HomeMy WebLinkAbout220 W 8th St - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
32\ 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
07-00000263 Date
744593
220 W 8TH ST
06-30-00-0-2-6632-0000-
ELECTRICAL ONLY
3/22/07
COMMERCIAL NEIGHBORHOOD
o
Owner
Contractor
MARKLEY, TTE DIANE L
PO BOX 2835
PORT ANGELES WA 983620333
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
SIMPSONI 200A/100A SVC
97196
SIMPSON ELECTRIC
128.00 Plan Check Fee
3/22/07 Valuation
9/18/07
.00
o
w
}.J
o
Qty Unit Charge Per
2.00 64.0000 ECH EL-COMM ALT- REPAIR METER/MAST
Extension
128.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 128.00 128.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 128.00 128.00 .00 .00
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COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECfIONRECORD
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
)
INSPECTION TYPE DATE ACCItPTED COMMENTS
YES I NO
.
IlIT(:H
lUll J{;H_IN / COVER
~hKYICE
/""'\
I';' --:i ~ ~ D 71 A-r(, 7
,
GENERAL COMMENTS:
PW.II02.1.5 (4196)
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ROUTING SLIP
.b Certificate of Occupancy
(""$47.00 Certificate/Inspection Fee
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J-JJ.-03
DATE
Address of Proposed Business
f) aD W, ~+h St-:
Applicant JecLn i I::LJ J
Address 13Lj R \ f2- R.t'od
" Pod- A1~~s C19;~ltP~
Phone: business 5lf5 -1ri..l 0 home 4'5CJ. -'7L'136
Brief description of proposed business:
legal Description: lot ~ Block
Current Use of Property: Vo C lA\A. t
Zoning Classification of Property: C rJ
Will THERE BE ANY OF THE FOllOWING?
Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . .
Electrical changes. . . . . . . .. . . . . . . . . . . . . . . . . . . . . .
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . .
Plumbing changes .............................
New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . .
New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New sewer service .............................
Admission charged to patrons. . . . . . . . . . . . . . . . . . . .
Is this a home occupation? ......................
Excavation ot filling ot lots .......................
Work done in City right-ot-way . . . . . . . . . . . . . . . . . . . .
Is there sufficient off-street parking? . . . . . . . . . . . . . . .
New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . .
A grading plan tor site drainage. . . . . . . . . . . . . . . . . . .
(parking lots, downspouts, etc.) ..................
Are the existing streets paved? ... . . . . . . . . . . . . . . . .
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . "
Is there curb and gutter? ........................
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES NO
-L_
~-
~-
~-
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.
APPROVED
REJECTED
80~
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
New Business ............................ ( ~)
Transfer of Business location. . . . . . . . . . . . . . .. ( )
Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( )
New Building ............................. ( )
Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Temporary Business ....................... ( )
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
z..~ 6
Subdivision .,:p A
THE FOllOWING Will BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
Date:
rJ-/ a..-()3
" 11 Luli t,. ituJJ
Signed:
COjj,.:'n / Conditions
~/ea.I\L~-4- ~e.d.
~~1~!::! p~j
hA-
11
Tkll(t Upc.1) AChdd
ROUTING SLIP
"" ',1") Certificate of Occupancy
\ ~$47.00 Certificate/Inspection Fee
~ l'ORT "'-\'
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DATE J- J ~ -03
Address of Proposed Business
/J .')(1 W, R-Ih 9f-
Applicant Jefl/\ i H I II
Address I '34 K \ ff' ~t1t'1C1
P(~r+ A-rw Ir's {iJ~~{P~
Phone: business Slr'i-t',:} I 0 home L~'5J'~b3S
Brief description of proposed business:
New Business ............................ ( V)
Transfer of Business location. . . . . . . . . . . . . . .. ( )
Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( )
New Building ............................. ( )
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Temporary Business ....................... ( )
Change of Use.. ............ .............. ( )
Subdivision -r? A
legal Description: lot c;- Block z.~ 6
Current Use of Property: V,., ~ 0- '^' 1-
Zoning Classification of Property: . C. f\,L Q..3::. b
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . .
Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mechanical (heating. cooling, stoves) . . . . . . . . . . . . . .
Plumbing changes .............................
New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . .
New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New sewer service .............................
Admission charged to patrons. . . . . . . . . . . . . . . . . . . .
Is this a home occupation? ......................
Excavation of filling of lots .......................
Work done in City right-of-way. . . . . . . . . . . . . . . . . . . .
Is there sufficient off-street parking? . . . . . . . . . . . . . . . <::
New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . .
A grading plan for site drainage. . . . . . . . . . . . . . . . . . .
(parking lots, downspouts, etc.) ..................
Are the existing streets paved? ...................
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . .
Is there curb and gutter? ........................
Other........................................ .
YES NO
~-
1-_
-L_
~-
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.
APPROVED
REJECTED
"~k~
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
THE FOllOWING Will BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
Date:
J-/O--{)3
" l(/rJ7 i /'}. IJLLP
Signed:
,
Ilvi ce- LJ POll A-th i Id
:tr 10 1<(0)
ROUTING SLIP
"? ...0 Certificate of Occupancy
\ 1,.>-$47.00 Certificate/Inspection Fee
~'OAr A1~
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DATE
J- J a -03
Address of Proposed Business
fl aD WI ~+h S1-:
Applicant Jean i '=LJ J
Address l.3ll R \ fe.. R-OOd
. Pr:rt- A1~k:s C1Y;,~{P"3
Phone: business S lPS -"1'ri.1 D home 46J. -'7&3S
Brief description of proposed business:
legal Description: lot S- Block
Current Use of Property: \Ir"} c c>-'.A':\-
Zoning Classification of Property: C N
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes. , . . . . . . . . . . . . . . . . . . . . . . . . .
Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . .
Plumbing changes .............................
New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . .
New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New sewer service .............................
Admission charged to patrons. . . . . . . . . . . . . . . . . . . .
Is this a home occupation? ......................
Excavation of filling of lots .......................
Work done in City right-of-way. . . . . . . . . . . . . . . . . . . .
Is there sufficient off-street parking? . . . . . . . . . . . . . . .
New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . .
A grading plan for site drainage. . . . . . . . . . . . . . . . . . .
(parking lots, downspouts, etc.) ..................
Are the existing streets paved? ...................
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . .
Is there curb and gutter? ........................
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES NO
--L_
~-
-1L_
~-
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.
APP~~D
3~ze-~
REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
_kh\)
New Business ............................ ( V)
Transfer of Business location. . . . . . . . . . . . . . .. ( )
Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( )
New Building . . . . . . . . . . , . . . . . . . . . . . . . . . . .. ( )
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Temporary Business ....................... ( )
Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
z.~~
Subdivision ',? A
THE FOllOWING Will BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
1 0) Other
Date:
rJ-/ f}..-{)3
'" it kni ~. IJcLp
Signed:
Comments / Conditions
, ~I'
~
'''f'
I T
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Y'
,~
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1 \zJ...~IOL lJo LDI\l~, ROUTING SLIP 1f'"OAr.......
$'O~Q~t\'
I N 1!>>~ \ ~ESS - ~ Certificate of Occupancy o ~:Jis .
L~ -=-:or
=-
i'... $47.00 Certificate/Inspection Fee ~
.ou8l.ICW!fi".(J:>
DATE //- /?- .,.,;; ..-:>0 .:::z-. New Business ........................... . ( ~)
~
Address of Proposed Business Transfer of Business Location. , . , . . . . . . . . . . . . ( )
.,;'J:J/? u/. .R#. '<- .-r:~. ,
Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( )
,
Applicant /7 K...!)/ ~ ('7 ,. II /9 ,e Jt:l New Building .................. 0........... ( )
Address /ij~ W. Iln sf. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
'f:;-.,A- j' 19,1//: /; ~:5 PI)/). t/..?J ~;l.. Temporary Business ...................... . ( )
./ home:3to '/57 Y6</i Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . )
Phone: business (
Brief description of proposed business: Ad>z...L AC?A/,~
Legal Description: Lot S Block 2b~ Subdivision TPA
Current Use of Property: ...4f!.-, 'n~.,&; c.../V
r ,I
Zoning Classification of Property:
Will THERE'BE ANY OF THE FOllOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . _ -----1L PERMITS BUSINESS LICENSE
Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -~ 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . ./ 2) Plumbing 2) Peddlers
Plumbing changes ............................. _ V 3) Electrical 3) 2nd Hand Dealer
New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . . -LV 4) Mechanical 4) Pawn Broker
New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5) Sewer 5) Dance
New sewer service ............................. _ -1L... 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons. . . . . . . . . . . . . . . . . . . . - -J.L- 7) Driveway installation 7) Fireworks
Is this a home occupation? ..................... . -~ 8) Curb installation 8) Ambulance
, Excavation of filling of lots ....................... V 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-of-way. . . . . . . . . . . . . . . . . . . . -V 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? ....... . . . . . . . . . . . . ~- 15) Home occupation .'
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . L.-_ 16) .. Conditional use r'
Is there curb and gutter? ....................... . L.._ 17) Other .
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . --
,
.
I hereby apply for a Certificate of Occupancy and acknowl- -:f~' U /9 .:J(!)C) :2-
edge that I have read this application and state that-the Date: ,~- ,
~ t
information I have supplied is correct to the best of my ~_~ d!: ;:;'.d~
knowledge. Signed:
,.
-
APPROVED REJECTED Comments / Conditions Id"'/Dv - ~"- I.c...~
Building Section ~A~. Sk ~~ ''<1l.\.S ~&S Wl\.~ of<'"
Public Works Department ~ Do'\\i ,>. ~ ~~ u"d Ht,.. c/Dr~J
Planning Department ~r ~ or"lA . R.
Fire Department
City Clerk
P.B.I.A.
ROUTING SLIP ~~ORr ~I\'
~O~G~tl'
Certificate of Occupancy o h.-. .
.....~
=-
$47.00 Certificate/Inspection Fee '-'
"'tt8'ICwrfi"'4-'"
DATE , .- ~ - ",-'-' - - New Business ( V )
, , ........ ....................
Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( )
Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( )
Applicant - - /." ; New Building ( )
- ..................0.0........ .
Address '" J I I. // , -', Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
I
,. Temporary Business ( )
..- ".. ...................... .
Phone: business home ( ,( I Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: I- f ..
legal Description: lot Block Subdivision
Current Use of Property: " C~N
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ V 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . ". 2) Plumbing 2) Peddlers
--
Plumbing changes /J" 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 ............................ . -~ 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons. . . . . . . . . . . . . . . . . . . . '" 7) Driveway installation 7) Fireworks
- ---r::--
Is this a home occupation? ..................... . _-L 8) Curb installation 8) Ambulance
v ...
Excavation of filling of lots ....................... -- 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-of-way. . . . . . . . . . . . . . . . . . . . V 10) Water meter installation 10) Other
--
Is there sufficient off-street parking? . . . . . . . . . . . . . . . I . 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? ................... ~- 15) Home occupation
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . ~ 16) Conditional use
--
Is there curb and gutter? ....................... . /' 17) Other
--
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . --
I hereby apply for a Certificate of Occupancy and acknowl-
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: ,. .." ....... -
APPROVED REJECTED Comments / Conditions ~ -r A.: ~ ~ J>.-<'I .
Building Section ~ ~AY\:-TTI~. ~ ~\)_ cJI
///18/('/1.- \It. Public Works Department ~~ ~fi-~ ~~~~ ~~kQ
Planning Department oct \~ tf'. ~ ,--:sooP
Fire Department ~ ~ L\'\\ ~ n.--
City Clerk - 0
P.B.I.A.
ROUTING SLIP
. ~ Certificate of Occupancy
'{~ $47.00 Certificate/Inspection Fee
DATE>' R - d C)O ;;;-
,
Address of Proposed Business
r.:?~ t"J tt/' g# ST-
Applicant .r?-~/) 0 ,// J9;e 19
Address /4tJ W. II n sl-.
f?:...ef IJ A/b.- E" ~ S k}/9, '9 P.5 ~,1-
./ U/
Phone: business homa36'.o 15"7 /b'/Y
LJ..-r ~ '/
Brief description of proposed business: ~-4::l__
legal Description: lot ~
Current Use of Property: ~4
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . .
Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . .
Plumbing changes .............................
New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . .
New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New sewer service .............................
Admission charged to patrons. . . . . . . . . . . . . . . . . . . .
Is this a home occupation? ......................
Excavation 01 filling of lots ........... . . . . . . . . . . . .
Work done in City right-aI-way. . . . . . . . . . . . . . . . . . . .
Is there sufficient off-street parking? . . . . . . . . . . . . . . .
New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . .
A grading plan for site drainage. . . . . . . . . . . . . . . . . . .
(parking lots, downspouts, etc.) ..................
Are the existing streets paved? ...................
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . .
Is there curb and gutter? ........................
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
A2.4~
New Business ............................
Transfer of Business location. . . . . . . . . . . . . . . .
Change of Ownership . . . . . . . . . . . . . . . . . . . . . .
New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business .......................
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Block 2 b~
GIV
YES NO
v'
==4
_ --;7
-Lv
_-L
- -tL-
_-L
v
- v
==~
-~
_v
v_
5-==
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.
APPROVED
REJECTED
Subdivision T ? A
THE FOllOWING Will BE REQUIRED:
PERMITS BUSINESS LICENSE
1) Building 1) Taxi
2) Plumbing 2) Peddler~
3) Electrical ~and Dea~
4) Mechanical 4) Pawn Broker
5) Sewer 5) Dance
6) Sidewalk installation 6) Hotel - Motel
7) Driveway installation 7) Fireworks
8) Curb installation 8) Ambulance
9) Sidewalk obstruction 9) Tattoo shop
10) Water meter installation 10) Other
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
Date: ,.~J, /P,. .2.CJo:2-
Signed: q;,~ c2:- t::J~
V)
)
)
)
)
)
)
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
I~O-W
V#J
"1
~
ROUTING SLIP
) Certificate of Occupancy
1v; $47.00 Certificate/Inspection Fee
DATE,~r- / R - ~ 00.::2-
,
Address of Proposed Business
r:2~rJ y/, g#- ST-
Applicant rJ-;ej)/r 0 ,// J9/?19
Address /--sltJ kJ. 117Z S.;-.
~"e.r- /:3 A/t:.. E A.E S p,}/?, -9 Jl c1 ~;l...
Phone: business./ homa36'o tj5? Y6f/t.j
Brief description of proposed business: ~ ...CJ~
New Business ............................
Transfer of Business location. . . . . . . . . . . . . . . .
Change of Ownership . . . . . . . . . . . . . . . . . . . . . .
New Building ...................... _ . . . . . .
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business .......................
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . .
V")
)
)
)
)
)
)
Block 2 b cd
legal Description: lot S
Current Use of Property:~4
Zoning Classification of Property:
Gtv
Will THERE BE ANY OF THE FOllOWING? YES NO
Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . _ ~
Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . 'K' .. - 4
Mechanical (heating, cooling, stoves) . . . . . . . . . .. ":--- )
Plumbing changes ..................~.......... _
New or relocated signs. . . . . . . . . . . . . .. ..... O. .
New septic tanks. . . . . . . . . . . . . . . . . . . .. . . .....
New sewer service .................... ....~. . ~
Admission charged to patrons. . . . . . . . . . . . . . . .... . ~
Is this a home occupation? .............. 0" .' _-L
Excavation ot tilling ot lots ............... ..... _ V
Work done in City right-ot-way . . . . . . . . . . .. .. .... ---S
Is there sufficient off-street parking? . . . . . . . . . . . . . . . ~ ~
New driveway openings ......................... _ ~
A grading plan tor site drainage. . . . . . . . . . . . . . . . . . . _ V
(parking lots, downspouts, etc.) .................. __
Are the existing streets paved? ................... V_
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . ~__
Is there curb and gutter? ........................ ~
Other......................................... __
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.
APPROVED REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
Subdivision T ? A
THE FOllOWING Will BE REQUIRED:
\'J
N
()
ITS
~ uilding
. umbing
EI ctrical
M hanical
S wer
Sidewal . s all
7) Drivew i allation
8) ifr . stallation
9\ . ewalk obstruction
10)\ Wa er meter installation
r;~1) Fire
7 12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
E
\J)
7--
.5
Date: ,,~, /.9" .200:2-
Signed: r0~ ~ c:J~
Comments / Conditions
.~
t~
~
. . CITY OF'PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..
Property Address . . ..
ASSESSOR PARCEL NUMBER;
Tenant nbr. name . . .
Application description
Property Zoning . ; . .
Application valuation .
.'
03-00000228 nate
220 W 8TH ST
0630000266320000
TWICE APON A CHILD
3/06/03
SIGNS
100
owner
Contractor
MARKLEY. TTE DIANE L
PO BOX 2835
PORT ANGELES WA 983620333
OWNER
--------------------------------------.-------------
permit . . . . SIGN ----------------------
Additional desc
Permit Fee . .
Issue Date
Expiration Date
30.00
3/06/03
9/02/03
Plan Check Fee
Valuation . .
~oo
100
Qty Unit Charge Per
1.00 30.0000 PER S- SIGN LES THAN 25 SF
Extension
30.00
qJ
~
C)
Fee summary Charsed Paid Credited Due
~---------------- -----...........-, ----------
-------....- .---------
Permit Fee Total 30.00 30.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 30.00 30.00 .00 .00
8
~
.1
.~
Separate Permits are required for electrical work, SEPA, ShOreline, ESA, utilities, private .and public Improvements. This permitbecomes
null and void If work or construction authorized is riot commenced within 180 days, if construction or work Is suspended or abandoned
for a period of 180 days after the 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 knowthe 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 perrriit does hot
presume to give authority to violate or canceLthe provisions of any state or local law regulating ponstruction or the performance of
construction. .
Signature of Contractor or Authorized Agent Date
T:\PLANNING\FOIWS\I 102.15 [412002]
![
I'
i
I
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I I
YES NO
FOUNDATION:,
FOOTINGS
WALLS ,
'. FOUNDATION DRAINAGE ' .
ELECTRICAL (LIGHT DEPl) SEPARATE PERMIT: # .
ROUGH-IN I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN .
"
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS. I
CEILING I I .
FRAMING ,
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR! CEILING I I
MECHANICAL ,.
REA T PUMP
, WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
W ATERLlNE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
P ARKlNGlLIGHTING 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
CO~STRUCTION R- W.I PWI CONSTRUCTION. R- W.
EN lNEERlNG 417-4807 . PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
..
PLANNING DEPT. 417-4750 15:'- J PLANNING DEPT.
.
BUILDING 417-4815 I_ItU_ I{).~ ~IJ BUILDING
l
T:\PLANNING\FORMS\1 102.15 [412002}
'1
BUILDING PERMIT.; APPLICATION
FOR OFFICIAL USE ONLY:
DateRec.:g-~-o ~
Permit #: Z Z.~
Date Approved:
Date" Issued:
-Ie.
The Building Permit Application must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
Applicant or Agent-=r wire LJ pO n
Owner: ~ nl ~.~ H,' 1\
Address: '34 R; Fe. f<Dt\ d
A- Ch,'ld
Phone:
5(05 -(d-\O
Lft; d - '1l.t'36
Zip: q% 3(03
Phone:
City: P6 r+- ~e.\c.S
Architect/Engineer:
Contractor
Phone:
License #:
Exp:
Phone:
Address: City: Zip:
PROJECT ADDRESS: ;)J..D L,O, ~+~ S+-. FOr+- ~!~5 WNING:CAI
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name:
Billing Address: 131..\ g.i fe. Rd . City: PC'r-\- 1\n9L Ice:;
Credit Card #: Exp. Date: VISA MC
TYPE OF WORK:
o Residential 0 New Constr.
o Multi-family 0 Addition
IIil" Commercial 0 Remodel
o Repair
ORe-roof
o Move
o Demolition
VSign
o Wood-stove
QtGarage
. b Deck
o
SIZEN ALUATION:
SF. @ $ /SF. =.$
SF. @ $ /SF. =$
SF. @ $ /SF. = $'
TOTAL VALUATION $ 70& O~
BRIEF DESCRIPTION OF THE PROJECT:
P{a.~ 7;i3't"\ ( 8' X~' ')
lo
on
bOi \eH Nj 1TIrn+ (J4' )(14'> I
'f:g~ ~
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: ~ Lot Size: % Lot Coverage: %. .
Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. = TOTAL LOT COVERAGE: ~ /sq. ft.
PLANNIN9 ~E'pNLY: < ... ~ ~J'.. LAPPROVALS: PL~)_/t1~
Notes: /t:hO ~~. ~ ~ ffn ,3,=$2." ~AA~. ~ +JLJJ (' AI BLDG.
r-- ... . :~
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BUILDING PERMIT APPLICATION SUBMII'TAL: Your application and site plan must he filled out completely to be accepted/or
review. The Building Division can provide you.with more detailed information on the application and.plan submittal requirements. Your
completed application, site plan (for additions) and building constructionplans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Divisionto comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other
penmt fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, this application will expire. The
. Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certifY that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for
this permit. I understand it is not the City's legal responsibility to deierm{ne what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain such.
Applicant:~'~. ~
Date:
[;1-/3-0.3
T:\FORMS\APPS\Buildingpennit
I
.~~
-.r ,j
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]~
i9=.
d
\[)
-
Vl
--- -l
'-~-11,'i CC. L~ [)o1'/ /~ ~.i-/t Jdj ROUTING SLIP
~., :ertificate of Occupancy
~ ;47 l0 Certificate/Inspection Fee
DATE ~)-J ~ -(~ New Business ............................
Address of Proposed Business Transfer of Business Location ................
,~,~D ~/, ~ '/'~ ~'m Change of Ownership ......................
Applicant ~C-"'Li'~i HI Jl New Building .............................
Address I~bl ~Tc'd~ J'~'~"¢~:J Remodel .................................
PC~.F+ ~'¥q~_J~ ~'l,~.:~:~, Temporary Business .......................
Phone: business ~ home Lt~'-~//_,-'3~_~ Change of Use ............................
Brief description of proposed business:
Legal Description: Lot ~ Block ~.~'~ Subdivision
Current Use of Property: ~-~ (' ~-.-~
Zoning Classification of Property: ~
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes ........................... PERMITS BUSINESS LICENSE
Electrical changes .............................. 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers
Plumbing changes ............................. 3) Electrical 3) 2nd Hand Dealer
New or relocated signs .......................... V/ 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? ................... v/ 15) Home occupation
Are there existing sidewalks? ..................... I,./' 16) Conditional use
Is there curb and gutter? ........................ V/ 17) Other
Other .........................................
I hereby apply for a Certificate of Occupancy and acknowl-
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: ~_~/~//'/~/~' ~. ~
APP.)iV/ED REJECTED Comments / Conditions
~5'z ~ -~-r '~' Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
RB.I.A.
12/25/2007 13:45
3604523498
OLYMPIC ELECTRIC
PAGE 01
.
......
I
~:1 . .
.1, ..::-
,I
07-1Z;2~
.
ELECTRICAL WORKPERMJT APPLICATION'
Job wired by
glewl...l Co~It8CIOr a Owner
Installation deloription
o-:tommerdlll C RuldeDtlaJ
Eleccrieal contrlctOr nllme
Ol...m"',~ &....." 1";;L.
~t:,(raa.ilinalddreaIJ
f.j 2.J.? /C/"#f",,,,/'9 rh'1
CUb Stale ZIP
/b,--r ~~?/ U7- 7"rJ,5'z
Telepbone number FAX number
- -..? F.
U~"P'C number Dele Ekptres
OLYft'lPE-CU')" PI
o No.. 0 A1t.redlAddlll..
~1l"/"7 #/'//7/ r
.,
Premise!, o)'nerls D~t! _
G/W';rc?L./t?4? r
Addr..' .r 1..pteU.. 8.
;;z.~ V ,I'
CIt~,.-r d".-;;',.,
PbOlt a~ruber ~o';i~edille 1I11peclloD' ts: ~~t?7. ~
Ormu as dqlntd by RCw'/9.Z4.16/:{J) Owlle'r wfl/ <<,cellpy IJa~ J'Mlcturr I'" fWo
yam 4fW Ilia flJrcln"OGl pmllit Is jlMJiztd. (2) Owner u nqlJlrtd to Jairt an cfet:trlCDl
cotlJrGClor 1/ Gbo~ wi pt'Opelty u I'" .ale. "If' or 11aSe.
After ttadm, the .boYe .t&temcna- I iRon:b)' certllY !hI.' I am the owner or the abo....e
DllDcd pn3peny or a lIecpled elo"rili:B1 ~ntractot. I am matt", the eleCtrical m.tllla
laCioQ or _Ueration In compllaDce wilh the electrical law., N.E.C.. acW. Chapter
19.28. WAC. Cup". 29~6B. Th. Cily or ,... An..I.. ManJelp.1 Code. and
Ulllll)' Sp..Ir,"Ii....
Sica-duro!!! of owtln. eleurlul eontr.lclor or electrlul adml-plltrator
X ~ 'Date:i 167
Cl~h OCheclttl
afrcdil Card VIsa
MllSlereard
Discover
CordI!
. . .
-------------'---
"
Expiration D81e
of card
Sfllrvlce Informllllltlan
o NO LOAD CHANGES
IJ Baseboard ~ If(N
o I'UmllC8 _1f(N
o He.1 PumP _ Ton _ LAR
o Fan-Well _1f(N
o Ov.....ac1 Service
o Tomp Servleo
o Und.rground Sorvk:e
VallaQo
Ph.....alOS
S.rvlce Slzo: _
F88dor sao:
SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735
.
, ROOGH-IN TBERMOS1'A1' r SERVICE
D... Ap,""",tO By D... -....,. D.. App1'01'III6)
f1l: in ~AL ~ DITOI , FEEDER
'2S '7 D-IE
" Du. !!1.../ .... ~,clIlty ..,.,.YaJ 8)'
In.pcclion As~ enildingarEqllipmentlnapectod Action Ta.tetl Etsctrical
Dale Jnspcclor
~
/~
V ("" ~ ::>.
'~r
........ .../ '/ ))
.....:::::..,/
'.
FROM
DIRMOND COMMUNICRTIONS
FRX NO.
425 413 3904
. Nov. 27 2007 05:31PM P2
()7~
389
~~~.
tj
....-
;/.JEleetrical Contractor
ELECTRICAL WORK PERMlTAPPUCATION
Job "'ired by
(J OWDer
lrJ"llation dcscriptlOl\
","ColDlnerdat 0 Residential
Elcctrh:al COnlr.llctor name
l
aNew
a AUe.edJAddllloD
C n
Purchllscr's mailing Address
PO I?:>iW Cl( "
City
\-\-oin 0..\ '\-
Stare ZIP
K."I.l..~\r.. ..LV'\ Ol\l'j 0 +:
c.OlY\YY'\ux\[Cll..+iO/I eQ\)~
S- \OCGL-t-iclV'\S.
'7 25[:;C) ~
+0
Telephone number
'-\'2 -:;'-"1 '3d -Vi OlD g-
WA. qto;;,::,-
FAX-n\&mhlrr
L{'ZS- '-(r"5- 'D90
ccu...PCl.vVl - fA IJ.)o..r& ;:r D<\e. S
Addres5 of in5pecltou
;;lC1-Dt.l 'b..-l-..!:- f4Je...
City
"'P'o,,\- An <te..k ~
--
r\
PremIse! Owner's name
"...
'^' 'A-
q<;(3~L\
..),,'-'It:.
L.I"'~ ~ ~u,s.r.
PIlortt nllmber fo ub~duJe iD.,;pedJon:
'1Z.S--YbO> -
OW.ll~I' as defillM by RCw'J9.28.26J:(J) Owm::r will occUPJ' (he ~lructureJo' two
years aftu this electrit:a1 permjl l." ji'lulin-J. (2) Owt.er ;.i; rt.(jl4ircd 10 hire an c/cclrical
,""On/facto/' if abUl'l! :JU;d prVpf'rty ".f for ,SQle, rent or ICQSC,
After reading the abovc stalcment, r hereby certify that I am the owner ar thC above
nilmcd property or II licensed electrical contractor. I am making thc electrical instal-
lation or alteration in compli3nce wilh tne eJecfti&.l:l1 Jaws. N.f.C" RCW, CniJprer
19,28. WAC. ChaplcT 296-46B, The City of Pan A.ngcles Munioipal Code. and
Uliliry Specifications.
Slgftflr e ! owaer, clettrieal clint actor or elettTicDl admlllb:lralor
X. ~1iY2 - Date: 11!z7JJ7
Electrical LQild Additions and or subtractions
IJ NO LOAD CHANGES
o Baseboard KW
a Fumace _ KW
a Heat Pump _ Ton _ LAR
a Fan~WalJ KW
:Z~~ "t39 ~'fO
a Cash a <"'heck #
~CreditCard @
Card
Expirdtion Dale
of card ()~
Service Information
a Overhead Service
C Temp Service
o Underground Service
Voltage
Phaso IJ 1 a s
Service Size: _
Feeder Sizo:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
. ROUCH-lN llIERMOSTAT SERVICE
'~WIJ] ::'~y I
Pnlc Af'Il'Ovcdtly D~lC "'/lPI'OVW By
/' FINAL DlTClJ FEEDER
~~
O~I" ApplDVe4 By O~t~ App~Dy
Inspection Area. Building or Equipmeot fnspecled Electrical
Dal~ Aelion Taken Inspector
.-
.
-
Look Up a Contractor, Electrician or Plumber License Detail
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Electrical Contractor
A business licensed by L&I to contract electrical work within the scope of its specialty. Electrical
Contractors must maintain a surety bond or assignment of savings account. They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time
supervisory employee.
License Information
License DIAMOCl9880J
Licensee Name DIAMOND COMMUNICATIONS INC
Licensee Type ELECTRICAL CONTRACTOR
UBI 602085026 Verify Workers CQ.m-!L~remium
Status
Ind. Ins. Account 98384101
Id
Business Type CORPORATION
Address 1 PO BOX 96
Address 2
City HOBART
County KING
State WA
Zip 98025 I
Phone 4254326068
Status ACTIVE
Specialty 1 TELECOMMUNICATIONS
Specialty 2 UNUSED
Effective Date 9/11/2002
Expiration Date 9/11/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated GOWDEWLOO6N2 I
License I
https:llfortress. wa. g 0 vii nilb bi p/Dctail. aspx ?Li cense= D lAM OC 198 8 0 J
Page I of 3
11/28/2007
Look Up a Contractor, Electrician or Plumber License Detail
Page 2 of 3
'.'
i Electrical Administrator Information
.,'
License GOWDEWL006NZ
Name GOWDEY, W LAMAR
Status ACTIVE
Business Owner Information
Name
GOWDEY, JODI A
. GOWDEY,
: WILLIAM L
Role
Effective
Date
09/11/200Z
Expiration
Date
PRESIDENT
VICE
PRESIDENT
09/11/2002
r..0....~_-_.-
Bond Information
Bond
Company
, Bond Name
OLD
REPUBLIC
SURETY
CO
Bond
Account
Number
Effective Expiration Cancel Impaired
Date Date Date Date
Bond
Amount
Received
Date
#1
Until
YLlZ41160 01/11/2001 Cancelled
$4,000.00 09/11/2002
i Savings I~f~r;;~ti~~.... .~~ .....-.---.-j
...._ __.__.~~~c:hing Information.._......~..~.~J
-.'~-'---- --_._..._._~-_.~.__._---- "-~
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
. Insurance Name Number Date Date Date Date Amount Date
OHIO CAS BHO
#7 INS CO 52422535 03/01/2007 03/01/2008 $1,000,000.00 03/01/2007
OHIO CAS BHO
#6 INS CO 52422535 03/01/2006 03/01/2007 $170,000.00 02121/2006
OHIO CAS BHO
#5 INS CO 52422535 02101/2006 02/01/2007 $170,000.00 02121/2006
OHIO CAS BHO
#4 INS CO 52422535 03/01/2005 03/01/2006 $170,000.00 02/14/2005
OHIO CAS BHO
#3 INS CO 52422535 03/01/2004 03/01/2005 $170,000.00 01/27/2004
OHIO CA5 BHO
#2 IN5 CO 52422535 03/01/2003 03/01/2004 $1,000,000.00 02/18/2003
OH 10 CAS BHO
#1 INS CO 52422535 03/01/2002 03/01/2003 09/11/2002
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S.tacLa.N.e.w5e.accb Printer Friendly~jQO
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About Lal I Find a job at Lal I Informacion en espanol I Site Feedback I
1-800.547.8367
;(') Washington State DepL
state of Washington.
~
of Labor and Indu"tries. Use of this site is subject to the laws of the ~waSl'llnQ1on
https:llfortrcss. wa. gOY II n ilb bi p/Detai I. aspx? L i cense= D lAM OC 19 8 80 J
11/28/2007
------ ---'- -~....
~'
ELECTRICAL WORK PERMIT APPLICATION,
'"
Job wired by
)(Electrical Contractor 0 Owner
Installation description
)( Commercial 0 Residential
,-'
Electrical contractor name
License number
Date Expires
;.27.0j
DNew
o Altered/Addition
p, J(//llJ/A/4 HEe
Purchaser's mailing address
/0'1 NJ -r4 Pi
City
1-1J.1/IJWPVO
lJRiDD/3. ~(JbIB7
&W
V4
Telephone number
08 6/'/<;
State ZIP
C)f~g/
FAX number
2S" - I '-f 2 - 578'1
Premises owner's name
F))wMl.D JO;JES :J.tJVUrJ11Efv''Tf
Ad!I.~S;f i"Wectif -t# f.
City tORr
J/lEw 121Fe-l!:,:J-rAcll:!J , lw/rCHt;J t
F:LECTIlIC l-h:~'/I=l2f l/GH-rf'
,
~
10 (!(rc~,-tJ
,4,vq fLIES
Phone number to schedule inspection:
Owner as defined by RCW.19.28.261:(I) Owner will occupy the structure for two
years after this 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 above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468 The City of Port Angeles Municipal Code, and
Utility S ca iO
Si
o Cash
o Check #
o Credit Card
Card #
Visa
Mastercard
Discover
ctor or electrical administrator
Electr ad Additions and or subtractions
D NO LOAD CHANGES
:;a Baseboard D:.. KW
o Furnace KW
o Heat Pump Ton
D Fan-Wail KW
Date: 11'13: ")-t5in
~(2..,
2.0b . - t-t I -z.-b"'f1~
Expiration Date
of card
Inspection fee
$
Service Information
LAR
Q Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD1D3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
J.,J.A.4b
11/2.1107
ROUGH-IN
J'J/IJrp ~BY
THERMOSTAT
SERVICE
Dale
Approved By
Date Approved By
DITCH
FEEDER
--l1ItL
Approved By
Dale
Approved By
Date
Approved By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
"'. .~ .---:"
~ ~ORT...""
....-l.O~&~
i:S'~-. ~
~ 1iSiI
!~~m
~/,,~-<,.s
4-0RKSe.\l'
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
I P'""1T#07-13"31- I~
\
,
ADDRESS
226 w B-s
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
O. . . . . . . . . . .. . . . . ROUGH IN/COVER.. . . . .. . . . . . .. . 0
O. . . . . . . .. . . . . . . . . ... SERVICE. . . . .. . . . . .. . . . . .. . 0
0..................... FINAL...................)l\
CORRECTIONS NEEDED:
~X'LPc..Gt7: ubl-l~ IIN 'tSPXK
~M
~lJ\~eb~L-'; ~l\ Ut-H-,T~
-
-
_Cn\J~~ ,<L-17~<s rEON:L ~
'32.'$t-A Jo(~ LfX--V& +OR t-!:rz.FiT <_ ~ lZU)~
- -
'"&...AN 1<. I-DE. bl J) ~Gl \ .....L
:P:,~-H \2t6M
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PAINTERS, INC. (360) 452-1381
~z;;;' ELECTRICAL INSPECTION
<~~: WIRING REPORT
c::. .... w
'1--V4-0RKS.;,<-$ 417-4735
.
.
"
l.~
.f:>r
APPROVED NOT APPROVED
o ..,...,....""..... DITCH . . . . . . . . . . . . . . . . . . . . 0
~ '~~'n~. . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
0, . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
0, . . , . . . . . . . .. . . . . . . . . FINAL. .. . . . . ... . . . ... . . . . 0
CORRECTIONS NEEDED:
$1~~N Lt'iZ.c~
~r:ot/~_ -J>rI.1
1Kl<~~~\/ ~~
~fG) ?TZ0\1lU.T ~'1- ~"T1-') +- ~ )T-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
03/13/2007 22:32
'fY ,y
(~/A< .~ \
"- Cy (
ipl
4579270
SIMPSON ELECTRIC
PAGE 01
.
i
~~:''''.~"
~~;.
't'~;r.'"
ELECTRICAl" WORK PERMIT APPLICATION ·
. ., , .,/
}~[;f~~'
i;.....;.'..
:.inb wired by )i1JElectrie.J Contr.ctor 0 Owner
F.sta1 conS~ ~r~,'c strnn~$~lr 9'73D~jrC~
Pu'C""r;:t,'i"n~ ""d'C~' ~ W
~3o.3j:>_._ . JOI
City fC#-f ~-i-r~$ s'WIJ_ 9831:>3
Telephone lluml)cr FAX number -+
57-'7~70 ~~
Prcmtl)t~Rmtvt~
Addres~ of inSpeCtionW,....u ,
::J.2C . l'5:'U'J c-t
City () I
----1:0 12-:1'"-
Ins:tall:'ltion dc~t::rirtion
Q Commerdal )f! Residential
Cl New
, Altered/Addition
~ Z S~I'c..a
% ~.~ > 2GO :::;: >
I
r<.
~~)~ Wit
Pbnne nllmhel' to ~chedulc hupedlnn:
4-5 -. 7
O'llJ7fcr as (/(:(I,,('d "'.1' RCW 19.28.26I:(l) OW"t'f' ....'if! f)C(:"{/I' lh"I'frrtr:rurp. In/' rwn
years afier this clec".;cal perm;! r.\"ji"olizccl. (2) Own~',. is rf.'(jNlrc/J II) ;'Il'e t1.fJ df!r:lrlr.al
C(}}/IJ'(JCfl;ir !I" IJJ:mVIJ ,rl1in 1"'I'P!?!'~I' j~ .Ii)!' soJr'!. f'f!J/f (H' It!a.~l!.
Ar\er rc<.u.ling lhe above SlRlemL'111, J hereby certiry \ht\\ J rtm the: OWPcr ofthc above
n;ll'l"lc(l propcrt)' or ,'I Iiccn~e(l clCctr'iC;l1 contractor, I ::1m n1::1kin~ the electrical inlrtlJ1~
latinn nT alteratinn in compliance with thc electrical law:;, N,n.C. RCW. Chrtl'lC'r
19.28, W^C. Ch""lcr 296-46D. The CilY or Port ^ngclc~ Mllni('ipal Code. and
Utility Spceifical:iollS.
o Cash 0 Chock#
o Credit Card @ M$stcrcard Discover
CaTd# ___~_~____.____
actor or electrical .lfdminj~lrJUDr
, Date: 3}J'I )07
Expiration Date
of card
'll:;pC~'Lion reo.
$ 28.o.,Q
J>.<\OIJ!"eJnioJ.Illi!.t]Qn
!;te_cjrJ!'_l!!.~~~d Ad!lltlons and or s .. .!1:,!c!!ons
IJ NO LOAD CHANGES
o Baseboard KW
o Furnace KW ~ Ove(head Service
o Heat Pump _ Ton _ I.AR 0 Temp Service
o Fan-Wall KW 0 Underground ServiGe
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
VOIta.~Q
Phase IJ , IJ 3 <1-DO ".h<l>
Service S;te: 100 1l"1' ' f
Feeder Size: ____
DAIr.
^1'!"',Wet1 Ay
/ THERMOSTAT
\. "~It; AflflTtlved By
/
DITCH
~;~ ^!'!,,!'(Iv~d >iy
/ SERVrGl
\. n~lo: ^flflTtlved 8y
/ FEEDER
D.,.. - ^p~I'l'''<'t' f.ly
FINAL 1./7
~
lnspccti,)f'l
1)::IIC
Area. T3uilding: or Equipment Inspected
Ac\ion Tnken
Electricol
Inspector
, ;;; -1'5-~'1
PT.
/
.
Warnings
SUHClARD'"NHlIC SEem.!/:
HTeN:w~>
VOK
)( E'"
, c.ncet
Location ID:
Propertyadd,es8:
ASSESSOR PARCB. NUMBER:
147492
210WBTHSTA
O&JO.Oo-o.2.6632.000o-
location CriticaVSpecial NO~8S and Information
C$)
5
1&
'l?
:s:!l
07-00001525-
07-00001389
07-00001331
07-00001266
07-00001116
()7-00000913
07-00000263
03-00000218
03-00000140
ELECTRICAL allLY - ,tatus C OL-~Mfl<-
'[UCllUCAL aNn - ~tetu,. C Dt ALMo N 0
ELECTRICAL OlfLY - Stat\l.5 C RIDPu-t-b
PUBLIC VOlll'9 UTILlTES - 3t3tl13 PI
COm! PEmlPlL - Statw'l CO
SIVIlS - Sta~ C
ELECTRICAL omy - Ste:tus C
SIGNS - Status C
1:0- CHAllQ: or OeCp./WE - Statwf PR
~""f'$or,j
~
~It'i:lll, 'I "~NlUI.bet,lCode _ _ *~;;: DellCtlptH,n ," 0' ~ '" -" D",te S
, Open Appl
P Open App!
P OV'!:n Appl
P Open Appl
P OpMl Ioppl
P Open Allpl
P Open Ioppl
P Open Appl
P Open Ioppl
If \....-i.c~~
(CI~Y\(\"\ I
i.~~L..
lZjZ7/Z007
HnS/Z007
11/1412007
1013112.007
09/2612007
08/0312007
L i.-d.-c..::rJL-t C-_ 03/1412007
03/06/Z003
0211212003
,
Warnings
$UNQAREn'U$lIC SECTOR
H'H; NlIVilJnll'
"OK
y""
( Cancel
.
~
e
~
'i?
>-::J
~
locationlD:
Property addrns:
ASSE55ORPAACEl. NUtUJER:
lAB220
220 W BTH STB
06-30-00-0-2-6632-0000.
Location Crlth:al/Speclal Noles and Informatlon
It~1I Nuiibe~lCode DoaS'cnpt.1Qn [l'tte ~
r Open Appl
DutOLmOJl - 5U~ C
09/26/2007
07-0000111'3
,