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Home My WebLink About940 E 1st St - BuildingAiE vv NAME OF PREMISES SERVICE ADDRESS LOCATION OF DEVICE. 87 ;1 t ,y N bi p L a j ASSEMBLY G Manufacturer Model IS THIS AN APPROVED ASSEMBLY? YES ID-NO IS ASSEMBLY INSTALLED CORRECTLY' YES D .NO DATE OF INSTALLATION Z) i, b.? UNKNOWNO Initial Test Repairs Details COMMENTS DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #1 Leaked Held at U psi Cleaned Replaced I A's i k7 Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division P1/67R g e" /2 ty,J c5'6. e si-A2ee; REDUCED PRESSURE PRINCIPLE ASSEMBLY AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO CHECK VALVE #2 Leaked Closed Tight Q' Held at psi Cleaned Cleaned Replaced Replaced Final Closed Tight UV" Test Held at psi Held at psi Opened at 7 1 2- psi Aisle(/e, rGr v 4P4sse d Initial Test Repairs Final Test Date'Time Tester Signature 0 q /i6c i6, RELIEF VALVE Did Not Open Opened at 3, 2- psi 3 psi Buffer YES NO Size Held Backpressure #2 Shutoff Held WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Replaced Official Use Only A ssem. Received S7 A S 7.2 Serial No RP per' RPDA DC DCDA PVB Air Gap SVB 0 AVB PVB /SVB AIR INLET Did Not Open Opened at psi CHECK VALVE Leaked Held at psi REPAIRS Cleaned AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES TYPE OF HAZARD Line Pressure 95 psi YES /NO YES CIfr" NO Relief Valve Exercised YES Cep 1 O Cert. Test Kit Passed Failed Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5T1- ].STREET PORT ANGELES, WA 98362 Application Number 09 00000750 Application pin number 492750 Property Address 940 E 1ST.ST ASSESSOR PARCEL NUMBER 06 30 00 7 2 0300 0000 Tenant nbr name PUERTO DE ANGELES Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning COMMERCIAL.ARTERIAL Application valuation 650 Application desc DBL -CHK BACKFLOW PREVENTION FOR GARB BVRGS Owner Contractor LADD FAMILY LMTD LIABILITY CO LABOY SONS GENERAL CONST INC 3620 100TH ST SW #A 240 MOUNTAIN DR PO BOX 98922 SEQUIM WA 98382 LAKEWOOD WA 98498 (360) 681 0184 Permit PLUMBING PERMIT Additional desc CARB BEV BACKFLOW DVC Permit pin number 150839 Permit Fee 57 00 Plan Check Fee 00 Issue bate 7/29/09 Valuation 0' Expiration Date 1/25/10 Qty Unit Charge Per 1 00 7 0000 EA Fee summary Charged T Forms /Building Division/Building Permit BASE FEE PL- BACKFLOW PROTECTION <OR =2 Paid Credited �.s Date 7/29/09 Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 (20v, ‘c (of t lncred Afrrov ee r Extension 50 00 7 00 Separate.Permits are required for electrical work, SEPA, Shoreline, ESA. utilities, private and public improvements. This permit becomes null and void ifwork 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 3rk will be complied with whether specified herein or not. The granting of a permit does not presume to give authority ro.v olate or cancel the provisio of any. state or local' law regulating construction or the performance of construction DQYVIi 5 tatboti JkNvt� ja fJ nrin Name Sign are of Contactor or fh rized Agent Signat re of Owner (if owner is• builder) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 650 09 00000750 492750 940 E 1ST ST 06 30 00 7 2 0300 0000 PUERTO DE ANGELES PLUMBING REPAIR Application desc DBL -CHK BACKFLOW PREVENTION FOR CARB BVRGS Owner Contractor LADD FAMILY LMTD LIABILITY CO LABOY SONS GENERAL CONST INC 3620 100TH ST SW #A 240 MOUNTAIN VIEW DR PO BOX 98922 SEQUIM WA 98382 LAKEWOOD WA 98498 (360) 681 0184 Permit PLUMBING PERMIT Additional desc CARB BEV BACKFLOW DVC Permit pin number 150839 Permit Fee 57 00 Plan Check Fee 00 Issue Date 7/29/09 Valuation 0 Expiration Date 1/25/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL- BACKFLOW PROTECTION <OR =2 7 00 Fee summary Charged Paid Credited Due 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 or cancel the provisions of any state or local law regulating construction or the performance of construction. Date 7/29/09 Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 7 9- c 7 0/ Oenr s l tbov 0- h Date Print Name r Signature of Contractor or uth /rized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line 13YcTc 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 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 Date Accepted By Comments Pl'nim 1-1 -Qq Rn Q J.I,FINAL Date Accepted by PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 (FINAL Date Accepted by Date Accepted By Applicant OeY\Y13 Labq Phone Property Owner L =AI F-72, I'D Liabi li; Co 3 3 62o, P Phone Owner's Address (cp.4 Contractor <DYI 6e1'1P1C2i ('OnS,rcer, tot/7 Phone Contractor's Address AtiO IL(pt,cr7pn4 Uf'eta dr. SQClW License ifiitope, 9 p,• Expires /0. 0% E -mail PROJECT ADDRESS Parcel Number Project Type Brief Des Check all that apply New Construction 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 Max. height of proposed stru res Will a lawn sprinkler syste- be installed? Will a fire sprinkler sys be installed? M MD 6 Ai c cription. Residential Multi- family o Commercial o Industrial Date 7 Print Name ferlY1)5 /0/70 T Forms /Building Division /Bldg Permit.doc BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 n (=Led 810 kw Lc 1r f4 r5Q fu v\ GL /.di(l o r t.Gt /v /-h p r P.c re 1 cx er`h FAuxet preve2 I Iv e House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) Total footprint of structures sq ft. T Lot size sq ft. Lot coverage.. t Site Coverage the amount of imp rviou rface on.a parcel including strut res paved d ways sidewalks patios, and other impervious surfaces (se= 'AMC 17 94 135 for exemptions) Site coverage Occupancy group Occupant load Construction ty Signature Lot For City Use Only Date Received 7-z9.-- Permit Cc_ '1t) Date Approved 70 -6' Pi K wood `1849$ ak L/'77-8A1 D LOA Lahovartd Son a)&r►nuA) Corn Zoning per sq ft. 6 TAL VALUATION so of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to applv'for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on project 1 atit W CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .12\ EAST 5TH STREET. PORT ANGELES. WA 98J62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation 07-00000090 Date 628610 940 E 1ST ST 06-30-00-7-2-0300-0000- ELECTRICAL ONLY 2/01/07 COMMERCIAL ARTERIAL o Owner Contractor LADD FAMILY LMTD LIABILITY CO 11000 34TH AVE S, LAKEWOOD WA 984998727 DISCOVERY BAY ELECTRIC, INC. PO BOX 3531 SEQUIM WA 98382 (360) 681-5194 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL SIGN PERMITS DISCOVERY BAYI SIGN 94102 DISCOVERY BAY 35.00 2/01j07 7/31/07 ELECTRIC, INC. Plan Check Valuation Fee .00 o ~ .4::,. C) Qty Unit Charge Per 1.00 35.0000 ECH EL-COMM-1ST SIGN Excension 35.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 .00 35. 00 .00 .00 ~ Plan Check Total .00 .00 .00 .00 Grand Total 35 .00 35 00 .00 .00 0 -. \~ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE 1 ACCEPTED COMMllNTS . 1 YES I NO UlH":H --- -IN {CUVhK ;).-7-07 "flflJi Io;FIlVTrJ< ~INAI 14_)/}-671 ~I GENERAL COMMENTS: PW.II02.1'I49liJ ."O~~OAr~ $~~ ~ L~ ~ - """"'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUlLDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation 05-00001134 Date 11/16/05 530428 940 E 1ST ST 06-30-00-7~2-0300-0000- PLUMBING REPAIR COMMERCIAL ARTERIAL 4000 Owner Contractor LAnD FAMILY LMTD LIABILITY CO 11000 34TH AVE S LAKEWOOD WA 984998727 ANGELES PLUMBING P. O. BOX 1151 PORT ANGELES (360) 452-8525 WA 98363 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT GAS WATER HEATER REPLACEMENT 65508 54.00 Plan Check Fee. 11/16/05 valuation 5/15/06 Qty Unit Charge Per Extension 47.00 7.00 BASE FEE 1.00 7.0000 ECH PL- EA.WATER HEATER Fee summary Charged Paid Credited Due -------------~~-- ---------- ---------- ---------- ------~--- Permit Fee Total 54 .00 54.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 54. 00 54.00 .00 .00 .00 o <f'~ I Os (~ ~6 /db '-0 .:t. \J IZ1 -- \(/1 J \l;) i 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 a!terthe 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 cons ction. Signature of Owner (if owner is builder) T:\Policies\I 102_15 building permit inspection recordOS.wpd [1/4/2005J Date "" BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES 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. \S '" r INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES T NO FOUNDATION: FOOTINGS WALLS FOUNDATiON DRAINAGE j DOWN SPOUTS PIERS POST HOLES (POLE SLDGS.) PLUMBING UNDER FLOOR I SLAB I ROUGH-IN l ! WATER LINE (METER TO SLOG) .-, 1 GAS LINE FiNAL DATE ACCEPTED BY: BACK FLOW {WATER AIR SEAL WALLS I I CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALUHOLD DOWNS I I - WALLS I ROOF I CEILING \ l DRYWALL (rNTERlOR BRACED PANEL QNL Y) 'T-'-,--'-----:... , I-BAR I I INSULATION SLAB I I WALL / FLOOR / CEILING I I MECHANICAL HEATPUMYJFURNACE/DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL . DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARA IE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW. / PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 411-4750 PLANNING DEPT. BUILDING 4]7-4815 BUILDING --- --- \).I ~ ~ ~ ~ 'V It\ --. VI '4 T:\policies\1102_15 building pennit inspection record05.wpd [1/412005] CERTIFICA'TE OCFo::eCCUPANCY fCitY of Port Ange~ {~ Building Division _~\ TillS Certifi~issued pursuant to the requirements ofSectioll,30] of the ]lltematio,{&IIBuildillg Code c;;'ijyillg.that atthe.trrn;;of Issuance th~~structure was . II 1/" ./ "/ \. d' ------- "J /,--., '-----/' IB' '/d In COlJDIP lance WIt lI1e\VanOus-or lIlances-Or' Ie oIty. regu atlllg Ul mg ./1 f C?nSl~(lOno;',!se FOIlhef~:!-~~ \\ . Use ClassllicallOn BUSIness Buddmg Permit No \.05;;282 BUSlI1css Name Plaza GarcIa Group: ~ ~I . .' TYP,o~Constn"tio", V-N' , UscZnnc: Jk \ " , d' II OwnccofBusincss: Jose S, Desldeno Addres;: 205 N. 23' St. Mount Vemon, W A, 98273 Building Addless: 940 E. 1 ~~Street Port Anfeles, W A. 98362 ,\\L ---/ III M",o,Offi,'" ~ ~'mb::,:6.2005 Post on the'pr.emisesjn-a-conspicuous place. Shall not be rem~~ Building Official. II-I!'>.dy ~ !?4 05'-':'z'8"2..., .' ?\ a. 2a. ~ ..-c. ~ 0-. ROUTING SLIP Df'€. "'\. ..MT'>\I ~O~"\, M.o.y iST~ "~1<P Certificate of Occupancy ~~ ~ $47.00 Certificate/Inspection Fee - "'4;",,,,,,,,,,'" DATE Y-~5-{)<) New Business ................... . ........ ( ) Address of Proposed Business PO-1T A'ilfj eies Transfer of Business location. . . ............. ( ) f/f./ () P;4ST 1<>7 57 Wa,ciSs6:;l. . Change of Ownership. . . . . . . . .............. ( ) . . Applicant .j"o'5 G CO; 11?;' I nr:;/2../ 0 New Building .... ............ ............. ( ) Address ~DS /1) ';1 '1RD "r Remodel. .... . . , . . . . . . . . . . . . .. ........... ( ) M IJo/Y1f i./("f'YIOY\ U J", Qflft.-;:S' Temporary Business ......... ............. ( ) Phone: business~~ 17 09 J-c,::> 50 Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) hom ~ -':>6,;;..q .>.;> , 'RG'\'r;tJi J 'R.1'1 nil Brief description of proposed business: /V16'f..( / .L/IlJ p,-I}-?A r;~c.;4 11/0 ,'] . - . 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.---- 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . .... _ t--' 2) Plumbing 2) Peddlers Plumbing changes .... -~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs. -- 4) Mechanical 4) Pawn Broker New septic tanks. .... - -I.-- 5) Sewer 5) Dance New sewer service ...................... -~ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. . .. -~ ?) 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-of-way. ....... -~ 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. L.- 13) Sign ..... -- (parking lots, downspouts, etc.) ...., 14) Shoreline ...... ......... -- Are the existing streets paved? . ................ -f..,c,.._ 15) Home occupation Are there existing sidewalks? . . --1L-- _ 16) Conditional use Is there curb and gutter? .......... -~ 17) Other Other. ........ ............ ......... I hereby apply for a Certificate of Occupancy and acknowl- y/' ~- os- edge that J have read this application and state that the Date: information I have supplied is correct to the best of my .-/- / J. -7J A ~--::? knowledge. Signed' ~ - ? ( ~ REJECTED Comments / Conditions 'i) Building Section Public Works Department 6'2/-bt; , ~ Planning Department rDD Fire Department 5,31 -tlsf)u City Clerk PB.I.A. \ \ \ \ " C E RTI FIGkTE"O'F'OCCU P ANCY ",~r.~'." '~~~>it" ,1,:,,;/ City.of.Port ~~~eles";\'", It Bmldmg DIVISIOn'\, J , This Ce,ttification issued pursuant to the requirements of Sectidii,J09 of the UnijormfSuilding Code certifying that at the time of issuance this structure was .c:~ _., ~~ in cBinpliance with the various ordinances of th, City[~gylf1ti'1g ~uilding B "C+.",;" constructionoruse'l"orthefollowing: "~\ . Use Classification: Restaurant' '.' Building Permit No. 03-1212 Business Name: Taco's Roncho VIlla ~ '- ~ G B ~ . V N C Alii roup: ii Type of ConstructIOn: - Use Zone: n.t' Owne' of Business. CUiiad\s Corporation Address; 940 East 1" Street. Port Ang~eS, W A 98362 \" .H Building Address; 940 East'<l" Street. Port Angeles. W A 98362 '"- "'X(f~_~~!;;;:. ~_ \ ~T .... .. .., ....... U st27 2004 B"~, ~ ~'\i'~'j.,iti;'!'~~~~~~~l,~Date POS 'i.tpufj1~~!I!~J!~ta~9I!tbus place. Shall not be reAlQ,~~y:Building Official. "'" c-e> So ~ i'\r kc \/ .' fa 0."'- ROUTING SLIP ivORr~", lO~o'i-", ;i} Certificate of Occupancy ~'j'" ~~ ~ :'?"$47.00 Certificate/Inspection Fee '-' 1i- h 1"'2- "',;;;;.<' DATE jZ-ZL-o; New Business ... .. .. ..................... ( ~ ) Address of toposed Business Transfer of Business Location. . . . . . . . . . . . . . . . ( ) 11fJ 07 J7/!fEr Change of Ownership. . . . . . . . . . . . . . . . . . . . . . ( ) Applicant (Iv,v...lIo5 (Tol! f'Oil/t-T,<'AJ New Building ............................ ( ) Address '>'1/ tC1 E Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Temporary Business ....................... ( ) Phone: business(20b) 3/0-502 I home Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: 5E!?ViLi Rf S l' 4.JJ!AAiT tvl~)iI~"lv FOo.5l Legal Description: Lot Block Subdivision Current Use of Property: 6\~ '7 i(; pre;- So Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO 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 ............... _1- 3) Electrical 3) 2nd Hand Dealer New or relocated signs. ............ ............ tx:- - 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. ........ ...... . . . . , -JL 7) Driveway installation 7) Fireworks Is this a home occupation? ........ ..... _i- B) Curb installation B) Ambulance Excavation ot filling of lots ............ .. ..... .... -~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-ot-way . . . . . . . . . . . . . . . . .... -~ 10) Water meter installation 10) Other Is there sufficient off-street parking? ............... -X-- 11) Fire New driveway openings. _-2L 12) Occupancy A grading plan for site drainage. .. .... -~ 13) Sign (parking lots, downspouts, etc.) ...... --L- 14) Shoreline Are the existing streets paved? -X-- 15) Home occupation Are there existing sidewalks? . .. .... ~- 16) Conditional use Is there curb and gutter? .. ... .... .......... ... ~- 17) Other Other. ......... ..... ................ ..... j hereby apply for a Certificate of Occupancy and acknowl- /l-ZZ-,J ~ edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: (- ~REJECTED Comments / Conditions Building Section Public Works Department /21 ~-o~ <Ji. Planning Department Pf0 Fire Department 12-2-~-i)3 g0 City Clerk P.B.I.A. T '-.p, II ~ \0 }Io-t ./ ~\ . - . ROUTING SLIP ..ORr..... .. $O~Q<"c ~~_t Certificate of Occupancy " 'tsiS:] L....~ ~ $47.00 Certificate/Inspection Fee -- 't,,;'IC~~ DATE ?!- 9 -~ DOl! New Business ..... . .... ... . ... ... . . . . . . . . ( ) Address of Proposed Business Transfer of Business location. .. ... .......... ( ) , "fa ['~,r;,~ sf MtJw>i,fto Change of Ownership .... ... . ... .. . . . . . . . . . ( .;:::...--r Applicant ~ :):w.r- New Building ........ . .... ....... .. . ...... ( ) Addr~~ /~ ~~ s..-..:t 11- 7 Remodel. . . . . . . . . . . ..... . . . . . . . . . .. ,..... ( ) f'" AA 9 d Temporary Business . . ..., . .. .. .. .. ........ ( ) Phone: business 'IJ'- 5("3-7,t?~ome Change of Use. . . . . . . .. . ... . ... ........... ( ) , P6-ST: Brief description of proposed business: SKrffe-TZ S legal Description: lot /-.~ K Fc.. Block 3 Subdivision /tJIU.-I~M .rC!MMs Current Use of Property: Zoning Classification of Property: ('A- WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes. ............... -~- PERMITS BUSINESS LICENSE Electrical changes. .... -- r- 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . -- L- 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-of-way. -- - 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 (parking lots, downspouts, etc.) ... -- 14) Shoreline Are the existing streets paved? .. -"L _ 15) Home occupation Are there existing sidewalks? . .. ... ............... --.2L _ 16) Conditional use Is there curb and gutter? .... ~- 17) Other Other. -- I hereby apply for a Certificate of Occupancy and acknowl- Date: ~-~~ edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Signedj -.- ,if~ - AP :g D REJECTED Comments / Conditions R~ . Building Section Public Works Department 8-'1-00 ":P- Planning Department Fire Department 13-9-00 ev City Clerk P.B.I.A. "'::"/i."':~ . ., . '......., . ",,; '~/"~' ":.r;'~~ :'."':r:'~~( .;""':'0, ;'~';X;:iJt/~~'~ :./J.\ih:' i '',l'; "'j'~'."[;.,,; :"~' i "11"..:,,:;.:~ q. J<;; 'i"I"':." .......! [ 1-',' ,. ;~. . -. '. . . ~ .. ....-' , . 'f ROUTING SLIP o~ '''RT ",; . ,. <,~O<" ,~'" ./ " Certificate of Occupancy r1'~~"' ~~ ~ I $47.00 gertificate/lnspection Fee .-. 't.,;"ew;;"p DATE ~. fj -,;) D{)f) , .; New Business ( ) ............................ Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( ) 0/ Lfd f1~r;~..le;ll2.jt:!W>..,~ . , Change of Ownership. . . . . . . . . . .. . . . . . . . . . . (..:;:::..--r ~' . p Applicant' ................'I:w .I' _ . New Building ...............,... ..., ,...., ( ) '" s......i, 7 Address J7-n IV.v..!I j:\ ~ /I. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) f'ri"'A~,t, /.4/</. 9 ~ p ?.{) , Temporary Business ....................... ( ) Phone: business I..?" 5'6.1- 9;';~ome Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: SKr~jJe,z s KcS,. r legal Description: lot /-3 Block .3 Subdivision IVla/I1M 9" (!RIIH6 Current Use of Property: K'f-C. Zoning Classification of Property: CA / WILL THERE BE ANY OF THE FOLLOWING? YES NO , THE FOllOWING Will BE REQUIRED: Construction changes. .. ........... ........... =i 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 se~ice ....... ........... -- f- 6) Sidewalk installation '6) Hotel -_ Motel Admission charged to patrons. . -- r- 7) DriveJ'ay installation 7) Fireworks Is this a home occupation? ....... .... .......... =F 8) Curb installation 8) Ambulance Excavation of filling of lots ......... ............ .. 9) Sidewalk obstruction 9) Tattoo shop Work done in City'right-of-way . 10) Water meter installation 10) Other Is there sufficient off-stree~ parking? . . 11) Fire "- ......... .. .. ==F New driveway openings. 12) Occupancy A g~adjng plan for site drainage. . ......... .. .. .... 13) Sign , - --.-- (parking lots, downspouts, etc.) ....... ---<- 14) Shoreline , Are the existing streets paved? . 15) Home occupation , Are there existing sidewalks? . ---x- - 16) Conditional use .................... )C= Is there curb and gutter? ..... ................... 17) Other Other. .... .. ..... I hereby apply for a Certificate of Occupancy and a6knowl- Date: e - {) (j,rJ7J edge that I have read this application and state that the information I have supplied is correct to the best of my .iu~ knowledge. Signed: -, 1jJ , .' ~ F,iG ';'lYrr w..tf APPROVED REJECTED Comments / Conditions Building Section t2e'&2u...i <J ?,-ArJS 're b,,_ ,,;~b-.:-f'-<4.~~....""r Public Works Department s (.....'ff('- "!.5u.:... ;:"-'l's7C=h1 A.-A ,'9-pplt 1t,J {....:S . 4D13L . ~, 1(.\ IU"; E,J. Planning Department coyrrl;oJth\...LS It &1.. ,,,, :Z 4 /o~,,- 8 - 2"Z-o" Fire Department /' en.!..J715t... F'~ PiE''''1 . VJ.? I IZ~~G!.\.U,,~ "r :.l=AJ s(Je.c-it~~ . City Clerk ~/"/t;:" 10 tJP.;'AJI.i""j . . . P.B.I.A. I ~ Cl.. c..D S + ,,"- nr" h.-. \/i 'e 0.."- , ROUTING SLIP ;':o:~~~c ~ ~ Certificate of Occupancy 0_____';; ,~ ~ '\<'$47.00 Certificate/Inspection Fee ''i1'' /7 i'"'2.- ~~~ U&"cwr:f'~ DATE ;Z-ZZ-c'-; New Business ..... .. .. ................ ... ( /' ) Address of Proposed Business Transfer of Business Location. .. ...... .... ... ( ) 'Nf) IJ r JT/~<C r Change of Ownership. . . . . . . . . ... ......... ( ) Applicant ('v ,:",4. oc..5 (let fc.'(:-rt-'t I()/J New Building . ... . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address SAt0[ Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Temporary Business ......... . . . . . . . . . . . . . ( ) Phone: business(2.oL nil. <),."', home Change of Use. ... .... ................... ( ) Brief description of proposed business: Sd?V'Lt ,:'f J'r,t...\"C.rlj~T MI'III!!"ioJ ~C: ,.)i) Legal Description: Lot Block Subdivision Current Use of Property: Di" SK;f~S. Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES N9 THE FOLLOWING WILL BE REQUIRED: Construction changes. ..... ~ 'f.. PERMITS BUSINESS LICENSE Electrical changes. ~ ~ 1) Building 1) Taxi Mechanical (heating, cooling. stoves) . ......... ~~ 2) Plumbing 2) Peddlers Plumbing changes ... ........ ~1- 3) Electrical 3) 2nd Hand Dealer New or relocated signs. -X-- ~ 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. ". ....... ~JL 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-of-way. ~~ 10) Water meter installation 10) Other Is there sufficient off-street parking? . -X-~ 11) Fire New driveway openings. ..... ...... ~-X- 12) Occupancy A grading plan for site drainage. ....... ~ --L- 13) Sign (parking lots, downspouts, etc.) ....... ...... ~ -L-- 14) Shoreline Are the existing streets paved? . -,X- ~ 15) Home occupation Are there existing sidewalks? . ...... --2L ~ 16) Conditional use Is there curb and gutter? -1L~ 17) Other Other. ........... .... I hereby apply for a Certificate of Occupancy and acknowl- Il-27 -()) ....~_.--.---I edge that I have read this application and state that the Date: - ( / .-=-/ . information I have supplied is correct to the best of my knowledge. Signed: /' "" ~~~~REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. 'T v tl ~ \0 tv! / ....Q ..:l: 0, " "'i ....... ., ----- ~ CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: Owner/Business Address: o RESIDENTIAL 1<1... COMMERCIAL (0 - 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 ~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) DetailslDescription: PERMIT NO. 1'.3S- Y DATE N/d.2./Y3 . o READY FOR ) INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS mJ ~. IOZD /).J II- Jlt. (' -;y lM-~"'" ~M~. I ~ - . d --- 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 )t~Final O.K. Site Address: Installer: 0/ L. ~ Notify Port Angeles City Light by Street Address and Permit Numberwhen 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 Buildingyermit. PHONE 457-0411, EXT. 224. k i>LJ 1'\ tOI\N\, NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ If 3D- Electnc~ Inspector Permit Fee ~ WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC GREEN - Top: Meter Dept., Bottom: City Hall REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS . Mo\ - -; (60 q t.. o~/ 7b LhJ\iL fL6'DF t €JC 7l:.L..1 0 II.. ",0,", ru , \ ~ l..u p.,f I I , #V!y f!,()'1 f~ 61- 1<> r. uL.. Ib+t;fj . . , 1 t, o t' g,-L-i pCIT IIV S 'TtYtI c-l 0/ Sfq ~ 'tJ~tJ'fIL /... MID :" '$.,.-.,r, ,M.c '-'- J {) v I /.//~'l ,...,-tt L:.~+s A.Ac 1,- .J( (. ~ It-o ",...J IJ A.A .{, M /1./ . I I f / ! , , I A II, .f , M IL,,>~ (IA,-'{J r"/ JJvt<::L {h II 1L'i.c..fu"'/s ur-t' (dr. , \ . 41 III ~~ \JU" O.K. FOR COVERING '&-" TQ ~':'tlfJEn! ..~. FINAL. O.K. . z CI a: <C :IE !a :r: t- ~ W t- ~. t- O Z o Q . /3 f/ FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT . APPLICATION AND ELECTRICAL PERMIT A 702- , PERMIT NUMBER . J-~~ bM~ . TOTAL FEE CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY Owner Owner's Address ----- -~ Site Address Day Phone. . Application is hereby made for Permit to install Electrical Equip' -Installers Phone ~ ------ - ,rlS Wiring Method 6J..;,f. . AMP 240V NUMBER AMP 120V 240V USE OF CIRCUIT NUMBER . PEA 120V 100R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 llGHT i'SIG,N .~ :L 1; LIGHT .. OR LESS CONVENIENCE . . MOTOR CONVENIENCE 'T TOR APPLIANCE . ---- I MOTOR -, DISHWASHER V FIRE ALARMS - DISPOSAL ~ / BURGLAR ALARM RANGE /' ~ ,/ , /7 I\J "'<C. OVEN L---- , It/I :..-- 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 AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS I SERVICE .. -. AW.G. p .. I SUB-TOTAL ,. SIZE OF GROUND SIZE OF ENTRANCE SWITCH . 1 certify that the work to be performed under this permit wilt be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made .'JI2 f! l' {, ,19 By )l'C~~:CTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above gescribed work,.acco.r.ding to the conditions hereon and according to the approved plans and specificatIons pertaining;e:to, SUb;: to compliance with the o::~anCjJe ':P~~T?11GHT ~ -, Date Permit Issued 1 r ~ PLANS/pp~ 7 '. Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turne,9 of! 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. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. DATE OF VISIT f , '7/ '-if- /11- 1/ , 1 fh/f~ I 1/'1,<0111 C , v REPORT OF INSPECTOR MADE BY ,. . ;VI xI- . AA.r REMARKS /IJ. ~ r , <I,.) 4- ~ Co> J I! Ic... D -te. 'i.L. 0...... H f I , ~h PtJoJ,o.h.f.d hy fL~c.f,t..,,- S~.(J1CL ( I All.&--- O.K. FORCOVERING v:'r\. Iv\.;l)NI'I.....T J...,VI\,;t: I""I'ITJU.V.I\. ~ . z o II: <C :::!! !a J: I- Z W . l- e z e c . /33(:, FEE RECEIPT NUMBER . -TOTAL FEE CITY OF PORT ANGELES DEPARTMENT'OF LIGHT APPLICATION AND ELECTRICAL PERMIT A ''1~ PERMIT NUMBER CO NT. Lie. NO. TIME TO COMPLETE No.srqRIEs LEGAL OCCUPANCY Site"Address - . ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ktAJ'JV(/(~ ftl/u CWuJ - '11-0'f Is-r CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PE.RMITS WITH ~RONG ADD~SE~ Af1E CANCE~}ED -' _ ._ I. ,.- /." . Installation By . l2t>tJj f'r f(EJ(~ Installers Address .~ c::--- /-;;;2 - 9SZZ. Owner Owner'S: Address- (;&(j(A-~Jj Wiring Method .' AMP 240V NUMBER AMP 120V 240V USE OF CIRCUIT NUMBER PER 120V 100R" FEE' USE OF CIRCUIT PER 100R FEE CIRCUITS CIR '0 30 91ACUITS CIR '0 30 LIGHT SIGN - .. 50 VOLTS LIGHT OR LESS CONVENIENCE . . - - MOTOR CONVENIENCE ' . - MOTOR , . APPLIANCE _. - .. .. MOTOR DISHWASHER ... FIRE ALARMS . . . - DISPOSAL BURGLAR ALARM : RANGE MISC. OVEN -.. WATER HEATER "LAUNDRY . - , DRYER - REINSTALLATION liGHT FIXTURE # . FURNACE - - SUB T9TAL FEE GAS - OIL I FURNACE ENERGY FEE ELECTRIC -I _u - . , BASIC FEE ElECTRIC HEAT - . - . - TOTAL: FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER I A.C. UNIT AMP PHASE ' FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS ; .-- - -. - . SERVICE , AW.G. - - --- - I SUB- fot AL .. SIZE OF GROUND SIZE OF ENTRANCE SWITCH . I "certify that the work to be performed under this perm'it will be done by the installer and in conformance with the N.E.C. Elect~ical Code. 1/i-z./ f" ,19 By Jc hb . . . . - I -. / . / !=ONTRACTOR OR OWNER (OR AUTHORIZED AGENT) PermiSSion is hereby given to do the above describ_ed work, according to the conditions hereon and according to the approved plans and :::':::,:::::""'"" "OJ::;;: ~mi","~ .,,",", ~::~l?73t;:l .. . Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be c()vere~or current turned on befor~ inspection and O.K. for covering or.service has b.een given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158. bate Application made WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. triplicate WHITE CARD -Inspector's Report OLYMPIC PRINTERS, INC. REPORT OF INSPECTOR . DATE OF VISIT MADE BY REMARKS . , I 1I t]\ ~( MJ: O.K. FOR COVERING O. (". I O.K. TO CONNECT SERVICE r. 1."1J ~C ~ ~O.K. ... v . z Cl a: <t :E ~ :I: I- Z W l- . I- o Z o C . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL, PERMIT N9 15918 Port Angeles, washlngton.n......m............z:..=.~L......oooooo..., 19LG 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 granteq, to do el~~l work as listed below, j~y)h.~~7u€~~y L.~ Address ...I-:;....___..;::mmmj..mm;g;:..m....__i{!n__..nn.n...n.____d. Occupancy......L..n__....nooomn.___n.m.m..nn Owner d -'-. 7!, - A--g ooo__..~d?.c..m.(,"&_'I'enant___nmooo...ooo.ooo....__...__.dmooo..__.ooooooooo__.__ooo...ooo...__ Wiring ~~~-;;;~~~~~.::::::;?{,:.;f..f~~'?ooom..ooo.__nn.ooo.n..ooo.__ By.__n.oooooo.__ooo.ooo__noooooo______.ooo___...__............m...n / (/ Light Outlets.....................hh....h_.._..... Service, volts 0...................................... Type of Wiring: Receptacle Outlets........h..h................. No. wires .0..............0...................... Dryer, KW....nnn..n..nn...................... Size wires..................._.............._.. Range, K W ......n.............................__... Main fuse ..........................m.......... Water Heater: Enclosure ....................................... KW,......____m.m....m.....nm.... Type of wIring: Entrance Cable ..hmh.mm..m........ Heat: KW...........h........h...h....................... Motors: size, volts and phase: C (..(/<'../._~....mm.....m......7....... ;) 1, 2..t!~--d.......e.d."c:..._,........ .d..{)..........:d.~mmm................n Rigid Conduit ..m.......................... MetalUc Tubing '''.m Current transformers: No. & Size....................................... Ser. NO........h.................................... Scr. No. ............................................. Ser. No............................................... Total wad..........h........h....... Ser. No. ................._....................0..... Remarks: ...ooo.......__.....______.nooooood.__..__...__......................n____ooo.ooo.ooo..____......d....___......______ooo_____...ooo....oooooooooooo__ooo Total....................................... Armored Cable .m........h................ Non-Metallic ..............................0._ Knob & Tube................................~ Rigid Conduit ............................... Metallic TubIng ........................... Raceway ..............................._._..._ Circuits, Llght....................................... Utility ...................n.._.......h..nU..... I-Ieat ......................................._...... Range ................................h........... Water Heater ............................... Motor ..._.................................._.... Dryer ................................................_ Furnace .........................._................... .__n_..n__.__n____u__.U._~n__n__nn.____.__u__.._h.Un..__nn.nn.n...nnn____.__~__h.nnn.h.__nn___n__.nn____h....____.h_____n__n__n___n.n____ .n~n.n.n__.._hhnn__.n________u.u__.nn.nuu__.~unn_~_.n_n.__~.n_nn.__u__.__._.n.......n.__u__.uUU_.hU.~_n.n__nu..n__uu__........._....~... Pennit Fee $:____ooo.........___m______ooo.___.. Treas. Receipt No...___....................... By --.-Lf!...JLc~;Z~~d..~~__,~ 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 ELECTRICAL PERMIT N? 15918 Address........................................................................................................................................Date..._......_.._.._.._.........._......_......_......... Owner ..................................._...0.__.._......_......_.._.............._........................................... Tenant..................n.......................................h...h.. Wiring Contractor ..........................................................._.....................0....................................... By.........h........h............h_.......................... NOTICE-Current must not be turned on until Certirlcate 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. S'- t," 'i~i ........ , ELECTRICAL WORKPERl\fITApPUCATION Job wired by o Electrical Contractor 0 Owner Installation description 'g Commercial 0 Residential EI.ctriClll contractor name '\ l';cDlle E./~, ~rch3.Kr 's maUi.np., address 1"':0, r;.,.,.. s,::>3r Cil~t)~to,r.... Telephonf ..!!.umbs,I ~ "310()- 10;; 1-:> hLj Premis,s owner's name,n ... I 1i('a.-\:G-.-e\ \.o'l.'I\fOr'\. A~~O' tni~l~-t Citytbr+ AI1':1des Phone number to schedule Inspection: 3fcD - ~ l7 - 79 (,:) It: License number ]) I scol!E.'i4/ Jj) If Dat Expires 0% o New 51' Altered/Addition ~. Zlg~ 5~Z- ~ numb'J ~bo-(.,<?1-715'2.. I . '- ~r-"i't'\'(/ c...1~V\. .ca~:A +. ""'Itb; f-ube ' c:,+ IX-I' W; oss~b~, \~k.€. \1'\. \(~.J ~\VXt'~{,.eV1+ \~/ t.xJ~ re.~e.M-€~ Ln'S-+~\l Owner as defined by RCW19.28.26/:(I) Owner will occupy the structure for two years after rhis electrical permit is fi/llIlizcd. (2) Owner is required to hire an electrical contractor if above said property i.f for sale. refit or lease. After reading the above statement, I hereby certify that I am the o'wncr of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or illteration in compliance with the electrical laws. N.E.C., RC\V. Chapter 19.28. WAC. Chapter 296-468. The CilY of POTt'Angeles Municipal Code. and Utility Specific3[ions. r, electrical 0 tr~r eleclric:al administrater t1.-.:. . ate: I ~ -Z-lr07 o Cash o Check # o Credit Card Card # Visa Mastercard Discover ~eOf Expiration Date of card Inspection feo-o $3~ Service Information Electrical load Adaltions and or subtractions Cl NO LOAD CHANGES o 8as.boa~ KW o Fumace KW o Heat Pump Ton o Fan-Wall KW LAR o Overhead Service o Temp Service o Underground Service Voltage Phase CJ t 0 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN TIlERMOSTAT Dale ApPllWcd 8.. D., Approved By DITCH tl-'r App,""veol By Dale Approv~d By SERVICE Dale AppC'O'-cd By FEEDER D.:lle ApprQ"Jed By Inspection Date Area, Building OT Equipment Inspected Action Taken Electrical lnspeclor , --... ~.d 2:S ~L' ~8g-09~ UOSIJJeH ^~IOWll eSOLO LO 62: uer t!i" " '. ,. i~-f~~~. ~~f4604172733 f..f~'I-~ -.;am t$kr' .' . jiitjl": 84/8912887 "'I'" W,;l( ;i~ 1"" . J... i.'~ ,~. -: ' ': .H I,~, 'III,h~fl~~i"':' . 1!~~J.it'2,..:~;P' il~ ~i9.:-:" l...~ t~l, I' ~1~~iJ" ' , ) Ir ~"j-," ll"'1 ;~ 11'< " 'l'I:I~" , It. ~ \ I . ~ l~I.M~:!;'''::'' '.. '1.11"tlH'-.'" 1!lr~;" ~ ;~.. il;1'l-." " ill! 111" 1,( .'1 ' iH,:" :j.r"'l-"'" 11"'1 ~"'" !!fi::' . f!jll jlJ" !;I''- I", . ,t. l jl!';_1 . I!,' ,,' ' Hj" ,.' !Ii: :': ., , 11"'1" I ~ l.: .1 H,ii '!:il i :Il,~.': Ill. '~~ ,i 'I" ,'.." k!:/' I Ii; I'i;'i' .' Illil' t:. .. J ~ ,ij~ -; IJ~' ",,, . ". j -,.1: ~~..:' I"';!' ': ' f'f": II!I.! , Ilil!::,' ,II '; Ill" ,/,J. '1 'pi."',, l"j. - 11\1;"'-'" , ,l!:,:I:'. /":;'1 . II-!! ~. . ~ 11- ;, 1:-,: ! l!iLl./ . J~i' .;:- ':~ , ' 11'<", . :d!'" . "f' Pi!: I. "I::'; I,' . 1 . ~; . ~ ((.Ii ~ ILt.",.. :f j;: .~. ~-~ i :!. i!; , I': ;ii! } Iln! liE:: 5T OF WA L&I 1/2 08:46:07 a_m. 04-1' j( .- ,:;E 81 15:39 3684174729 PlF!T ANGELES CITY L T (i CITY OF PORT ANGELES LIGHT DIVISION FAX TRANSMISSION COveR SHE:ET Dale: To: 4/9/07 Labor & Industries 417-2733 Inspections Kathy Trainor Phone: 417-4724 Fax: 4174729 Fax: Re: . Sender: YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE: CAlL (360) 4174724, Please Inspect for: Tim Harrison, Discovery Bay Electric 460-1809 EI Puerto DeAngeles on 1st ~!t9T t5li5'( Pr ~ New sign Installed outside, changed fluorescent lamps In existing fixture6 off unused openings. 8 ld Tim will give you a call in the morning... Thank you, ~f4J h ft;rv WI?!( -:5l:;JJ fltC6' A-Vf, (l!~jC- ~;;z Kathy :(,1\ . -- ~-- / -----