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HomeMy WebLinkAbout1133 E 1st St - BuildingElectical Permit 1133E1St 11 -1317 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN 2-11(0 l)2 44V —1142 FINAL COMMENTS: Application Number 11-00001317 Application pin number 093569 Property Address 1133 E 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-7-1- 0270 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc 1 circuit repairs Owner 36ce L o il CHAN H /HOE K /KYONG S CHONG 1133 E 1ST ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total L WA 98362 Qty Unit Charge Per 1.00 73.5000 ECH Fee summary Charged ELECTRICAL ALTER COMMERCIAL 73.50 11/22/11 5/20/12 73.50 .00 73.50 Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Contractor STRAITS ELECTRIC PO BOX 2914 PORT ANGELES (360) 452 -9104 EL- BRANCH CIRCUIT WO /FEEDER 73.50 .00 73.50 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Plan Check Fee Valuation .00 .00 .00 Date 11/22/11 WA 98362 415 d ?mil, l Paid Credited Due .00 .00 .00 Travelers Motel Port Angeles The Traveler's Motel in Port Angeles, WA is an old and historical motel in this area. We offer 11 rooms for you to choose from This is 15 blocks from the Coho Ferry, which connects to Victoria, British Columbia. ww travetet 7ffn7 WL Phone: 360) 452 -2303 Address 1133 East 1st Street, Port Angeles, WA 98362 Email: info @travelersmotel.net .00 0 Extension 73.50 Date: REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Nov 21 11 09:16a Christie Tucker CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street— P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 11 -2 1— i 1 2 Single Family Dwelling MuIti- Family or Comrnercial* Commercial Addition Alteration Remodel Repair' Plan Review Mas Required, Please Complete Electrical Plan Review Information Sheet Job Address. (1 7, C 6 Buildirlq Square Footage Description of above r Q 1 f2 j- 2 W{,ri Owner information Name: Owner Ck.Ot\-t Mailing Address: City: State: Zip: Phone: Fax: License d Exp Item Unit Charge Service/Feeder 200 Amp. 119.90 Senrice/Feeder 201 -400 Amp. 145.50 Service✓'Feeder401 -600 Amp 204.60 Service/Feeder 601 -1000 Amp. 262.20 Service/Feeder over 10(10 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 5 92.70 Temp. Service/Feeder 201 -400 Amp. S 110.30 Temp. ServicefFeeder401 -600 Amp. 148.70 Temp. Service/Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 8820 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuill Limited Energy Multi- Family Dwelling 63.90 Manufactured Home Connection S 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft Each Additional 500 Square Ft or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 110.30 35.20 73.50 110.30 tH2m I Contract pr In nf fo �gt to Name: Mailing Add City: State: Zio: Phone: Fax: Licensed Exp. G:�1 1 71 17 2 1 360 -452 -0741 i1 O'1 2 1 2011 ELECTRICAL INSPECTIONS': Total My Multiplied by Unit Ch arse) galit 01/0112010 p.1 S 7 j Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical pemtit is finafzed. (2) Owner is requis`ed to hire an electrical contractor if above said property is for sale, rent or lease, Permit expires after six months of last inspection. After readiag the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the ec 'cal installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 The City of Port A e is M icipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. ner, electrical contractor or electrical administrator: 0 cash 0 Check Credit Card A ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATE 1o/y PERMIT Vv -r2,1 OWNER/CONTRACTOR ADDRESS ti133'� l s� INSPECTO APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: PrT Y FA)-I 5 To 'gig- If•ErzON pu ,fi hu V -Q. 7M Ro v D 1 rA 71 `i' 2 1 '21 )31(_- zrn 1] c&?z- c)c -i D 12 um °r La 6A ?s uJ Nc-G 1 3 •eN .o1 1 I i r s f&A°` 7 art. iz Cx°1r+T. fiLo 12 )lO. 3 M. GAS L i`r %3 1 al ,✓44 LZ. D (Pr /41g-C. 33 1164IFFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 DATE ADDRESS FpO !F ELECTRICAL INSPECTION WIRING REPORT 417 -4735 4 'ORKS OWNER/CONTRACTOR 1 INSPECTOR APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: CO 's, T7 s S ALL.- t3 1/ 5 r.=_4 A s )4__D -Lk.) pz i "LL Iku, 0,) S S 1-1 r.I- I s374 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 X 246- 360 -020 Licensure X A.10 246 360 020(10) The licensee must notify the department prior to construction as defined in WAC 246- 360- 010(8) by submitting ,a) A description of the construction; (b) A description of Facility Name:Travelers Motel Address: 1133 E. 1 St. Port Angeles, WA 98362 Exam i.nation Number: X2011-968 Case Number Type of Survey Onsite Date(s) Number of Units Deficiencies cited in this survey X WAC 246 -360 Sections This Transient Accommodation health and safety survey was conducted by the State of Washington Department of Health in Accordance with Washington Administrative Code (WAC) Chapter 246 -360. Surveyor: James Phillips Department of Health Investigation and Inspection Office PO Box 47852 Olympia WA 98504 -7852 Telephone: 360-236-2934 Fax: 360 -586 -0123 Email: Jim.phillips@adoh.wa.gov. X2011 -968 Ongoing Routine 9 -20 -11 :1.1 Units /Areas Inspected: Main laundry room, guest and a sample of rooms. Rooms inspected during this survey included 9. A walk around the outside of the property revealed violations with other units. Only one unit was vacant during this inspection. Washington State Department of Health Transient Accommodations Survey Form Viilshinglon State Department of ealth Deficiencies Found Deficiencies Found 1 f 1 0 4 1 4 1J t L kE iz- 3W 2 '3_3 Facility ID Number: TA- 00002212 Inspection Date: 9- 20 -11. 1 Facility Name:Travelers Motel Address: 1133 E. 1 St. Port Angeles, WA 98362 Examination Number: X2011 -968 Washington State Department of Health Transient Accommodations Survey Form Facility ID Number: TA- 00002212 inspection Date: 9 -20 -11 Deficiencies Found 2 how the construction will be used; (c) A description of any changes in the functional use of existing construction; (d) Documentation of approvals issued by local authorities having jurisdiction; and (e) Other information as required by the department. 246- 360.030 Responsibilities and Rights Licensee 8.07 246- 360- 030(1)(f)(i) The licensee must: (f) Adequately supervise employees and transient accommodation premises to ensure the transient accommodation is: (i) Clean, safe, and sanitam and X B.08 246 360- 030(1)(f)(ii) The licensee must: (f) Adequately supervise employees and transient accommodation premises to ensure the transient accommodation is: (i!) In good repair; 246 -360 -050 Sewage and liquid waste disposal X D.03 246- 360 050(2) The licensee must provide documentation that demonstrates that sewage and liquid waste drain into: (2) A sewage disposal system designed, constructed, and maintained in accordance with chapters246 -272, 246 -272B, and 173 -240 WAC and local ordinances. X 246 360 -070 Refuse and vectors: E.05 246- 360- 070(3)(b) The licensee must: (3) Collect refuse from lodging units: (b) At least every three days or more often as necessary to maintain a clean and sanitary environment in each quest's room 246- 360 -080 Construction and (maintenance X F.03 246 360- 080(1)(b) The ticensee must: (1) Ensure all transient accommodations, including any construction, buildings, facilities, fixtures, furnishings and surroundings meet the requirements of: (b) The state building code; X F.06 246- 360- 080(2)(a) The licensee must: (2) Provide documentation of compliance with WAC 246 -360 -080 (1)(b) and (c) under the following conditions:(a) For construction that is on -going or has been completed since the last survey X F.08 246- 360- 080(3) The licensee must: (3) Ensure that alt buildings, facilities, fixtures, common areas such as exercise rooms, public bathrooms, kitchens, utility sinks and guest laundry rooms and furnishings are structurally sound, safe, clean, cleanable, sanitary, and in good repair. 246 360 -090 Lodging units X G.07 246 -360- 090(3) The licensee must provide lodging units with: (3) Floors, ceilings, doors, walls, carpet, windowsills, window tracks, electrical switches, locking mechanisms and receptacle plates kept clean, cleanable and in good repair; X 246 360 -100 Bathrooms, water closets and hand washing sinks X H.09 246- 360 100(9) The licensee must: (9) Provide easy access to an acceptable single -use drying device from each common -use handwashing sink -1.10 246- 360- 100(10) The licensee must: (10) Provide toilet tissue conveniently located by each toilet X H.11 246 -360 100(11) The licensee must: (11) Provide soap for each handwashing and bathing fixture X H•14 246-360-100(12)(b) The licensee must: (12) Provide an adequate supply of clean towels, washcloths and floor mats (b) At least weekly or at the request of the guest X 246 360 -110 Lodging unit kitchens X 1.02 246 -360- 110(1)(b) A licensee offering kitchens in lodging units must provide each kitchen with: (b) Ventilation according to the provisions of WAC 246- 360 -140; X 1.10 246 -360- 110(1)(h) A licensee offering kitchens in lodging units must provide each kitchen with: (h) A cleanable table, counter, and chairs, or equivalent; X 1.12 246- 360- 110(2) The licensee shall clean and sanitize food preparation areas, refrigerator and reusable utensils between each quest occupancy X 246 360 -140 Ventilation X L.01 246 -360- 140(1) The licensee must provide ventilation in all lodging units, kitchen areas, bathrooms, water closet rooms, and laundry rooms. X 246 -360 -150 Beds and bedding M.09 246- 360- 150(7)b A licensee providing beds must: (7) Provide clean replacement pillowcases and Facility Name:Travelers Motel Address: 1133 E. 1 St. Port Angeles, WA 98362 Examination Number: X2011 -968 Washington State Department of Health Transient Accommodations Survey Form Facility ID Number: TA- 00002212 inspection Date: 9 -20 -11 Deficiencies Found 2 Facility Name:Travelers Motel Address: 1133 E. 1 St. Port Angeles, WA 98362 Examination Number: X2011 -968 Fire Extinguishers: u Facility ID Number: TA- 00002212 Inspection Date: 9 -20 -11 Deficiencies Found The last time the fire extinguishers were inspected at this property was in 2009. There was no month indicated on the tag in that year. Vent Fans: All of the guest units were occupied accept for unit 9. However it was discovered that in all but one of the remaining units there were improper and unsafe mechanical vents installed in the bathrooms. Units with unsafe and improperly installed electrical fans included 1, 2, 3, 4, 5, 6, 7, 10 and 11. In these units, including unit 9 which was entered, a small bathroom window (glass only) was removed and in place of the glass, a crude (often unpainted) plywood sheet was installed. A square hole was cut in this wooden sheet and a 120 volt, 50 cfm bathroom fan was installed vertically in the hole. The fans are intended for horizontal attic installations however, in this installation the fans were now exposed to rain from the Washington State Department of Health 3 Transient Accommodations Survey Form 246- 360 -180 sheets: (b) At least weekly when occupied Laundry The licensee must: (4) Provide a means for handling, transporting, and separating soiled bedding, linens, towels, washcloths, and other items to prevent cross contamination of clean items X X 0.11 246 -360- 180(4) 246 -360 -200 Safety, chemical, and physical hazards The licensee must: (1) Establish and follow policies and procedures for properly and safely storing, labeling, and using all hazardous chemical agents or any substance bearing a warning label, such as cleaners, solvents, disinfectants and insecticides to assure they are: (b) Used according to manufacturer's precautions and recommendations; P.03 246- 360- 200(1)(b) P.05 246- 360 200(3) The licensee must: (3) Eliminate all known environmental health and safety hazards in and around the transient accommodation, including hazards resulting from fire, natural or other disasters and chemical or biological contamination. The presence of any hazard must be fully eliminated prior to re occupancy of any affected area or living unit. When a hazard is confirmed, approval from any and all appropriate local authorities is required prior to re occupancy X 246 -360 -220 Fire safety. X Q.02 246 360- 220(1)(a) The licensee must establish and maintain a fire -safe environment: (1) Except as described in subsection (2) of this section, effective October 1, 2005, the licensee must establish and implement a written plan to ensure: (a) Smoke detectors are installed and maintained in all sleeping rooms or sleeping areas. Non rechargeable batteries in smoke detectors must be replaced each year or per manufacturer's instructions. Rechargeable batteries must be charged and maintained or replaced per the manufacturer's instructions. X Q.06 246 360- 220(1)(b)(iii) The licensee must establish and maintain a fire -safe environment: (1) Except as described in subsection (2) of this section, effective October 1, 2005, the licensee must establish and implement a written plan to ensure: (b) Fire extinguishers are inspected when initially placed in service and at approximately thirty -day intervals or at more frequent intervals when circumstances require. Fire extinguishers must be inspected manually or by electronic monitoring: Periodic inspection of fire extinguishers must include a check of at least the following items: (iii) Operating instructions on nameplate, legible and facing outward Facility Name:Travelers Motel Address: 1133 E. 1 St. Port Angeles, WA 98362 Examination Number: X2011 -968 Fire Extinguishers: u Facility ID Number: TA- 00002212 Inspection Date: 9 -20 -11 Deficiencies Found The last time the fire extinguishers were inspected at this property was in 2009. There was no month indicated on the tag in that year. Vent Fans: All of the guest units were occupied accept for unit 9. However it was discovered that in all but one of the remaining units there were improper and unsafe mechanical vents installed in the bathrooms. Units with unsafe and improperly installed electrical fans included 1, 2, 3, 4, 5, 6, 7, 10 and 11. In these units, including unit 9 which was entered, a small bathroom window (glass only) was removed and in place of the glass, a crude (often unpainted) plywood sheet was installed. A square hole was cut in this wooden sheet and a 120 volt, 50 cfm bathroom fan was installed vertically in the hole. The fans are intended for horizontal attic installations however, in this installation the fans were now exposed to rain from the Washington State Department of Health 3 Transient Accommodations Survey Form Facility Name :Travelers Motel Address: 1133 E. 1 St. Port Angeles, WA 98362 Examination Number: X201 1 -968 outside. The power supply was exposed to the rain as the window opening would have been. The raw wood and the unprotected metal fan, fan motor and electrical connection were all exposed to the rain. There was no vent pipe attached to the vents port. The supply wire and the wire nuts were dangling outside in the open air and the junction box terminal did not have a terminal adapter installed to secure the supply wire which was loose. The supply source for these motorized fans came from a piece of common lamp cord that came from underneath the bathrooms wall fixture located over the bath sink. The wire was pinched under the edge of the fixture, stapled along the wall to a hole exiting to the outside where it powered the fan. These installations are a fire risk due to exposure to the elements and possible overload capacity and they clo not meet state electrical standards. Sump Pump /Sewer Drain: Facility ID Number.: TA- 00002212 Inspection Date: 9 -20 -11 Deficiencies Found Outside of unit 8, there is a large storm drain designed to evacuate excess rain water and other runoff to the city sewer. It appears that this large drain pipe may have been blocked and no longer drains. Inside the drains basin, beneath the cast iron grate, was a large submersible sump pump 1/2 hp approx). A power supply wire emerged between the grates openings, ran along the ground over the pavement and towards unit 8. Near the ground this wire plugged into a 25 foot extension cord which was rolled up and hooked on the outside wall of unit #8 where it was plugged into a lighting circuit overhead. The pumps drain hose ran from the basin, along the pavement towards the back of the property and discharged into the alley behind the property. This sewage waste disposal system does not meet local design., is in violation of state electrical codes and poses an electrocution and fire risk. Auxiliary Lighting,: Each guest unit has an approved outside light installed as original equipment and which were operable. Connected to these fixtures were short runs of sheathed NM (non metallic) cable stapled to the outside of the buildings intended to power 2 foot fluorescent light fixtures hung over or near the front entry as an additional lighting source. The fluorescent strips were exposed to rain and other elements but are not vapor proof These installations were found throughout the property in front of each unit. The supply wire and the fixtures used are intended for interior use only and appeared clean and white. These fixtures appeared to be recent installations. These light fixtures do not meet state electrical standards and poses a fire and electrocution risk. No permits for the added vent fans or extra lighting were posted or available for review. Washington State Department of Health 4 Transient Accommodations Survey Form Facility Name:Travelers Motel Address: 1133 E. 1s` St. Port Angeles, WA 98362 Examination Number: X2011 -968 Main Laundry Rooin: Facility ID Number: TA- 00002212 Inspection Date: 9 -20 -11 Deficiencies Found Rooms are not serviced on a regular basis. Garbage is not being removed by staff every three days from all rooms. Bedding is not being replaced regularly in all rooms. Not all rooms are being entered and supplied with toilet paper and soap regularly. Not all rooms are being entered cleaned and sanitized regularly. Rooms are not being entered on a regular basis when maintenance is required. Smoke detectors are not being checked to ensure they are operable on a regular basis. Rooms were not supplied with towels, washcloths and floor mats on a regular basis. Rooms were not supplied with pillow cases and sheets on a regular basis. A housekeeping cart was inspected. No cleaning supplies were stocked accept an un- labeled bottle that looked like water. When asked, it was described as "alcohol water or water mixed with a small amount of Isopropyl Alcohol. When asked if this is all the housekeepers use to clean the rooms with, the manager said that a housekeeper from the Flagstone Motel across town came periodically and brought chemicals and other supplies from that motel to clean with. The cart had no linens and no resupply items such as soap or shampoo. There were no methods to prevent cross contamination (gloves, bags or Containers for dirty laundry i.e.) When interviewed, the owner and manager explained that the motel rooms are not entered regularly if the guest did not want the room to be entered. Guests standing outside were interviewed and one of the guests stated that many of them did not like their apartments entered and preferred to maintain their own rooms, "because of privacy Guests were seen going to the laundry without permission and walking away with a broom and dust pan and a vacuum. When asked about housekeeping procedures the owner explained that "the rooms are cleaned when the tenant moved out All but two of the units (5 and 9) had guests staying for extended periods, guests who had no intentions of moving out. As explained by the owner, if a guest stayed one day, they would clean the room before the next guest took possession, otherwise they would leave them alone. When the manager was asked who does the housekeeping, he said that housekeepers come from the Flagstone Motel to clean the Travelers Motel. However, when the owner was asked who did the housekeeping he said the manger and his wife who stayed at the property did and that staff do not come from the Flagstone to clean the Travelers. Chemical bottles stored in the laundry on the shelves had what appeared to be water in them and were not labeled.. The manger explained that the un- labeled bottles contained "alcohol water" and it was used to clean rooms when people moved out. Washington State Department of Health 5 Transient Accommodations Survey Form Facility Name:Travelers Motel Address: 1133 E. 1 St. Port Angeles, WA 98362 Examination Number: X2011 -968 Storage Sheds: The kitchen was not equipped with a counter or table and chairs. The light switches in this guest unit were grimy and unsanitary, Washington State Department of Health Transient Accommodations Survey Form Facility ID Number: TA- 00002212 Inspection Date: 9 -20 -11 Deficiencies Found There was a similar fan installation in the basement laundry room as those found in the guest unit bathrooms. A basement window was removed and a fan was dangerously installed in this void with exposed wiring. The sink in the main laundry room did not.have a single use drying device available. Next to units 1 and 6 were two small storage sheds. In both of them were light fixtures mounted on the ceiling that were not connected to an electrical junction box. The porcelain fixtures were screwed directly to the ceiiing joist exposing the metal screws and power connections to raw wood. This installation poses a fire risk. In the storage shed adjacent to guest unit 1 was a wide spread black mold bloom covering the walls and ceiling. Rooms sampled identifying examples of violations found throughout this property Room -9 The srnoke detector installed in the main living area did not work: There was no smoke detector mounted on the ceiling in the second bedroom. The second bedrooms window had a broken (missing) handle creating a situation that made it difficult to close and fasten the window after it was swung open. This window was not in good repair and poses a security risk. In this kitchen unit, the dishes and durable utensils were unsanitary showing signs of accumulated food debris and grimy film. The shower basin was dirty and discolored. The film was so thick that letters could be rubbed into the grime with a cleaning rag. There was a stove installed in a small room next to the bathroom. There was no ventilation and the stove was placed in front of a window in this room, a window that could not be opened without climbing on the top of the stove to get to the window. This kitchen installation may not have been original to earlier construction and was poorly designed. Facility Name:Travelers Motel Address: 1133 E. 1s St. Port Angeles, WA 98362 Examination Number: X2011 -968 Facility ID Number: TA- 00002212 Inspection Date: 9- 20 -1.1 Deficiencies Found The carpet in this unit was dirty and stained and had a bad odor. This Statement of ciencies report has been prepared by: James Philips Date Signed I received a copy and understand the Statement of Deficiencies as described in this report. I agree to begin making corrections related to the deficiencies sited in this report and have them completed or provide a description of a plan to correct them by: due v hi Iza Date Facility Representative Signature Date Signed Printed Name Title Sign below only after all deficiencies have been corrected or after contacting the department for other arrangements: Please understand that failure to correct all deficiencies by the above specified date may result in sanctions, including civil fines or the revocation of your license to operate a Transient Accommodation. If the deficiencies take longer than the agreed upon timeline, please contact the department immediately. All areas of the Transient Accommodation including all guest rooms have been reviewed by staff and comply with this Statement of Deficiencies and WAC Chapter 246 -360 Transient Accommodation. Washington State Department of Health 7 Transient Accommodations Survey Form Facility Name: Travelers Motel Address: 1133 B. 1 st St. Port Angeles, WA 98362 Examination Number: X2011 -968 Facility Representative Signature Date Signed Print Name Title Shannon Walker, Manager Transient Accommodations Program PO Box 47874 Olympia WA 98504 -7852 Phone 360 -236 -2933 FAX 360 586-0123 i".rrat.inCili of i1i::1 Iih i ii }.}1'i.i11 S;t1:1ii ic.'wiCtti:'.i.i: Facility ID Number: TA- 00002212 Inspection Date: 9 -20 -11 Deficiencies Found Once the deficiencies have been corrected and you have signed this report mail or FAX all of the reports pages to: Washington State Department of Health 8 Transient Accommodations Survey Form Trent Peppard From: Walker, Shannon (DOH) [Shannon.Walker @DOH.WA.GOV] Sent: Monday, October 03, 2011 2:15 PM To: Trent Peppard; Ken Dubuc Cc: Phillips, Jim (DOH) Subject: Travelers Motel Good afternoon, Thank you for talking to me this afternoon regarding the Travelers Motel located at 1133 E 1 Street, in Port Angeles. I have attached a copy of the report for your review. If you have specific questions about the report please contact Jim Phillips, Health Safety Inspector on his cell phone at 360/481 -4158. We appreciate working in partnership with you to help this property be healthy and safe. Sincerely, Shannon Walker Shannon Walker, Accommodations Section Manager Department of Health Health Systems Quality Assurance Investigation and Inspection Office Specialized Facilities 310 Israel Rd SE PO Box 47874 Tumwater, WA 98501 Voice: 360 /236 -2933 Fax: 360/586 -0123 Email: shannon.walkerdoh.wa.qov "The Department of Health works to protect and improve the health of the people of Washington State" 1 0 CERTIFICATE OF- OCCUPANCY City of Por t, Angeles Building Division This Certification issued pursuant to he requ 109 of the Uniform Building Code cert�ing that at the time of issuance this "structure was in compliance with the various ordinances of the Ciiy,regulatmg.Building x.� 'co or,use.,For the following. Use Classification. Motel Building Permit Buildi Of6cia1 d+^.. �2.. S "'ATM,: .,d/ Date Post on the premises n on picuous place. Shall not be removed except by Building Official. Group: R -1 Type of Construction Owner of Business /Residence Chargl. Chong. HoezK e long slt'"K}+oI1PS.,.(. lion Address. c1g133 East 1". Port Angeles WAz98362 1 r Building Address: 1133 Eas sty Use Zone: CA _Yr WA 98362 June 28. 2001 ROUTING Certificate of $47.00 Certificate SLIP Occupancy /Inspection Fee —t( DATE JN N e 2- I L 0 0 1 New Business Transfer of Business Location I Change of Ownership v Building Remodel Temporary Business Change of Use Address of Proposed Business Et,‘ S '"f l Applicant C. D in it (,I P 1<. ahoy- I(ytN�,S,fhPr't Address 5 GNI., e Phone: business 4-57• -2-3o3 home Brief description of proposed business' e T rn,VP.Ic IS MG *9' _S h°- W I t l Legal Description: Lot 9- Z Block 1 2- Subdivision est is r d t' ■v s �o 14 Current Use of Property Mote I S Zoning Classification of Property- C A WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes THE FOLLOWING WILL BE REQUIRED: PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5 6) Sidewalk installation Hotel Motel 7) Driveway installation 7) Firewor ss 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs 1/ New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots V/ Work done in City right -of -way V Is there sufficient off street parking? 11) Fire New driveway openings 12) Occupancy 13) Sign 14) Shoreline 15) Horne occupation 16) Conditional use 17) Other A grading plan for site drainage t1 (parking lots, downspouts, etc.) i/ Are the existing streets paved? V Are there existing sidewalks/ Is there curb and gutter? V Other 1 I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Date Yon x I 0 a I /f Signed' f! u O r'- al- APPROVED REJECTED Building Section Comm nts Co ditions 9 /0 it it i r I I Public Works Department 1 1 IQ I Planning Department Snit 4 0 Fire Department j 'e2/ 0 City Clerk P. B.I.A. Site Address: //j J 7 WILL CALL FOR INSPECTION READY FOR INSPECTION Installed By: r �yy TT I ,1 AJ 1704.) A �/L License Number: Phone: Owner /Business: Phone: /.efrr/e /&es Ma Owner /Business Address: Sq. Ft. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT PERMIT NO. c rcP DATE l/9797 ELECTRIC HEAT BASEBOARD KW FURNACE KW HEAT PUMP KW El FAN /WALL KW Details/Description RESIDENTIAL COMMERCIAL NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR TEMPORARY SERVICE RISER OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE 10 ❑30 SERVICE SIZE AMPS FEEDER SIZE AMPS _1 v,s k/ /64 44,0ce. t sw W S No SERVICE SIZE DATE ENGR CAPACITY: O.K. NOT O.K. OVERHEAD SERVICE APPROVED ACTION REQUIRED: CHANGE TRANSFORMER CHANGE SERVICE WIRE INSTALL SERVICE POLE OTHER Ditch Inspection O K Rough -in /cover O K O.K. to connect service Final O K Site Address: c Installer: Permit /Receipt No. New Meters Date: Notify Port Angeles City Light by Street Address and Permit Number when 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 Buildi ermit. PHONE 457 0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT c c Permit Fee Electrical Inspector WHITE File by address PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. Site Address: J 7 L L READY FOR WILL CALL FOR INSPECTION INSPECTION Install e. Li f License Number: Phone: Owner /Business: he PC VC /€&S Phone: /M Owner /Business Address: Sq. Ft. Residential Heat KW Baseboard Furnace /Boiler Heatpump Other %Commercial /Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) la- 0. (2 -144 o. W.S. No Service Size Capacity: O.K. Not O.K. Ditch inspection O.K. Rough -in /cover O.K. 7 O.K. to connect service IR Final O.K. OLYMPIC PRINTERS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO 6/. DATE S 1 0/n New Construction Overhead Remodel Underground Service update /alter /repair Voltage 10 3z Add /alter circuits Service size Amps Auxiliary power Temporary (list below) Special equipment (list below) Details/Description' ECAJ 14 7 Te 2 vt ct ?wtR F 4 Date Hold for: Easement Letter Comments Signed up for service /meter Meter Department notified for installation Fire Department notified of inspection Plan Review approved /pending Site Address: //Z Installer: t'c_ Se..4 or aa- Permit /Receipt No. /e 7? New Meters Date: /c, e'47 Notify the Department of City Light by Street Address an Permi Number when ready for inspection. Wo k must not be covered or electrically energized before inspe tion and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.04111 EXT. 158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /pf T L 0 ��l }/�II Inspector Amount paid WHITE file by address YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top: Inspector, Bottom: City Hall TOTAL FEE Z. (O t 77 et 120V 10 1 cal.) CONT.LIC. NO. TIME TO COMPLETE .NO. STORIES LEGAL OCCUPANCY USE OF CIRCUIT NUMBER CIRCUITS AMR PER CIR 120V 10 240V 1 0 OR 30 FEE USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V t0 240V 1 0 OR 30 FEE LIGHT SIGN 1 1 2 .1 i- �V LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE k FURNACE GAS OIL SUB TOTAL FEE ENERGY FEE FURNACE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE 2-6 es ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE A.C. UNIT FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE SUB TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH FEE RECEIPT NU i ER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 1 13 3' 1 CORRECT ADDRESS p 1 ESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCE .f .Ci( Installs G 1' I mac Owner T 2An/� t ion By Owner's Address 11 13 chsr Installers Address 226, PACf- eP Day Phone -C 2 7 "gB3 Application is hereby made for Permit to install Electrical Equipment as follows: RY °.P -A-1 2.. m 1( c4t'H .C.q 0 SI Date Application made Date Permit Issue WARNING OLYMPIC PRINTERS, INC. Installers Phone i S 1 643 0 A AF O R j riZ Ot AC a ►-t ca 1 Wiring Metd'1 if C I certify that the work to be performed under this permit will be done by the installer and in c nfor ce with the N.E.C. lectrical Code. 1A itz 19 g—i By CONTRACTOR OR OWNER (OR AUTHORIZED AG21JT) 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. DIRECT R OF -CITY LIGHT By C -i¢ f PLANS APPROVED PPPRRO WED Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK SEE OVER WHITE Original CANARY- Duplicate PINK Triplicate WHITE CARD Inspector's Report 4. 5 x 7 -32-7 -4 A 3 PERMIT NUMBER REPORT OF INSPECTOR DATE OF VISIT J-(f- Js_ MADE BY rf.oi REMARKS 5"reereC B y /o /ec r /Vo 'T- Me CD 'TF/ /I Yo I /.c 6 4 A Ce'vc t tin 4r �F S /C r To 6c' e P��/ c2_O D1' O.K. FOR COVERING O.K. TO CONNECT SERVICE FINAL O.K.