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Home My WebLink About1036 E 1st St - Building .' . 'al 'B ROUTING SLIP .?ORr~4- tO~G'<,,<;. ~-' Certificate of Occupancy d .tS5::) 1L...a=;;.;w ~ $47.00 Certificate/Inspection Fee - "t";,,cw&-f.~ DATE 3-~O~601 New Business . . . . . . . . . . . . ................ ( ) Address of Proposed Business H Transfer of Business Location. . . . . . . . . . . .. ... (/ ) I 03(P E. h rs-f sf, 1Jri ~eLes Change of Ownership. . . . . . . . . . . . . . . . . . . . . . ( ) Applicant l---katf-hy tCirni 116 ~Cla IotYlCo. New Building ............................. ( ) Address 103ft; F Fi'rS+ 51-. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) R,rt ~le.t u.JCt- q t~{p~ Temporary Business .... . . . . . .....". .. .. .. ( ) Phone: business <4-5,;LBtJ home Change of Use. ......... ............... ... ( ) Brief description of proposed business: -1\r 0 1"\- prOt1 + SOCJ Q I yrvlCL Legal Description: Lot /-- 'I "Ir 2/-2(" Block i;.> .c;- Subdivision I)UJ Mt')fV"S. Current Use of Property: (',A Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES * THE FOLLOWING WILL BE REQUIRED: Construction changes. . ... ......... PERMITS BUSINESS LICENSE Electrical changes. . . . ...... ........ ... 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . ........ .... --r 2) Plumbing 2) Peddlers Plumbing changes . ........ 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . -~ 4) Mechanical 4) Pawn Broker New septic tanks. ........ -T 5) Sewer 5) Dance New sewer service -7 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. ... ..... -y 7) Driveway installation 7) Fireworks Is this a home occupation? ............... ... .. i; 8) Curb installation 8) Ambulance Excavation of filling of lots . ..... 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . ......... L' 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . 11) Fire New driveway openings. .... - -4-- 12) Occupancy A grading plan for site drainage. ........ -~ 13) Sign (parking lots, downspouts, etc.) .......... -- 14) Shoreline Are the existing streets paved? . .......... ~- 15) Home occupation Are there existing sidewalks? . ....... .... -L- 16) Conditional use Is there curb and gutter? ............. -L-- 17) Other Other. . .......... ... I hereby apply for a Certificate of Occupancy and acknowl- .=i -d(}-"l {)Q! edge that I have read this application and state that the Date: information I have supplied is correct to the best of my c.jh..CJ rld I ('j / 01 0 rL ) knowledge. Signed: ;$MD REJECTED Mmenls / Conditions Building Section 120vlbr f//fN/C 8,4/2- ,tf-'Y 5/0P"' e>(11 Dooe ~ot/6" ~ ~06r) Public Works Department Planning Department fl./ST4LL C:IUT(D/~ S /~,v: 2 -28-01 IJ[}V Fire Department ,PST.4tL 8/Y/lJ ~;U ~6"':-'~ft1' 3-21-() I ~l) City Clerk lUor /I-;U C1CIT P.B.I.A. -"f t....>-"'dLo . ~ ";"'?' l":,>t- q. ~;:P'-.:;. ~~:.,':'. 7' ..' - '. 'II{"' ~- ..~ ~~. ; '. 8 _..y ..h" ...._.... .' ,~~ .. ;c>':i':..: ROUTING SLIP ".0"'<1/ ~.'""'~... .;.Q~Q"<,, f," Certificate of Occupancy <;~<1"' "--~ ~ $47.00 Certificate/lnsp~ction Fee - ',., "u&(lCw<:jO"~ DATE 3'dO ~ 00 I New Business .. ..,.,. ... .. .. ... ... ........ ( .. ) Address of Proposed Business ,.::t Transfer of Business location. . . . . . . . . . . . . . . . ()'-. ) I03lP E. r; r s-! '51, )ti Arvlf'/pS Change of Ownership. . . . . . . . . . . . . . . . . . . . . . ( ) Applicant J-lf"Ct 1+ hq rt:/fl1d.I"S c-f (' /a (/O((lCo. New Building . ,. ........,."., .. ,.. ",., . ( ) Address IO:3lo F h rS.t 51 Remodel. . . . . . . . . .' ...., ......... ........ ( ) R.,,.; hvie l.4J [,Uti 4 t ~&~ Temporary Business ....................... ( ) ~ Phone: business::/dI &45.1..01.3~ I home Change of Use. . . . . . . . . . . . ... ...... ... .... ( ) Brief description of proposed business: N()('I.DrO-h+ Social ~(., I('~ I legal Description: lot /- 'I 'f 2/-2(" Block I /_ .c; Subdivision i)lJJ Mdt;"!:,. Current Use of Property: ('.A Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES ~ THE FOllOWING Will BE REQUIRED: Construction chang~s . ........... PERMITS BUSINESS LICENSE Electrical changes. .......... =!f 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . 2) Plumbing 2) Peddlers Plumbing changes .......... -~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs. ......... ....... =-1.... 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. - --y;- 7) Driveway installation 7) Fireworks Is this a home occupation? ........ ........ -~ 8) Curb installation 8) Ambulance Excavation at tilling at lots ..... .. = '1-. 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-at-way. )(. 10) Water meter installation 10) Other ..... r "' Is there sufficient off-street parking? . 11) Fire New driveway openings ............ ........ ~~ 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? . ........ .......... d-- 16) Conditional use Is there curb and gutter? ...... ... .. ..... ~- 17) Other Other. ...... ... I hereby appiy for a Certificate of Occupancy and acknowl- ;:s...;:!() d()OI edge that I have read this application and state that the Date: information I have supplied is correct to the best of my 1..11'0[' yCn.aJ~ .J knowledge. Signed: " - APPROVED REJECTED ~:ents / C:d:t~:~1f:, '",: : ~~ Buiiding Section i~. .~-+-h 601 .'~ +!J.. (' H Public Works Department ~L/A' ".~ .~ ~ Planning Department J Fire Department ~ . :;~. I~ ~,'l~ KUY City Clerk 'J -].8'01 PB.I.A. .- ..."" ..~~ .. .~.~.,. . . 1 J I V o.r-t J FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 000356 PERMIT NUMBER ~1'o;!~~" HIIL\lOI3~- . t-",..l~ / (f-- ':!~\!'-0\ ~,,,,,--"'1"1." ~^ -, :J (' 1'-~bN1 M TOTAL FEE ZfJ'3'q;J.,V'~ o .' f ',-\ 90~T :!'C. NP., .. Tl~~TP.CO~_P.~ETE N. ~p. STORIES LEGAL OCCUPANCY -~. : ~ ^ ... -r'''I .':/11 ~ ELECTRICAL PERMIT.O'NLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT U ' Site Ad.dress 103 r;, 5/15T / sT . , ,- . J . '. \ ',.CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner D/fRRlZ-lL Pt::"TC/?<; /JAl l,nst_~II?\ti9n By, ,{?I9LIIJes/EN 5' J;;;LI=/7l< Ie, Owner's Address //J ~ (" PAST / ST Installers Address _ /42c" W., II/Ii _ '. . (, . '"'c-' . l '.--'" . , - ~. \' '/l":"7'-78-~3' \' Day Phone -1 i:;;:L:' ':?'3 -:-, ~ - -. Ins~alleis Phone ..,~ _ v Appticatio!,! is hereby made for PermUto ii1stall~Efectrical Equipm'ent as follows: " ~ .. \ 'Y,. , " Wiring Method . NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100A FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT ~ SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE II 20 MOTOR CONVENIENCE I- MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM 0- RANGE MISC. OVEN iI~flT PIIJ4P :2l ) WATER HEATER I LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS-OIL FURNACE 2 'P-&<J ~ Lf~I' ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT <;t;0.0<- TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH-OR CIRCUIT BREAKER A.C. UNIT A_ AMP I ~ ("1f}J(J{J PHASE / FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE O() t...Lf-1!J '10,'" A.W.G. SUB-TOTAL 11'0, "" SIZE OF GROUND SIZE OF ENTRANCE SWITCH '1. ce'rtify 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. Da~e Application made dUE- V I,>: ,19!?1;' By " 7-).6-$") I WARNING I.",' NTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the condition hereon and acco~lng to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of. the CIty of Port Angele.sfA\-' ') () I j"J r J ,.... By h1 dIR~~IT\LIGHT .. I _'" , Date Permit Issued PLANS~EO ~ ~~ . , Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be cover~d or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. . -"~'" PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE - OrigInal CANARY - Duplicate PINK - Triplicate WHITE CARD - Inapector's Report OL YM'PIC PRINTERS, INC. , J , . ~ ~ ~. ~ t " {J :, I \. REPORT OF INSPEC:rOR " DATE OF VISIT MADE BY REMARKS 7--,;;;r115'1""~ \ A~L I"....n ,:tf:"",,'-' "dl _ AH'_:1l ,__, t\j' .,nn_<:l ,Hi- -(;e-- J..l~ ~~" CJ.e.\ \oJ <j 6 '- fI~ Ig- (f /J1j;J rIO,(I{~(eNr F, y:ru~<,- l:Vy;q,j,yj-'t;F tAP'" j Re,.,. :...\......' -\.. \ -,. "llf"ooM rL,c.j(~;r/A/'-.. \ \ ' ,,1,;\\, 15-11- '() /7/./.::2 O,A if flow "/0 A'uI'I F",.!s (# iJo';--~'\l?e.s.Tl\q.~s ~L 4'-..r F, X TUff-s IN / A p, <,S ftdT ~.<~ " ; I' I z Cl II: < :E !a J: I- Z W l- . I- o Z o o \:: . --. -.. - , ) '. " ",'" , .' n ~. \ . 1\'\.&\Iq ( 1(. {j '<DJ- (j,. t/- rr ~ ~I,iry /)/.} .J O.K. FOR COVERING O.K.T.O CONNECT ~ERVICE - -~ FINAL O.K. \ ' ., ~ , ~ ."" ,. l, , ~ ~.... ..~ ,. ':'; r CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT 17218 ~ --I> . o'""1J Port Angeles, Washlngtonnmn_..mnm.......m.m....n........nm...m.m, 19.000.... In alX'ordance 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. /& :3 ~ e v...!/ ~:::sfi:~::~Zz~t;:::z~:.:i:::::'.~:'::~~;~:~~~:~~~=~:::::::=~::::::::::::::::~::.:~::::::::::::: /,~ () /.;::r ,(cO serv~:.. ;:::: .~::~::::~:~?~:::::::::::::::==: (// ()' ,p.,.V SIze wires.............._._n.....__un....._u -' / ~t:'f .A.- MaIn fuse .......0...:........__....__....... So Enclosure mm..__m_._m..........___. Light OutletB...._mm...___.............._.._..... Receptacle Outlets________....................... Dryer, KW un..u.____.__.................____ Range, KW _...n....h____....___.....______ Water Heater:, KW.mm..y............................m. H,at KW.m!.'...m'.4~^,J&~.;Z; I '. Motors: size, volts and phase': Type of wiring; Entrance Cable .m..____ Rigid Conduit ............................... Metallfc Tubing ___,...........___.n Current transformers: No. & Sizen......umm...mn.u..n.....n. Ser. NO.................n.nnnn.....n....nn... Ser. No. n..n..............n..............n....... Ser. NO.n.u................nn........n.nn..... Nl! Type ot WIring: Armored Cable .....m...................... Non.Metallic ................................. Knob & Tube................................_ RIgid Condnlt ...mnmm.........n.._... Metallic Tubing n..nm_...oo.n....__.. Raceway ..............................._._..._ Circuits, LlghL...mn........nn.......n.....oo UtlUty 0000........00.__...._...........00...__._ Heat ......................................._.._.. Range ............................................. Water Heater ......................n....... Motor .................n.un..............._.... Dryer .un.....nn..........un..................__ Furnace .........................._......_.._. ...... Remark:~ta:..~~~...;;~==:_m.~.~:~.::~~:.~~.::::~::z~~!?~~:.:::~::~:::~: ..n...__.......nn.__n.nn.n__n.n.unnnn....__.hnnn__n...........nn..h...nnn____.n...n__:...2.,~~.__nA/~.~.h~:__h.n..n}n..n.nnn..,u--;:'.' p~rmit Fee Treas. Receipt fl'r J1t.~c~./-.k~_ $..........._.....000.000..000000.000.. NO..m........................ By ...000.....000000............000..000.000........000.............000.. .....-._ r 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. <if NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17218 Address........................................................................................................................................Date..._...,"......_......_.........._......_......_......... Owner..................................._.........._......_......__...........................................................Tenant......................................"""'''''.'",''_'''u'',', Wiring Contractor......................................... .................................................................................By.............................................................. .- "...;-NOTICE-Current must not be turned on until Certlficate of Inspection has been Issued. It work is to be COD. ce~ed due ~otice must be given the Inspec~or so that work may be inspected before concealment. . 1M Olympic Printers, Inc.