Qdtes9, U• a City; Stale: 2i (�, City' f4 Stale:ll1A�:_z11: .i Phone, aK: ..1..5�� Phone, - Fax License#I Fa(p. Item tzar a (3tx Total Mu !I tied b Unit 9barle SerrlcelFeeder 20D Amp. $132.00 �- SeMcelFeeder201.400 Amp. $160.00 $ SaMcelFeeder401.500 Amp $225.00 � $ Servlce/Feeder601.1000 Amp. $286.00 .• $-�---, SeivlcalFeeder over 1000 Amp, $410.00 $ -•- Branch Circuit WI service Feeder $ 5.00 $�— — Branch CImUt WIO Service Feeder $ 74.00 Each Additlonal Branch Girton $ 5.00 $- ------- -- BranchChrxuits/h $ 86,00 Temp.Urvlce!Feeder 200 Amp. $102.00 �- Temp,ServicelFeeder 201-400 Amp, $121,00 $ ---- Temp,SeNcelFeeder401-600Amp. $164.00 Temp.SenrlcelFeeder601-9000 Amp. $188.00 $ Portal to Portal Hourly $ 96100 -- SignlOuiline Lighting $ 0000 4_.'_ Siqnal Clrcult/Limited Energy Multi-Family $ 64.00 5fgnol Ciro&Limited Energy I First 1500 sf-Commemiai $ 96.00 $ — Nate: $5,00 for each addlllonal 1500 sf Renewable I-lectrical Energy-51NA System or Less $113.00 Thermostat $ 56,00 � $� Note:$5,00 for each additional T-Stet Owner es defined by RCW,19.28.251;(1)Owner will occupy the structure for two years after thla elechical permll:is flnalired.(0 Owner is required to hire an electrical contractor If above Said property is for sale,rent or lease. Permit expires after six months of last inspeeti01 a After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical cr i ltractor.I am making the electrical Installation or alteration in compliance with the electrical laws,N.E,C.,RCW.Chapter 19,28,WAC.chapter 296-1.113B,The City of Port Angelus Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applfcatioms, 81 gnymire,of owner,olectrtcal co ctor or elec#rlcat adminlstratxur: El CoO 0 Check 7 ELECTRICAL PERMIT s CITY OF PORT ANGELES W 360-417-4735 Application Number . . . . . 14-00000317 Date 3/17/04 Application pin number . . . 457953 Property Address . , . . . . 526 E 1ST ST REPORT SALE'S TAX ASSESSOR PARCEL NUMBER; 06-30-00-5-1-2710-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL ARTERTAL (Location Code 0502) Application valuation . . . 0 ---------------------------------------------------------------------------- Application desC Dryer circuits Owner Contractor ANDREW P SIMPSON SIMPSON ELECTRIC 243036 W HIGHWAY 101 243036 W EWY 101 PORT ANGELES WA 983639472 PORT ANGELES WA 98363 (360) 457-9270 (360) 457--9270 Permit ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86.00 Plan Check Fee 00 Issue Date . . . 3/17/14 Valuation 0 Expiration Date 9/13/14 Qty Unit Charge Per Extension BASE FEE 86.00 Fee summary Charged Paid ,Credited Due ---------- ---------- ---------- ---------- ---------- Permit Fee Total 86,04 56.D0 .00 .c0 -✓ Plan Check Total 00 DO .DD .00 Grand Total 86.00 86,00 OD .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENT'S: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXC HANGEIB U ILDING PREPARED 7/22/11 9 59 30 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/22/11 ADDRESS 528 E 1ST ST SUBDIV TENANT NBA BEAUTY THE BEACH CONTRACTOR PHONE OWNER ANDREW P SIMPSON PHONE (360) 457 9270 PARCEL 06 30 00 5 1 2710 0000 APPL NUMBER 11 00000744 PLUMBING PERMIT PERMIT PL 00 PLUMING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 7/22/11 PLUMBING FINAL July 22 2011 8 13 36 AM pbarthol Grease trap final Mike 461 7555 COMMENTS AND NOTES (9 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor Application desc INSTALL A GREASE TRAP CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 ANDREW P SIMPSON 243036 W HIGHWAY 101 PORT ANGELES WA 983639472 (360) 457 9270 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 7 0000 Fee summary Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Building Permit PLUMBING PERMIT INSTALL A GREASE TRAP 189415 57 00 Plan Check Fee 00 7/20/11 Valuation 0 1/16/12 Per BASE FEE EA PL- PLUMBING Charged Paid 57 00 00 57 00 11 00000744 609592 528 E 1ST ST 06 30 00 5 1 2710 0000 BEAUTY THE BEACH PLUMBING PERMIT COMMERCIAL ARTERIAL 570 OWNER 57 00 00 57 00 TRAP Credited Due 00 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 has 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 cIr cancel the proyisio of )y state or local law regulating construction or the performance of construction. 7 72 scgr- Date 7/20/11 Extension 50 00 7 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) !6s,1/4(\k°' 1-7-e2/" Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts I FINAL Date MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date d Accepted by 1i7/ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Accepted by Date Accepted By Applicant Property Property C ontractor Contractor's Address License CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 79 6- --g? Owner /jh jtrc Owner's Address 0E‘ We y /0 PROJECT ADDRESS Parcel Number Proiect Type Brief Description. Check all that apply New Construction o Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink ..2 Residential Multi family Ptu irrtUi ct Qrmct MA House garage other tear off re -roof lay over one layer Heat pump o wood- burning stove gas fireplace pellet stove o other Existin s ft. __Expires e FTUS-f Proposed (sq. ft.) t( 7 7/ A Total footprint of structures sq ft. Lot size Site Coverage the amount of impe ious surf e on a parcel includin structures and other impervious surfaces (see 'AM' 17 94 135 for exemptions) tr e. l.✓ g twfO h -E -mall Lot TOTAL VALUATION Max. height of proposed structures ft. Occupancy gr Will a lawn sprinkler system be in ailed? Occupant I•:d Will a fire sprinkler system be i talled? Constru on type I have read and completed this application and know it to be true and correct. l am authori that it is my responsibility to determine what permits are required, and to obtain permitspri Date? '/T -1/ Print Name /`I l/I, T Forms /Building Div :sion /Building permi(application Signatur Phone G/ 9' `Z7 O Phone Phone For City Use Onl Date Received 7 1-0 (1 Permit# 11 -144 Date Approved g &`h, ee&A Zoning ommercial Industrial PSfirr ain S ex.C.-(il ne per sq ft. ,5 70 sq ft. Lot overage aved driveways sidewalks ios Site co -rage of be oom o II baths of half baths 0 70 for this pe t and understand n project Clallam County Assessor Treasurer Property Details 61535 ANDREW P SIMPSON Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 61535 ANDREW P SIMPSON for Year 2011 2012 Property Account Property ID 61535 Legal Description: SMITH, NORMAN R LOT 3 BL 27 Geographic ID 0630005127100000 Agent Code. Type: Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 56 Open Space: N DFL N Historic Property' N Remodel Property' N Multi Family Redevelopment: N Township: Section: Range: Location Address. 528 E FIRST ST Mapsco: PORT ANGELES, WA Neighborhood: Cycle 5 Comm Map ID' 2 Neighborhood CD' 20953140 Owner Name: ANDREW P SIMPSON Owner ID* 52447 Mailing Address. 243036 W HIGHWAY 101 °A) Ownership: 100 0000000000% PORT ANGELES WA 98363 -9472 Taxes and Assessment Details Property Tax Information as of 07/20/2011 Amount Due if Paid on: M. Exemptions: NOTE. If you plan to submit payment on a future date make sure you enter the date and click RECALCULATE to obtain the correct total amount due Click on 'Statement Details' to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 155964 $1198.27 $1198.22 $0 00 $0.00 $1198.27 $1198.22 Statement Details 2010 44241 $1185 55 $1185.51 $0 00 $0.00 $2371 06 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with 'N /A 2011 True Automation, Inc All Rights Reserved. Privacy Notice Website version: 9 0.32.2200 Database last updated on: 7/20/2011 3:50 AM http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =6153 5 7/20/2011 (Y\Ct~ le~ \ 2--l7~07 \JT N rJ) !\J - V" -r \Jl ~. \. &=vt- J'th B h df-Ol 12.4'2- 0- ''I aan e- eo..c. ~ \ \~ <;5 ROUTING SLIP ~ .0Rr." lO~~"<." \ 6< ('00-\ , ~{e _ Certificate 0 Occupancy ~1"' "--~1f 'tl'\\ '3: ~;~97~$50? ~te/lnspection Fee ~ICWO""" DATE iO - ~'7 -07 New Business. . . . . . . . . . . . . . .... ..... ..... ( ) Address of Proposed Business Transfer of Business location . . . . . .. .... .. .. ( ) . ~ 52.6 E~ Fil2Si S,. Change of Ownership .. . . . . . . . . . ...... . ... ( V-) Applicant LA0t'tA A 1Z.-1t-l E.\-\-I\(2.\ LLC New Building . . , . . . . . . ........ . . . . . . . . . . . ( ) Address lQ<to F DeFi<A tv&- Remodel . . . . . . . . . . . . . . ......... ... ...... ( ) vo"-, At-.:\&E.LE.S WA Qe3bZ- Temporary Business. . . . . . ........ ..... .... ( ) Phone: business 4/7- ,S8<" home '-15 '1 - 7SO <{' Change of Use . . . . . . . . .. ..... .. ..... ..... ( ) Brief description of proposed business: SALD/J \ TAtJ~.h,v(,- N A. j LS legal Description: lot Block Subdivision Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes. .... ,/ PERMITS BUSINESS LICENSE Electrical changes. . ...... ............ =/ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ... .... -~ 2) Plumbing 2) Peddlers Plumbing changes. .................. -/ 3) Electrical 3) 2nd Hand Dealer New or relocated signs ............ ......... .. =~ 4) Mechanical 4) Pawn Broker New septic tanks . . . . . . . . . . . . -~ 5) Sewer 5) Dance New sewer service. ................. ... -~ 6) Sidewalk installation 6) Hotel- Motel Admission charged to patrons -~ 7) Driveway installation 7) Fireworks Is this a home occupation? . .... -~ 8) Curb installation 8) Ambulance Excavation of filling of lots. ............. ....... -~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-af-way .. _ ---.:L 10) Water meter installation 10) Other Is there sufficient off-street parking? . . .. ........ ~- 11) Fire New driveway openings ...... ........ ..... -~ 12) Occupancy A grading plan for site drainage . - --""- 13) Sign ~OV\S+ (parking lots, downspouts, etc.) ........ ....... -- 14) Shoreline Will ofm Are the existing streets paved? . -"- - 15) Home occupation How'.s~ T- F g::30-b Are there existing sidewalks? . ~- 16) Conditional use Is there curb and gutter? . .. ... ...... --i.L _ 17) Other 5a.t- F~ Other. .... I hereby apply for a Certificafe of Occupancy and acknowl- Date: !O-;;U;:-07 edge that I have read this application and state that the information I have supplied is correct to the best of my Signed~C2~ knowledge. ~~lJ%;; REJECTED Comments I Conditions I ff, If, Building Section . - Public Works Department - Sf<. 10 /21o{07 - - Planning Department When you arc almost rcady 10 opell your 1<'i:>D Fire Department business. please call for Certificate of Occupancy inspections: lSv lo '-2- ~ -07 City Clerk Call 417-4815 for a Building Dept. Inspect. Call 417~4653 for a Fire Ocp\. Inspection .~ RB.I.A. Please provide a minimum 24 hour notice - - CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Cenification issued pursuant to the requirements of Section 30] of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following: '{Vi' " '-, , __' _c'::':r,-"--E'> ,,:,':j!p:~ ~'" Building Permit No.: 05-827<-''::: :"::'Bllsin~s~,Name: Beauty & the Beach . .r"L:~':J~~*r;~.. 3~i:.. ",,:~~~~~~:~" ;J~~. Type Of Construction: VNl:;\;tt"l. Use ZOne:: CA "."il, ' , .:. :.>' ""if 1", , ";<" \ir~.~'~~';:~.(;l;;~; Use Classification: Business :"':'7Yij;tt~t Group: B : ,"""_ ' ,\:,:~ - P -f ~'':;!;i',r~l~y,;';J'~ t--Ol:7~'<'.,Ji' Owner of Busjness:~ Palacios Address: 528 E. I" St. Port Angeles, W A. 98362 Port Angeles, W A. 98362 Building Address: 528 E. November 21 . 2005 ~<i,," ~~t. Date Post on the prem~~~~,i,!La'COnspicuous place. Shall not be removed except by Building Official. II 2'4/00.JF(,i:) ROUTING SLIP \.O"T_" J!-o0-e>1-1 fO~o"<,,, Certificate of Occupancy "~<'1"' ~~ 'I" ' 'm Certificate/Inspection Fee .~ ~ov~ DATE C61 ~ID~ New Business ............................ ( ) Address of Proposed Business Transfer of Business Location, , , , , , , , . . . . . . . . (~) 52-tO IE. t ~ ~ Change of Ownership. . . . ' ................. ( ...,..c) Applicant \bl IJJ II h \ ~ ,1- h.a.. lb ().J 9L New Building ........... . ................. ( ) Address ':;:;2A ~ \ <;st-: ~ Remodel. . . . . . . . . . . . . , . .................. ( ) PO(1:r" ~ I 0" l UA ~~I " '2. Temporary Business ., . .................... ( ) Phone: business4\""\ - \ S~ home 4\,- ~"Z...14. Change of Use, ... .. ...................... ( ) Brief description of proposed business: J~",l IJJ 1m, $10, ",,\ 0, I'\Jl...UW ~ , Legal Description: Lot Block Subdivision Current Use of Property: \AC1.~ Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. - l PERMITS BUSINESS LICENSE Electrical changes. .... ................ - ~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . - 2) Plumbing 2) Peddlers Plumbing changes ............................. - ~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs. .. ... ................ - '---- 4) Mechanical 4) Pawn Broker New septic tanks. ... - - 5) Sewer 5) Dance New sewer service ........... ... ............ - I- 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. . . . ......... ... - 7) Driveway installation 7) Fireworks Is this a home occupation? .................. - 8) Curb installation 8) Ambulance Excavation of filling of Jots . - 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-ot-way . ............ y= 10) Water meter installation 10) Other Is there sufficient off-street parking? .......... 11) Fire New driveway openings. =f= 12) Occupancy A grading plan tor site drainage. ..... ...... 13) Sign (parking lots, downspouts, etc.) .......... ~ 14) Shoreline Are the existing streets paved? . 15) Home occupation Are there existing sidewalks? . .......... 16) Conditional use Is there curb and gutter? ............... ......... ~- 17) Other Other. .............................. ~ I hereby apply for a Certificate of Occupancy and acknowl- ""~~ ~tre edge that I have read this ,application and state that the information I have supplied is correct to the best of my lbd knowledge. Signed: I ,J I . tJ...I f l~rl~j~Vp REJECTED Comments / Conditions :/ Building Section -'/ I Public Works Department Planning Department _~D\) Fire Department 'D-3!-()6 &0 City Clerk P.B.I.A. v _,. . . ..v......!.~. _" ..'_ .r-.'...".. I. _ . ,."1\':,"" ... '^' ....f'.v--..:..~ . ,,:.,-{-> , NO t:'~'.s , , ROUTING SLIP ~ rOR, A;,- ""o~o<(<" Certificate of Occupancy (1~", , L~ ~ $4.7.'00' Certificate/Inspection Fee '-' ",~;;;.p DATE ~I d-C',I Dc:. New Business ,.... . .. . ..... ........... . .. ( ) I Address of Proposed Business St Transfer of Business location. . ,. . . . . . .. ... .. (~) S "2. t(l, \E. 1 "'(1't Change of Ownership. . . . . . . ... .. .. ........ ( -,..(.) Applicant 0..." c,~.' h I (lLY\ ,1 , I t'JL '1- .h. New Building ( ) l.~fU ............. . . . . . . . . . . . . . . . . - Address t:; 2q, ~C \"""t" <:..,-\: Remodel. . . . . ................ ........ .... ( ) POlL, \-"<n,r ( r!\ ,_,A C\-~ ::>,/ t' '2 Temporary Business .. ......., . .......... ( ) business4\, ~ I S'?-.0. I home 4\, - '1 L \4. Phone: Change of Use. .. .. ........ . .............. ( ) , Brief description of proposed business: Q..." ('llrTt , ~1 ....'\ (, 1'\ ILtnc -0.C'-.-L N'\.... , \ legal Description: lot Block Subdivision Current Use of Property: \ ,^'.C, 1"'r"\..L Lf~ Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes. ..... _l PERMITS BUSINESS LICENSE Electrical changes. ....................... .... -~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . /' 2) Plumbing 2) Peddlers Plumbing changes ......... ~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs. ............... 4) Mechanical 4) Pawn Broker New septic tanks. . ... ......... 5) Sewer 5) Dance New sewer service ................ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. ............. 7) Driveway installation 7) Fireworks Is this a home occupation? =1= 8) Curb installation 8) Ambulance Excavation of tilling of lots ................ 9) Sidewalk obstruction 9) Tattoo shop Work qone in City right-ot-way . .... v= 10) Water meter installation 10) Other ,!s.t~ere' sufficient off-street parking? ..... 1)),....Fire--__.. New driveway openings =f= ~ ......................... ~ 12) Occupancy A grading plan for site drainage. ,,13)} Sig'l1 '. (parking lots, downspouts, etc.) -f '14)' Shoreline Are the existing streets paved? ........ - 15) Home occupation Are there existing sidewalks? . ............. 16) Conditional use Is there curb and gutter? ~- 17) Other Other. ............. ... "- I hereby apply for a Certificate of Occupancy and ackhowl- 0 t>IT Jo1 dcJJS, edge that I have read this application and state that the Date: ./ ( t?l information I have supplied is correct to the best of my Signed: l OiJ , ~t Lt:l..tL[.~ knowledge. ~,_(1ltP l,n APPROVED REJECTED Comments / conditions(l\\~\ M I Building Section fi1D~-' ,~~ .' Ii' ft-fI J I - '---n f> Public Works Department ,fl ~~~~('~: .''''. )~~ - ~ l, //} Planning Department 0;r~~~\~:Jlon~.~" ~ 7 Fire Department City Clerk , P.B.I.A. 1 . , '0' ....,. ." " ~ co n-\ 1'") - c (;\ -t . ROUTING SLIP .00", ~~ "'o~~<"<<" Certificate of Occupancy (1~~.. ~~ ~ $47.00 Certificate/Inspection Fee '-' ""6,IC"""'''~ DATE ;J tV. 11,00 New Business ........................... ( ~ . Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . ( ) 528" E. Ff..<sT Change of Ownership. . . . . . . . . . . . . . . . . . . . . . ( ) Applicant S',4#.o.<t!,4 ~ff"""'5"'...... ZAa,t!!M- :Jt..V~ ~ew Building ............................ . ( ) UiF'/'IU7j/'H r/rl&' .se,4C"I Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address :52. <? r: . r I.f?S-r /t>.e.T .;4/V{jFLlEf u/A- tJg'3b~ Temporary Business ....................... ( ) Phone: business 1-/7-/S~ome 1-57-::57,;;2.7 Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) '-- Brief description of proposed business: H Ai~rz- S; 4LO/V - E- Vil/ legal Description: lot Block Subdivision Current Use of Property: 5+MIZ 4"5 ~eJVr Zoning Classification of Property: C1/-I WILL THERE BE ANY OF THE FOLLOWING? YES , THE FOllOWING Will BE REQUIRED: Construction changes. .............. - ---y PERMITS BUSINESS LICENSE Electrical changes. ..... ...... -/ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . - --;/ 2) Plumbing 2) Peddlers Plumbing changes ....... .... 7- 3) Electrical 3) 2nd Hand Dealer New or relocated signs. ...... ... 4) Mechanical 4) Pawn Broker New septic tanks. ..... ............ ......... -7 5) Sewer 5) Dance -----'--;T New sewer service ..... -7 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. .......... ....... --r 7) Driveway installation 7) Fireworks Is this a home occupation? .......... ........ - --r- 8) Curb installation 8) Ambulance Excavation 011illing 01 lots .............. ... -Z 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-01-way . .... .... 10) Water meter installation 10) Other Is there sufficient off-street parking? ... 77 11) Fire New driveway openings. ... - ----r 12) Occupancy A grading plan 10r site drainage. .... - ---r 13) Sign (parking lots, downspouts, etc.) 14) Shoreline Are the existing streets paved? .... ............". ---y - 15) Home occupation Are there existing sidewalks? . . . .... ~= 16) Conditional use Is there curb and gutter? ...... -- 17) Other Other. . ................ -- I hereby apply for a Certificate of Occupancy and acknowl- Date~~ A. f?tZ- edge that I have read this application and state that the information I have supplied is correct to the best of my Signed) #t!Ji/, /7, 00 knowledge. ?JhD REJECTED Comments / Conditions Building Section Public Works Department 1 Planning Department lJ -7~O.-OO. Fire Department lL::lBo l)U City Clerk P.B.I.A. ~ ".r '.. . ,." OJ . ~ "'''''''~Y'''~'' , , J ~.. ""..~ . --,. ". - - ROUTING SLIP ~ ,OR'...... - tO~G",<;. ~-' Certificate of Occupancy .'- L~ ~ $47,00 Certificate/Inspection Fee - ~'Cwo#.. r DATE N'~J. II. () () New Business ....""" ",. .,.......... ( .-) , Address of Proposed Business Transfer of Business location, , , , , , , , , , , , , , , , ( ) 52R E. FI/c::'s r Change of Ownership . ..................... ( ) Applicant S"",v~"," \.'7;;"",..-..-"...... L.Lh~;?,/ 5t.d~ ~New Building , , ..... .................,.", ( ) UF;4U:?y:t r.4-,!. .8G"AtrN ) Address .J:., C' r. r/~----'r Remodel, , ' .". . ., . ................ .... .. ( /1'/-'7 - .. ~J "d C),3,(.~:Z ,.P/V?/r-L/;.:r Temporary Business . ................ . . . . . . ( ) Phone: business 1"/7- /S~home 4-57-,g7,;;l7 Change of Use. , . .... ............... .... . ( ) "- Brief description of proposed business: G1' . Ju 'V:Jj/F?/r) Jf-d. A ' 'illY-li.'" j-,:j.,,\:0' , ~.- j P ..Kl ~/) I' V'iVf) ~,P1I ~ - / ) I legal Description: lot Block Subdivision Current Use of Property: .' ; /'1 1'4,- A..... /:!/J,""h"" Zoning Classification of Property: (W /' 1f7 - WILL THERE BE ANY OF THE FOLLOWING? YES NO, THE FOllOWING Will BE REQUIRED: Construction cha.nges . . ..... - j, PERMITS BUSINESS LICENSE Electrical changes. ..... .......... ...... 7: 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . ..... -~ 2) Plumbing 2) Peddlers Plumbing changes ~~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs. '" .............. ---vr - 4) Mechanical 4) Pawn Broker New septic tanks. -~ .-' 5) Dance , 5) .Sewer New sewer service ..... -'ol/... 6) Sidewalk instaJJation 6) Hotel - Motel Admission charged to patrons. -'/''/ 7) Driveway installation 7) Fireworks Is this a home occupation? ..4". ..1. -~ 8) Curb installation 8) Ambulance .............. - -y-- .;. . .",-, Excavation of filling of lots .. ..... . . .~. . ----:- -y- 9) ,~id_ewalk obstruction 9) Tattoo shop Work done in City right-of-way. 10) Water meter installation 10) Other - ". ...... 7- Is there sufficient off-street parking? .... ..... --y " 11) FJre ','~ \~ New driveway openings , Occup~hcy ......... ....... . . . . . . . . . ~ 12) , -~ A grading plan for site drainage. . .. ..... -/ 13) Sign (parking lots, downspouts, etc.) ....... -y- 14) Shoreline Are the existing streets paved? ..... 15) Home occupation Are there existing sidewalks? . .......... ----:7 - 16) Conditional use ~- Is there curb and gutter? .......... .. ... -- 17) Other Other. ............ ....... I hereby apply for a Certificate of Occupancy and acknowl. Date1-~~~. aa ~ edge that I have read this application and state that the information I have supplied is correct to the best of my tY " Signed: N,,,/. / 7. 00 knowledge, i. " ,/ Comments I Conditions J-d--'l ) ) ~/L, ^ 'o,'^ APPROVED REJECTED '-'('j/ , t7bJi.Q 'fJ1UI..4YU' 7-h "j , f-ftu ('/l --/,-. Building Section -< f) . - , JJ 'f'~~ 0. , 1// /", 1m /)(J Public Works Department ( I 11 j-fl. frT) - Xl 4rLA1Jt'..rlul _ n.+~ (\ / Planning Department \/1\/1aA'-i", -riVL.. vt;,. E~ ~. / Fire Department City Clerk . t. PB.I.A. " " " J.... ""....~} )} 1'-. I ~1"1 .. ,., -+ \ '.. .- . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Site Address: 6'z Z3 (. Fe I<sr A-v- du [L~L~I L SUN 1)<t'iA-h. TI\JJ I-' Installed By: PERMIT NO. J b 3/ I'll I iff I ' DATE o READY FOR INSPECTION License Number: o WI LL CALL FOR INSPECTION Phone: Owner/Business Address: lcu/vL. Sq. Ft. Owner/Business: D Residential Heat KW D' Baseboard D Furnace/Boiler 9 Heatpump D Other F' Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) ~New Construction ~emodel '~ervice update/alter/repair D Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) DetailslDescription: .ff 16LJ}<h ')410 ~ f\YovJ .j,~; I Jlj @ S. l. ~~ !?klc rf- ~Yll"'cl ~fJL W.S. No. Service Size Capacity: D O.K. D Not O.K. Comments D Ditch inspection O.K~, _ .@-A~ ~Rough-in/cover O.K. ~<>-'~. ~. O.K. to connect service Ii Final O.K. 7-~''fl ,..- 1l<A/l'1 VV'[ Date Hold for: D Easement D Letter Phone: ~verhead D UndergrOun~ Voltage /z.., 2-00 ~ ' 10 D 30 ervice size -Z-OO Amps D Temporary ~ <:;LVJCL -fo G'lLf'FVL . rj-D D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Site Address: (. ft r<. '>) (/ze IL ~v.., (,l,{'iA--,(. 1J'lM"'^1 Permit/Receipt No. LouN ~ _ 103/ New Meters -G- 628 t~ Installer: Notify the Depa ment 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 InspectoJ)n Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. MI- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT -:iw{J~ Inspector . A aunt paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLVMPIC PRINTERS, INC. FEE REeEIP, NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT U d'i:l ',)ij .+-- PERMIT NUMBER TOTAL FEE' J \,) i!- . 8-'( , .~.. \. I -, . NO. STORIES ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT Site Address iT' -;- ~ . C. RRECT A~SS IS RESPON IBIUTY OF APPUCANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner 6 r I>\P5'oY\. ~f'l>S ' Installation By 1iJ'::: E!.f~;::!?~ Owner's Address I ,")".J-i..f E~ /...,;r- Installers Address _____ ~ Day Phone '-(&;). - '::;;').6'( Installers Phone ~:5;;1.. - 'Jc2t:; ~ Application is hereby made for Permit to install Electrical Equipment as follows: LEGAL OCCUPANCY Wiring Method ~ e: NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE CIA 30 CIA 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN if :~O /uJ /6~ WATER HEATER LAUNDRY DRYER REINSTALLATION 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 ,~O AMP /tf PHASE , FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE #/0 AW.G. I SUB-TOTAL SIZE OF GAOUND /() SIZE OF ENTRANCE SWITCH -aco 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 '::sI/7/ t'/ .19 By ~~) . / "CONTRACTOR OR OW R (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 OF CITY LIGHT WARNING By PLANS APPROVED 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 _ Date Permit Issued . WHITE. Original CANARY - Duplicate PINK - Triplicate WHITE CARD -Inspector's Report QL YMPIC PRINTERS, INC, -~=~ ~ - .~-~-'-.:. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS 7- ,;;.I -1/tJ -tfj( -r J C1WAJ;;'" /~D uJ..# II J.. I ,'..1:., ...,/, !Jt><J , I f V O.K. FOR COVERING O.K. TO CONNECT SERVICE FINALO.K. . z Cl IX c( ::E ~ J: I- Z W l- . l- e z e Q . CITY OF PORT ANGELES. LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15748 y - .?-[ ?C, Port Angeles. Washlngtonm...m.................m.,.m.m...mm........nm.. 19,000000,_ 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. ~::::s..::::~::;:.;.::~~::::2>:::::::::::.n.;::~:~:::ooo~::~~~.~~~:::::::~~:~=~::::::::::::::::::::: Wiring ConU:actor .ooo.(t~.;,.~(?~j-??=n~r.1.'<~.m.______ By__.n.__oooooooooooo__oooooo__ooo.ooo__.__.ooo__ooo.______ooooooo.____ Light Outlets...._...._n..._..............._.._.._.. Service. volts .....nmm._._m.____._._.......... Type ot Wiring: Armored Cable ..._..................._..00_. Receptacle Outletsnn_m....................... Dryer, KW 0000....___...._..............__.._.______ Range, KW ___....hu_..._....U..huu.._uu___.. Water Heater: KW..___._________________....___........ Heat' KW......I(!..n..i< R.................__.. , .~).- MotO:!' size. volts and phase: ? f.l'".^:..----Q.(.(;~',a....---...--..:. ~..~.O'..i:o-ff.-~.~~. Total Load....m_m__..m_.......... No. wires ...._00_00_.........._.......__..___00. Size wires....m__mm....._mm____.._._.. Main fuse .........._....._.......____._........_ Enclosure ........00_......_.._00..___._......... Type of wiring: Entrance Cable ..........._m__....... Rigid Conduit ......__............. MetalUc Tubing ..___00...._____. Current transformers: No. & Size..._..._.........._...__.._..........._ Ser. No..._........_.._.........._...._...__......... Ser. NO._....._____......___..........n_.....__..__. Ser. NO_....._...n......n.nn.nnnn_......_u... Ser. No._.__..__..........._.._....._....________..._ Non-Metallic ................___nn.._..__.._ Knob & Tube.__......._...n......nn........ Rigid Conduit ....00..00".....___........... Metallic Tubing __..................00__... Raceway _...___......._................_.......~ Circuits. Light................_....n_.m__..__..m Utllity __.............._______.........___.".._____ II eat ..._..._____..._.___......................._.. Range ........................________...._........ Water Heater m....m..__mmm........ Motor ..........__....___nn.........____....._... Dryer ..._nnn__....................._n___........... Furnace ..___......_..............~.__._._.._....._. Remarks: ____nooo______ooo__ooomoomoom.noo..oooooo.ooooooo.oo.oooooo__oooooonnnnoooooooooooo__oooooommnooommm.mnnnmm____m__.n..m Total ...................................._n " Permit Fee $:ooo..m__.__m____ooo__ooomnm. Treas. Receipt NO..mnm____.m__......... By __.__m__..m..__oo__~m..m..mmm..m..nmmmm.n.. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con. cealed due noUce must be gIven the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION '1 l ELECTRICAL PERMIT N? 15748 Address.........._..........._............_..__.__......_._..__....._...__._____.._.._......_______.....________......._.__._................__Date_.__......____.._.._......_..........._......_......... Owner ......nn_.n_..._.._...nn......___...__.._........_n..._.._.n.............nn..._..............___........___nnn. Tenant.........nnn.nn__nn_..nnn..n_nnnn....nn___u_nn. Wiring Contractor ...................................._n......__nn.__....__..__......n_.__...___.._nn___..__...._..........._......... By.n__..._.._n___.........._...nn_....._..nn...._......_.. NOTICE-Current must not be turned on until Cert1flcate ot Inspection has been issued. If work Is to be con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. 1M . . Olympic Printers, Inc.