HomeMy WebLinkAbout119 W 1st St - Building CITY OF _ 0R NGELEs
•I,`� W A S H I N G T O N, U. S. A.
MG-311
NIONIV Community & Economic Development Department
November 14, 2014
Sr
Mr. Joe Jansen
Mr. Karl Houk
119 West First Street
Port Angeles, WA 98362
RE: 119 West First Street
Dear Messrs.Jansen and Houk:
You currently have a certificate of occupancy to conduct a business use at the above address.
The City understands you may be engaged in an operation you believe is authorized by the
provisions of Chapter 69.51A RCW, Medical Cannabis (formerly medical marijuana). This letter
is to inform you the City is currently analyzing whether such business operations are consistent
with the City's zoning code and state law. If it is determined such operations are not in
compliance with the City's zoning laws, we will contact you at a later date to describe what
action you must take.
If you have any information or documents that you believe may assist in our analysis, please
provide them to us. Otherwise, you are not required to take any particular action at this time.
This letter is simply to inform you that the City is conducting an analysis that may require you to
take future action.
Sincerely,
Nathan A. West, Director William Bloor
Community & Economic Development City Attorney
•
•
•
•
Phone: 360-417-4750 / Fax: 360-417-4711
Website: www.cityofpa.us / Email: smartgrowth @cityofpa.us
321 East Fifth Street - P.O. Box 1150 / Port Angeles, WA 98362-0217
?ORT4
r IW
RKS$
DATE
OWNER/CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT INSPECTOR
/0 x 99 3
Izt.,L 7g-g1L
ADDRESS
11 I t)
APPROVED
0
0
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECT NS NEEDED: L46hCT S
Fr n ru I t..) 1=45 4 Gan) (-VA. Ey
R rJ V riRD ftC -`(1 t '(3 4r' Gc) V 1 C)
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
NOT APPROVED
e>t_ ‘S,u
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Application desc
Lighting retrofit 4 circuits
Owner
DELGUZZI LISA
4016 OLD MILL RD
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983621905
ELECTRICAL ALTER COMMERCIAL
173070
81 30
9/09/10
3/08/11
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00000993
622062
119 W 1ST ST
06 30 00 0 0 1554 0000
ELECTRICAL ONLY
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation 0
Contractor
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
Plan Check Fee
Valuation
Date 9/09/10
Qty Unit Charge Per Extension
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50
3 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 7 80
Charged Paid Credited Due
81 30 81 30 00 00
00 00 00 00
81 30 81 30 00 00
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION.•
glzzlto
7122110
RESULTS
4,1)
WA 98362
00
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date
Q
x
OCT -28 -2006 03 32P FROM ELECTRIC SERVICE
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 -4135 Fax: (360) 417 -4711
Date:
Description of above
Owner InformatAi n ,n
Name: L t l6 a
Mailing Address: (1Q (,J s
City 12 State Zip'
Phone: Fax:
License Exp.
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
57.50
86.25
43.75
Q
'L. L q4.� -rtc v� (e-)
Signature of owner electrical c9A` actor or electrical administrator
4526424
Manufactured H
Renewable Elet
First 1300 Squz
Each Additional
Each Outbuildir
Each Swimminr
Thermostat
Total
'+{C
TO 4174711
ECEJAIE)
EP 9 2003
1 2 Single Family Dwelling ELECTRICAL
Mul amity or Commercial' INSPECTIONS
_✓Commercial Addition Alteration Remodel Repair'
Plan Review May Be Required, Please Complete Electrical Plan Review Informatior; I r3et
Job Address: 1 to t.) is r i. 1
Building Square Footage: .1 Bc ea•• 41 I'' C I1
4 0.....A...A.... A.-
rI
r 11
Contractor ,'i rmatiory�,
Name: ter- ka-Clesz-.. t- S4 q
Mailing iJ t..LQ.. et
""X 3b z City' t State. w Zip: 3 L
Phone:_J, l 4 4 1' 2 Fax: Ica+^ —e
License )6. i' Cr S r'32.o
Total gly Multiplied by Unit C) 1 ej
Service /Feeder j_ [m�p.
Service/Feeder 7t 100 Amp.
Service/Feeder i ■00 Amp.
Service Feeder 1 1 000 Amp
Service /Feeder ,r 1000 Amp.
Branch. CircuiI V 1 6 r vice Feeder
0 Branch Circuit N 1 Feeder
J 1o.est5 Each Additional B ch Circuit
Temp. Service/ E" a l ler 200 Amp.
Temp. Service! 201 -000 Amp.
Temp. Service a d tr 401 -600 Amp.
Temp. Servi f :i l cr 601 -1000 Amp.
Portal td Portal I 1 ,r y
SignlOulline Lig i! ;L
Signal Circuit/ L"
Signal Circuit/ Li
Signal Circuit/ L
0 Cash
I.
O Cred t u
Energy Commercial
Energy 1 2 Family Dwelling
Energy Multi- Family Dwelling
Connection
Energy 5KVA System or Less
Square Ft. or Portion of
r Detached Garage
i i i or Hot Tub
St y
Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years alter ;electrical permit is finalized. (2) Owner is required to hire an
electrical contractor if above said property is for sale, rent or lease.
After reading the abode statement, I hereby certify that 1 am the owner of the above named f irty or a licensed electrical contractor I am making the electrical
installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, f .0 Chapter 296.468, The C ;t; of Port Angeles Municipal Code, and
Utility Specifications.
P 1
8,-/90
ROUTING SLIP ,.OAT.", 0
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Certificate of Occupancy <!t I~t,llc' . ~-27\"'
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^ I $W:tm Certificate/Inspection Fee "'", -
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DATE J-- d--{, - (j J .~ 10-01 New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
,
Address of Propose~Business Transfer of Business location .... . ..... . .... ( /")
~ 19 (1) - ~ tt sf f()rf/J h'Je/PS Change of Ownership . .... . .... . .... .. .... ( )
Applicantl'Y\c. v,I,/ "" W:. rY\ L, New Building .... .... ...... ...... .... . ... ( )
Address , ~ I t:: - I J-. til Sf , Remodel . . . . . . . . . . . . . ....., ..... ..... ... ( )
Temporary Business. . . . ..... .. .., .,..... . . ( )
Phone: business '/"rl..-~rnk home~ 5'?)')' Change of Use . . . . . . . . ..... . .... ..... ... . ( )
Brief description of proposed business: rehil :1 i{-I- 1- h orne d.e (.<.J V
legal Description: lot Block Subdivision
Current Use of Property:
Zoning Classification of Property:
THE FOllOWING Will BE REQUIRED: -
WILL THERE BE ANY OF THE FOLLOWING? YES NO ~
Construction changes. . . =~ PERMITS BUSINESS LICENSE -D
Electrical changes ...................... 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) ... ......... -~ 2) Plumbing 2) Peddlers ~
Plumbing changes. =2 3) Electrical 3) 2nd Hand Dealer
New or relocated signs ................ 4) Mechanical 4) Pawn Broker
New septic tanks . ...................... _-L 5) Sewer 5) Dance -
New sewer service. ................... ....... ./ 6) Sidewalk installation 6) Hotel - Mote) +
- -----;;7
Admission charged to patrons . ............... -- 7) Driveway installation 7) Fireworks
Is this a home occupation? ...... --:f 8) Curb installation 8) Ambulance (j)
Excavation of filling of lots. ...... ............... -IT 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 ......... ....... ........ - ---:7 12) Occupancy
A grading plan for site drainage . =~ 13) Sign
(parking lots, downspouts, etc.) . 14) Shoreline
Are the existing streets paved? . =9= 15) Home occupation
Are there existing sidewalks? ....... ..... .. ...... 7- 16) Conditional use
Is there curb and gutter? ........... ..... .. ...... -- 17) Other
Other. ........ ...... ....... ...... .....
I hereby apply for a Certificate of Occupancy and acknowl- Date ')- - ').-L - 0 7. 3
edge that I have read this application and state that the p
information I have supplied is correct to the best of my Signed: JlYJIiA. '/ - -IL. _.-
4 -
knowledge. ~
' (f .~.
~~~ RE'Ee'E. Comments / Conditions '"
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Building Section r D
Public Works Department
J-I Z.1!o( Sf<. Planning Department -
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Fire Department ,
-
City Clerk \'J
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',; Certificate of Occupancy -4/50 f;lr, ~-'"
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_l'APVh . '. '. I $50:00 Certificate/Inspection Fee P ~
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DATE ri-- ;U -en ~-I 0-0/ New Business. . . . . . . . . . . . . . . . . . ...... . ... ( )
,
Address of Proposed Business Transfer of Business location . . . . . . . . . . . . .. . ( v""')
_11'1 f J J. /1+ ,<;,4-.' /J'I('J..{J ""-'011>'> Change of Ownership . .... ..... . . . . . . . . . . . ( )
Applicant 'n1c.v',L1", u"';l, . J New Building ( )
.... .-.. ..... ......... . .....
Address I'), I (. I}--M. Sf , Remodel . . . . . . . . . . . . . . .....,. ..... .... .. ( )
Temporary Business. . . . . ...... . . . . . . . . . . . . ( )
Phone: business C/)'rl.. -snnx-- home ~,- ."?5J . Changeof.Use:....:. ,,,.... . "",,"," ,......,.... ( )
',. , . ,........."...,..\-.'"
. , :
Brief description of proposed business: rff-Co i /'/1 it.}. -rf.,wne elf (Oy ..
J I
,
legal Description: lot Block Subdivision
Current Use 01 Property:
Zoning Classification of Property: .
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED:
Construction changes. . .... ..... -~ PERMITS BUSINESS LICENSE
" _ ...JL "
Electrical changes. .... ....... ..... 1) Building 1) Taxi ,-
Mechanical (heating, cooling, stoves) " ......... -~ 2) Plumbing 2) Peddlers
Plumbing changes. . .................. ....... =2- 3) Electrical 3) 2nd Hand Deafer,
New or relocated signs ........ ....... 4) Mechanical 4) Pawn Broker 'I' I
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
~xcavation 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.) ...... ...... ...... -V 14) Shoreline ,
Are the existing streets paved? . ....... . ;/ i --=- 15) Home occupation
Are there existing sidewalks? . ../ 16) Conditional use
.... V -
. Is there cur~ and gutter? . . . . . . . . . -- 17) Other
Other. ( ,
............... ....
.
I hereby apply for a Certificate of Occupancy and acknowl- ':)-'),.L-ol
edge that I have read this application arid state that the Date:
information I have supplied .is correct to the best of my Y'VJ li'A, in-. c2fi :f~- ~
knowledge. . Signed:
I . . /- if' ..
APPROVED REJECTED Comments / Conditions ,JOf eJPb'.J /'JcJ O.,JK:
. Building Section' 'T/1 .;;u. 3/;.6
,
Public Works Department I/J 07 O('l;:,.) >::;-1-07 "l\R<..~
Planning Department -
-Fire Department .
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City Clerk 5 \
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ROUTING SLIP ,~O"T _,
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Certificate of Occupancy <!f I~bl.k . "''11'______. '"
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tot.br,{) _J II,P(/I-. ~
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r....(!, '........,... "u8"cwr;ji<f-~
d-_J~ -o} I J +/-
DATE '~-I O-OJ New Business. . . . . . . ... .. ...' . ... . ..... ." ( )
,
Address of propose~Business Trans1er 01 Business Location . . . ...... . . . . . . ( ./)
II '1 It). ~ ~- sf frlrf/J h'ylfS Change of Ownership .... ... ,. .... ........ ( )
Applicant 111n VIlli'" LA m /.., New Building ....... . . . "... ." . . . , . . . . . . . . ( )
Address I <, I (. f J- +6 Sf , Remodel. . . . . . . . . . ..... . .... . . . . . . . . . . . . ( )
Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business ,/,,;J -f)K7x- home f:.83 :n)'s' Change of Use. . . . . . . . . . : . . .... '" ....... ( )
Brief description of proposed business: rrh;/ J;P' 1- h (!}ne de ( .u y
Legal Description: Lot Block Subdivision
Current Use of Property:
Zoning Classi1ication 01 Property:
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. ............. ..... --7 5) Sewer 5) Dance
New sewer service. ... ............. .. ..... -7 6) Sidewalk installation 6) Hotel - Mote[
Admission charged to patrons ... -- 7) Driveway installation 7) Fireworks
Is this a home occupation? . . . .... --& 8) Curb installation 8) Ambulance
Excavation of tilling of lots. ...... ... .......... -IT' 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? . . . ...... .... ----'- ---:7 11) Fire
New driveway openings .' ........ ..... ...... 12) Occupancy
A grading plan tor site drainage. -7 13) Sign
(parking lots, downspouts, etc.) ....... ..... -7 14) Shoreline
---;T; -
Are the existing streets paved? . ....... ....... .... --7- 15) Home occupation
Are there existing sidewalks? ..... 7- 16) Conditional use
Is there curb and gutter? . . ....... ... -- 17) Other
Other. ............. .... ...... --
I hereby apply for a Certificate of Occupancy and acknowl- Date: ).- J..-L- 07
edge that I have read this application and state that the
in10rmation I have supplied is correct to the best of my Signed: YVI f,' '/ n. --!!.., //"
knowledge.
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. 1 { Building Section t
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Public Works Department
Planning Department .fJiA.
~ Fire Department
.
City Clerk
P.B.I.A.
~ 87-/90
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. 336'S-
//-20-9'/
DATE
,
o READY FOR ~WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Site Address:
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. Fl.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
01003.0
Service size
o Temporary
'gf Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Detai Is/Description:
~
jL;{~~Jcr /- 4#-
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
#1 Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
New Meters
Permit/Receipt No.
:S3~5-
Date:
II-zO-'i1
-
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. ~8 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I {;)___
-~G91111 I .
nspec or Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
:3/C/6
(P-,;lcf-<] /
ELECTRICAL PERMIT
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
~ WILL CALL FOR
INSPECTION
Phone:
Site Address:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load 0 Add/alter circuits
Total Connected load 0 Auxiliary power
(attach breakdown) (list below)
Total Motor load 0 Special equipment
(attach breakdown) (list below) ./ ./
Details/Description: ~ ~ ~~
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
Amps
_r/~~
II X/ol
t/J'.h.L- ..# a-H~'l
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~Final O.K.
~
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
Permit/Receipt No.
~/r.f5
Site Address:
New Meters
Date:
{,-;2C;-c(/
.
Notify the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspect~n W . in on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
/'/5 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ 6J 0
Ins ctor Amount paid
WHITE - file by a ress YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
'.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Site Address:
Installed By:
OwnerfBusiness:
Owner/Business Address:
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alterlrepai r
DetailslDescription:
% Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
{)/rlt~ / ~/~
PERMIT NO. ~/ ()g'
b/'/ /9/
/ .
DATE
o READY FOR ~ WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Phone:
Sq. Ft.
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
Amps
-1" --(' -/:V Laf
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch Inspection O.K.
.Rough-in/cover O.K.
e] O.K. to connect service
V1 Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
Site Address:
Permit/Receipt No.
S/tJg'
New Meters
o
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector i Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
IS NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~t:J, 00
specto Amount paid
YELLOW _ file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
.
OLYMPIC PRINTERS. INC.
I'Jts~)--
FEE RECEIPT NUMBER
, CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
.;::? ~'T NUMBER
.,\~
, ,
.
- ~.
:S ;).()O ()~1mPe~...:z.'&51! f
TOTAL FEE
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
Site Address
11'1
lI\J
ELECTRICAL PERMIT ONLY
1~1
NO OCCUPANCY OR USE ESTABLISHED UNDE~ THIS PERMIT
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner MI\RG.OS tfi,f'TS InstallalionBy o'.(mPI~ eura"L
Owner's Address It"\' IV Lo-::L Inslallers Address $?JI - 5. Ln,Jeol..,,)
Day Phone . 457 -foOJ07 InslallersPhone PO(2.-r /JNr..1fl.e:7; Nit
Application is hereby made for Permit to install Electrical Equipment as follows: I-Ie1tT C'eG
Wjring Method .C/)~Pl.lrt
.
NUMBER AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER' 120V 100R FEE - USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONYENIENCE MOTOR
'APPLIANCE MOTOR
DISHWASHER FIf3E ALARMS .
DISPOSAL BURGLAR ALARM
- -
RANGE MISC. ,
0 .0 -
OVEN
WATER HEATER .
lAUNDRY -
DRYER REINSTALLATION LIGHT FIXTURE # ,
FURNACE SUB TOTAL FEE .'
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC H~AT TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that ~h~ work to be. pe~formed under this per~~t will be done by the installer an~ in ".fO~ Wit~ th~ N.E.~ Electrical Code.
Date Application made 4!11!l55 ,19 By f..7:IP' ~ .
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City.of Port Angeles. \. -( '.\
DIRECTOR OF ITV LIGHT',
._..~-_.
- ..
..:..~. ..., ',.
.
Date Permit Issued
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WARNING I
PROVED
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 _
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WHITE. Original CANARY - Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC:
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REPORT OF INSPECTOR
OATEOFVISIT MADE BY REMARKS
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rll-II-~) 1/ - O.K. FOR COVERING
4-1( -15- 10>-I//YJ O.K. TO CONNECT SERVICE
tI- II-(s-:- l) FINAL O.K. ,
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In accordance with the City Ordinance to regulate the installation. extension. or repair of elec-
trical equipment In, on. or about any building or other structure In the City of Port Angeles, per-
mission Is hereby granted to do electrical work as listed below.
Address ..?JA~(:.~~--f..?v.=.......L"~~__.__m.__...m. Occupancy.____.SLGJ...........m....
Owner .....M.... ......m'-;..O..s............iJ.......m.. Te'jnL_...._.77~...k'.~~...=..._..___...._...__
Wiring Contractor --...J01..uJ.e..Q_..___.__...tJ<0?!_... By..........D. ............~~.............___
CITY OF PORT ANGELEs
LIGHT DEPARTMENT
Light Outlets..._..........._............_.._..._
Receptacle OutIets...._._.__._.__....
Drye,. KW...____...__............__................
Range, KW...n.h.n.....hh__.__.
Water Heater:
KW..............
'--nhhu.....__h.
Heat: K\l' __._.........._.............__..................
Motors: size, volts and phase:
-u.............__..n............._.....____h....
..................--..........-..........--.......-.
................-.--.........-..........-----.
.....h..........._.........._......_h_.........._.
N~ 1 8 1 53
ELECTRICAL PERMIT
Port Angeles. washlngton........_...__."2_J.._-?;....~.__.._... 19..?:2Y
Service, volts ..................._.........._......
No. wires ....-..........................h.....
Type of WIrlng:
Armored Cable .h..............___
Non-MetallIc ......_____._....._
Knob & Tube..........._..........__.....m
Rigid ConduIt ......_..............._.
MetaUJc TubIng nm..X......_
Raceway ........_._..___....__
Circuits, LfgbL.._..........._..........__..
Utllfly ...__..............__.._............._..
Heat ..........._..........__...._._.__
Range ..............m............................
Water Heater ...n.__.......h............
Motor _._....._................_........._.__
Dryer .....h.h...........____....._.h....._
SIze wfres..h..............._..h.........._..
Main fuse h..h..............................h.
Enclosure ............h....h...................
Type ot wJrfng:
Entrance Cable _.h........n....h..h.....
RigId Conduit .................__............
Metallic Tublog ............__.............
Current transformers:
No. & Slze..._.._.._.....h...................
SeT. No.........._..._.._....................._.
SeT. No. ......n.....................................
...................................................-..... F "moce ........m........___...._............._
Total u>ad~.~}-# ~:: ;:..................~..:.::.:~...:.:~:......~.:...::.........~.. Total_ ............._._..............
Remarks: ...~.:l:~~.Q.----.........:::;.L~.....U.{Z.Q/!..5[:_..=__..~&.L$.TI__~__.G..._.
----.--..--...--.......-..........--.....------.....---..____.m._.__..._______..__......_......_______.__...__...._.__.......................___....__._.____....
Permit Fee ~
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............n__.......__.__.....______.......__....__............__...__....____...__...__..__......__........m.........__m...____...____.__.......__...__._______...______
Treas. Recelpt
No.-Q..<;.1.k__
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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