HomeMy WebLinkAbout913 W 8th St - Building
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ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
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DATE
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Address of Proposed Business
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business 'I1,'71J/]khome
New Business ............................
Transfer of Business location. . . . . . . . . . . . . . . .
Change of Ownership . . . . . . . . . . . . . . . . . . . . . .
New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business .......................
Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Applicant
Address
1. p..
Phone:
Brief descriPtion/Of prp,E3sed business: , ~
It f? T _...JoWlE L 12 Y
legal Descripti&n: lot - Block
Current Use of Property: I/A......... -ki\]I
Zoning Classification of Property: C-s h
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
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I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information , have supplied is correct to the best of my \
knowledge.
APP~9>,ED
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REJECTED
Subdivision
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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
Date: q /;1 ;; DcCJ
, I tZ
Signed: (11(-....
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
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Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
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ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
Applicant
Address
Pk.
rap ed Business
lJJ. ~
KE.N PL~v.Jf:
7/.5 W. ~Ttt S,-
W.A. 9&3~3
business r 17-0/.Jb home
Phone:
......-.
New Business ............................
Transfer of Business location. . . . . . . . . . . . . . . .
Change of Ownership . . . . . . . . . . . . . . . . . . . . . .
New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business .......................
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Brief description of .prpposed business:
. ...Jr5W~L1C Y
legal Descript on: lot __ Block
Current Use of Property: \/ k......... ~
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 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 ~
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V'-1L...
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~-
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~~
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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.
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
REJECTED
...,
~oo
Subdivision
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: q /;1 ) :LocO
f I 12
Signed: K..tJ----- _
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Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.ae
ELECTRICAL PERMIT
PERMIT NO. .;;;2/6 Ii
~ I/~r
,
DATE
Site Address:
'0 READY FOR ILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
I-
Owner/Business Address:
Sq. Ft.
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
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Details/Description:
l(/~ c&t/:;).; 4~
e.
W.S. No. Service
Capacity: 0 OX 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 Pian Review approved/pending
..
Installer: New Meters
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Notify the Department of City Light by Street Address and Permit Number when ready for inspec ion. Work
must not be covered or eiectrically 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. 158 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /6 tf!!?
. Inspector .Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
gI~
Site Address:
OLY/olPIC PRINTERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
j
Site Address:
I.
Installed By:
OwnerJBusiness:
Owner/Business Address:
o Residential 0 New Construction
Heat KW 0 Remodel
o Baseboard 0 Furnace/Boiler ~Service update/alter/repair
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;
~)'~, (~
PERMIT NO. ~CJ.7~.
DATE IQ.~$~
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o Overhead
o Undergr~~ Y1J
Voltage A- GO!
~'10 03.0
Service size ~ Amps
o Temporary
.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
~)sl O.K. to connect service
i~ Final O.K.
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of Inspection
o Plan Review approved/pending
Site Address:
PermitfReceipt No.
/ '11:z.,
New Meters
o
Notify the Department of City L ght by eet Address and Permit Number when ready for inspection. Work
must not be covered or electrically ene Ized before inspection and O.K. for covering or service has been given
by the Inspect in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ tt!!...
Amount paid
PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
.
OLYMPIC PRINTERS, INC.
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. 17ya
If ~~,/O
DATE
.
Site Address:
o READY FOR #'LL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
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 Remodei'
o Service update/alter/repair
o Overhead
o Underground
Voltage
o 10 03.0'
Service size
%Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Speciai equipment
(list below)
Amps
Detai islDescription:
.
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
o Rough-in/cover O.K.
.~):('O.K. to connect service
.0'"'1'1.._1 O.K.
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 Pian Review approved/pending
Installer:
Site Address:
.
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.158 or EXT. 224.
'I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / 6' ~
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
CITY. OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15622
Plirt Angeles, WashlngtOnoom.._/.=.~.~.mm.m.........moom, l!l.2.h
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 Angeies. per-
mission is hereby granted to ~ e~ctricai work as listed below.
Address n-.f~-J.m~~-:lij-~oo~.mb ___~yoo.m______________oo OCCUpanCy__.fru-<_Cl.-._______________.oo.m__oooo
Owner m.c~z.4-m. .. -.:4-"71m.-- -;,e}\anLoomoommoo....oomoomoo_.moo.____mmoom..m__mmoooo
Wiring Contractor -I&.~ -----moo.__f4;...J/a:..~--- By._oooom.mm___m..___moomoom__m_______m___m.moooo
Light Outlets............m................_.._..... Service, volts ............m......h................ Type of Wiring:
Armored Cable ..........................-.-
Receptacle Outlets.....__..h....................
No. wires ....................._...._............
Dryer, KW........__..._.........................._.
Size wires..........mm.......h.........._..
Range, K\V h_..............h................
Main fuse .......................................
Water Heater:
Enclosure .......................................
KW.____________________________________.________.
Ileat: Kw___/o_m...d!3___m____m.
Type of wIring:
Entrance Cable _............................
Motors: size. volts and phase:
Rigid Conduit m.m.....m................
Metallic Tubing ...._............
Current transformers:
No. & Size.............................
Ser. NO................h...........h................
Ser. No.....-........................................
Ser. No. ......0............._........................
Non.Metall1c .uuu..........................
Knob & Tube................................_
Rigid Conduit ..___m__________m__________
Metallic Tubing .m__m__m__mm_____
Raceway ......................._......_..._
Circuits, LighL..............m._..................
Utility _.__mm__________m_.___m_m_________
II eat .......................-..............-......
Ran~e ..................__....................-__..
Water Heater ...............................
Motor .............................................
Dryer......_......................._...._............_
Furnace .........................._......_...........
~~=~.~~~ot~:::;~:d__:~~~:::::::::~:~~_:.~__~__:=~~::~~:.O~;~~_~~~l__.-=~:~:~
Pennit Fee
Treas. Receipt
NO..mm.oomoooom.moooo
By oo9lt!-Jt..<<:.L~~c-
$---..00.........00_......------.......
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15622
Address........................................................................................................................................Date..._.........._......_.........._......_....___.........
Owner ..........0......0..__............._......_.._.............._.._.................._........................................ Tenant..h........_...................hh......__............__..........
WiringContractor.................__................_.....................................................................................By..............................................................
NOTICE-Current must not. be turned on unttl Cert1f1cate at Inspection has been issued. It work is to be con-
. cealed due notice must be given the Inspector so that work may be inspected before concealment.
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