HomeMy WebLinkAbout716 S Chase St - BuildingReviewed by
PORT ANGELES FIRE DEPARTMENT
FIRE ALARM SYSTEM PLAN REVIEW
Project Name: Busy Bee Daycare
Address. 716 South Chase
Plan 06 -01 Installer• Hi Tech Security Date: 1 9.2006
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances.
This system is required to be monitored by an off -site central station monitoring company
The building must be equipped with a KNOX locking keybox.
Contact the Fire Department at 417 -4653 for a KNOX order form and for mounting
location information.
The following comments apply to all systems.
1 All systems shall be installed per NFPA 72.
2. A final field acceptance test will be conducted before final approval. The field
acceptance test will be a test of ALL system components.
NOTE. Pnor to the issuance of a Certificate of Occupancy, compliance with the above
conditions must be met.
Building Department Copy
Contractor/ Owner Copy
Fire Department Copy
W12 (U
Light Department 00 1/
Date: (•4 •0C9
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
JOHN RALSTON ET AL TTE
PO BOX 1405
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
WA 983620259
FIRE ALARM SYSTEM
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5` Street, Port Angeles, WA 98362
05 00001236
293988
716 S CHASE ST
06 30 00 0 2 3085 0000
BUSY BEE DAYCARE
FIRE ALARM SYSTEM
COMMUNITY SHOPPING DISTR
8000
Contractor
HI TECH SECURITY INC
723 E FRONT ST
PORT ANGELES
(360) 452 2727
68791
150 00 Plan Check Fee
1/26/06 Valuation
7/25/06
Qty Unit Charge Per
1 00 100 0000 ECH FIRE INSPECTION TESTING
1 00 50 0000 ECH FIRE ALARM PLAN REVIEW
Special Notes and Comments
This project will require a seperate permit and fire alarm
plans for review
Call for cover inspection for all sprinkler installations A
full acceptance test will be required for all fire alarm
systems
Charged Paid Credited
Permit Fee Total 150 00 150 00 00
Plan Check Total 00 00 00
Grand Total 150 00 150 00 00
Date 1/26/06
WA 98362
Due
00
00
00
00
0
Extension
100 00
50 00
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
visions of a tate or local law regulating the work specified in the permit.
nature of Contractor or Authorized Agent Date Signature of Owner
g (if Owner is builder) Date
Call 360- 417 -4655 for fire inspections. Please provide a minimum 24 -hour notice It is unlawful to cover, insulate
or conceal any work before inspected and accepted. Post permit in a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
Inspection Type
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough -in inspection
Alarm final
LP -GAS
Underground piping inspection /pressure test
Above ground piping inspection/pressure test
Tank (container) inspection
Appliance inspection
LP -gas final
GENERAL COMMENTS
FIRE PERMIT INSPECTION RECORD
1 Date Passed
E pi 4
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable /combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
I I l0
Test #1
Piping pressure test
Time initiated
Test #2
Piping pressure test
Time initiated
Comments
Completed by Contractor-
2/15/00
psi
psi
1
Owner Contractor
HUBBARD KATHY
716 S CHASE ST
PORT ANGELES
(360) 452 6753
WA 98362
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000078
Application pin number 470412
Property Address 716 S CHASE ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 3085 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMUNITY SHOPPING DISTR
Application valuation 0
APS ELECTRIC
546 BENSON RD
PORT ANGELES
PORT ANGELES
(360) 452 6753
Date 1/26/06
WA 98363
Permit ELECTRICAL NEW COMMERICAL
Additional desc APS/ FA CIRCUIT AND TRIP FEE
Permit pin number 69781
Sub Contractor APS ELECTRIC
Permit Fee 78 60 Plan Check Fee 00
Issue Date 1/26/06 Valuation 0
Expiration Date 7/25/06
Qty Unit Charge Per Extension
1 00 42 2000 EL -LOW VOLT SYS =2500 SQFT 42 20
1 00 36 4000 PER EL PARTIAL INSPECT 36 40
Fee summary Charged Paid Credited Due
Permit Fee Total 78 60 78 60 00 00
Plan Check Total 00 00. 00 00
Grand Total 78 60 78 60 00 00
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH
ROUGH -IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES NO
COMMENTS
PW- 1102.15 [4/961
Owner
BUSY BEE DAYCARE
716 S CHASE ST
PORT ANGELES
WA 983620259
Permit ELECTRICAL NEW COMMERICAL
Additional desc HI TECH SECURITY/ FA SYSTEM
Permit pin number 67348
Sub Contractor HI TECH SECURITY INC
Permit Fee 53 60 Plan Check Fee
Issue Date 12/19/05 Valuation
Expiration Date 6/17/06
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 05 00001241
Application pin number 725600
Property Address 716 S CHASE ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 3085 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMUNITY SHOPPING DISTR
Application valuation 0
Contractor
HI TECH SECURITY INC
723 E FRONT ST
PORT ANGELES
(360) 452 2727
Date 12/19/05
WA 98362
Qty Unit Charge Per Extension
1 00 42 2000 EL LOW VOLT SYS =2500 SQFT 42 20
1 00 11 4000 EL LOW VOLT SYS >2500 SQFT 11 40
Fee summary Charged Paid Credited Due
Permit Fee Total 53 60 53 60 00 00
Plan Check Total 00 00 00 00
Grand Total 53 60 53 60 00 00
COMMENTS /ACTION NEEDED
00
0
1
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CODER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH 1 1 1
ROUGH -IN COVER 1 1 1
SERVICE 1 1
FINAL 1 /.2 /s.aroi;550
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
1 1 1
1 1 1
1 1 1
1 1
COMMENTS
O Electrical Contractor Owner .to....0
O Annual Permit Alarm Carnival Commercial Residential Residential Maint. Signs Thermostat Telecom.
/installation description
Job wired by C] Electrical Contractor Owner
Electrical contractor name
Purchaser's mailing address
3'23 ,ii s-t— C2.
C
Telephone number
34,6 152. 242
'Premises owner's name
L'S Q
Address of inspection
I to S m GNda__
Cit
DPW
Inspection
Dale
WALLS
Insulation Only
Cover
0
ziea
State ZIP
WA 48
FAX number
c q 2 8 SG 0
/Signature of owner, electrical contractor or electrical administrator
ADDNvcd By Dat6
Date Approved Hy Due
Electrical Load Additions and ortractions
NO LOAD CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
Azkigac
License number
CEILING
Insulation Only
Cover
Approved By
Approved By
ELECTRICAL WORD PERMIT APPLICATION
Request Inspection
Cash Check
I hereby certify that I am the owner of the above named property or a licensed Credit Card
electrical contractor (or the firm s authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW card
Area, Building or Equipm nt Inspected
Expiration Date
1 card
Td l4 8T TT S00E ST 09S8 ESP 092 'ON Xdd
t.aSTP LL c t
S.{S'r-tr(1
o�
Visa Mastercard Discover
Inspection fee
53 6, C
THERMOSTAT SERVICE
Date
J Date
Cl Overhead Service
Temp Service
Underground Service
Approved Hy Dote
DITCH 1
Approved By Due
Service Information
Voltage
Phase 1 3
Service Size:
Feeder Size:
Action Taken
Approved By J
FEEDER
Appr ved Y,y
Electrical
Inspector
AVJ
SD I NM110310 H981 I H W021d
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. I. our application and site plan MUST BE
V V1T'I LL E l.V be accept= iv. e if ii„ an- Lent•.. f1:11
i1-
PERMITS (360) 417 -4815 F_AX(360)417 -4711
FOR OFFI 14114/05
IAL,>;pNLl
Date Rec.
Permitn 23C�
Date Approv
Date Issued. V
Applicant or Agent: U l ec_L S e e_ u r j I nc Phone y 5, a7a 1
Owneriu3� ('?‘111‘ iG�5e� Phone
U
Address City Zip
Architect /Engineer Phone
Contractor k 1 <LAA 5 e.C.) U r A State License #1.11TEC`[S 955BSExp i11401 Phone. 1 15D a1 A
Address 1 aZ 'T.... f ro A. SA. City Rat A r U Zip 3C
PROJECT ADDRESS 7 I S cs C ha s e ZONING
LEGAL DESCRIPTION Lot: Block. Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK. SIZE/VALUATION
Residential New Constr Re roof Stove SF /SF
Multi- family Addition Move Garage SF /SF
X Commercial Remodel Demolition Deck SF /SF
Repair Sign Othe TOTAL VALUATION 5 4, VIV
BRIEF DESCRIPTION OF THE PROJECT I r s IA V Ire- A\q z OA ;,As
E 3o8 S 2 Exc, ert
COMIMERCLAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type:
No of Stories Lot Size. Existing Sq Ft. Proposed Sq Ft. TOTAL Sq Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
APPROVALS
PLAN
BLDG
DP1V U
FIRE
OTHER.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CTTECK FEE IF a plan check fee. is due it must be submitted at the time the building permit apphcation and construction plans are
submitted. All other pemut fees are due at the time of pernnt issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the 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 R105.3.2
of the International Building/Residential Code, 2003) 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. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are fquired ,not the City's, and that I must obtain such permits prior to work.
T•\Policies\BL 1102_13.wpd Applica
Date: R I
'PAM 05 -tl
PORT ANGELES FIRE DEPARTMENT
FIRE ALARM SYSTEM PLAN REVIEW
Project Name: Busy Bee Daycare
Address. 716 South Chase
Plan 06 -01 Installer• Hi Tech Security Date: 1.9.2006
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances.
This system is required to be monitored by an off -site central station monitoring company
The building must be equipped with a KNOX locking keybox.
Contact the Fire Department at 417 -4653 for a KNOX order form and for mounting
location information.
The following comments apply to all systems.
1 All systems shall be installed per NFPA 72.
2. A final field acceptance test will be conducted before final approval. The field
acceptance test will be a test of ALL system components.
NOTE. Pnor to the issuance of a Certificate of Occupancy, compliance with the above
conditions must be met.
1
A Building Department Copy
Contractor/ Owner Copy
Reviewed by
Fire Department Copy
Light Department
Date: q O
cam l23 7<L
S r
E
HD
HD
Laundry
Smoke Detector in return air duct
PLANS APPROVED BY
Kitchen PORT A NGELES FIRE DEPT
SD
Office
1 SD
0
Bathroom
SD
BathYoom
Pull SD
N 5
HaVv y
Utility Room
SD
After School
SD
O
SD
0
SD
0
DATE
SD
O
Pre School
n Pull
7
Busy Bee Daycare
SD
0
Toddler
1/
SD
0
SD
0
Office
FACF
FACP
SD
0
Pu
Entry
SD
0
Bathroom Bathroom
a
4
O
CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Division
This Certification issued pursuant to the requirements of Section 109 of the
Uniform Building Code certifying that at the time of issuance this structure was
in compliance with the various ordinances of the City regulating Building
construction or use. For the following:
Use Classification: Dav Care Center Building Pennit No.: 05 -985 Business Name: Buzi Bee Dav Care Center
Group: B Type of Construction: V -N
Owner of Business: Kathy Hubbard
Building Address: 716 S. Chase Street
f- ?72
No. 83
Buildin�.Official
Address: 716 S. Chase Street.
Use Zone: CBD
Port Angeles. WA. 98362
Port Angeles. WA. 98362
March 2. 2006
Date
Post on the premises in a conspicuous place.
Shall not be removed except by Building Official.
4
O
I
~?/3
-:;
9{3~
> '7/M.'O to r1-o~ l?Ib 06.- , .
: , .
ROUTING SLIP ~f/I,J( !1Zc::c ./ ~ - ~ l'OAT-1o\-
lO~Q~t
bJ'U ~E.l2.. '}:>..~"-t' ~:E UzAm:.t-certificate of Occupancy" /-7-06' ~
___ -==..3f
=-
$50,00 Certificate/Inspection Fee '-
~LIC"d''''
DATE /0/., /0 f" New Business. .P. ':-'.~ ~',I!~~. , /?~y.~, ':"~, ,4z~tr )
Address of Proposed Business Transfer of Business location , . . . , . . , , . . , . . . ( yeS)
71 (, S ~~ ~:~ ~//&.rt.-'I Change of Ownership . .... ............ .... ( )
Applicant V J+ vkb()lrcl New Building . ...... .... .... ........ ..... ( )
Address /110, S 6-J"I'" ~A. W" Remodel . . , . . . . . , . . . , , . . . , . . . . . . , . . . , . . , ( )
.
Temporary Business. . . , . . . , . . , , . . , . . . . . . , . ( )
Phone: business i./ 17' S- ~ tltl home L( f< -0/00, Change of Use . , , . . . , , . , . . , , . . , , . . , , . . , . . ( )
Brief description of proposed business: D"'-y L"J>-....c &.."'" -1-("..
legal Description: lot lei /7 ,I ~ Block "Z..:lO Subdivision -r;)c...J.,..s. :-k
Current Use of Property: Va. t' ",-"",f. - ,^-"Cl....S; e-... .d h y .... ,. LD... I ~y4y
,
Zoning Classification of Property: Co~~...(' ,Ie:- J
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED:
Construction changes . . . . . . , , . , , , . . . . . . . . . . , . , , -~ PERMITS BUSINESS LICENSE
Electrical changes . . . . . . . , . , , , , , . . . . . . . . . . . , , , . - --X- 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) ..",........ _ ---.:L 2) Plumbing 2) Peddlers
Plumbing changes. , , , , . , . . . . . . . . . . . . , , , , . . . . . . -~ 3) Electrical 3) 2nd Hand Dealer
New or relocated signs , , , , . . . . . . . . . . , . , , . . . . . . . -- 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? . . . , , , , . , . . . . . . , . . . , . , --X- 8) Curb installation 8) Ambulance
Excavation of filling of lots. , , , , , , , . . . . . . . . . . , . , . . --A- 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? . . . . . , . . , . . . . . . . . . . ..!)L - 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- /d 1,/0)-
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my fjr~ ~/;,r~~
knowledge. Signed: -
Jr,7~ 'ljREJECTED Comments / Conditions
Building Section
I ~ l' Public Works Department
10 J) -os-sf(, Planning Department
-J..{DD Fire Department
10-10 -D~ - ~0 City Clerk
P.B.I.A.
.. I . .
~i7r7~waShjngton State
~t- DEPARTMENT OF
7~ SOCIAL & HEALTH
\ SERVICES
TO: BUILDING INSPECTOR
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES, WA. 98362
FROM: DCCEL, REGION 5 (MARTHA STANDLEY)
201 WEST FIRST ST, STE #2 (360) 565.2272
PORT ANGELES, WA 98362
~
SUBJECT: RECEIPT OF APPLICATION TO PROVIDE CHILD CARE
This is to inform your office that we have received from:
BUZI BEE DA YCARE CENTER
NAME
716 SOUTH CHASE
STREET OR BOX NO.
PORT ANGELES
CITY
98362
ZIP CODE
an application to establish a
CLALLAM COUNTY CHILD CARE CENTER
TYPE OF FACILITY
for 90
children
at See above
STREET
See above
CITY
ZIP CODE
We will be acting on this application within 90 days of receipt.
While this department does not assume any responsibility for the enforcement of local ordinances, including
those pertaining to zoning, land use permits, etc., we have advised the applicant to contact your agency
regarding your requirements.
If your office is not responsible for zoning, land use permits, building codes, etc., please forward this notice
to the appropriate agency.
Contact person is Kathy Hubbard at (360) 417.5544.
.
'l
CERTIFICA~E-eF"QCCU P ANCY
~~ortAiig~
/~ BUildln~viSiO~,\
This ekcation issued.fl.Ursuont to the requim!,ents of Section} 09 of the
UniJorfBfi/ding Codr.~rtifying that a(.!he tim..!.. ofissuanc~ this s~cture was
in co,mpliancewith the er!..ous' rdinances"of the CJ"i! refS!Jl2.tf!;g Building
I !..-Jtonsl ~ rm 0 t 'sf;; !!1r.thefollo1il1t~ 1
Use Classification: Offic~~...Bui~ Pennit N : BUfmess NaJD!l:" Gounselin Inc.
\~ ~ r
Group: B.. . . . .' .. or CSD
Owner of Business/Residenc\ ' \ddfegS:.3l~:"~~~2:~~P{~~1:;Ies. W A 98362
Building Address: 716 Sou ... - % ..~ '.. .... ~,' " Al98362
~er 17 2001
Date
1---
I ,j)9" .. .'....
ROUTING SLIP
r.." Certificate of Occupancy
$47!O~;Certificate/lnspection Fee
~l j %2 vi
New Business ... 0 . . . 0 . . 0 . 0 . 0 . . 0 . 0 . . 0 . 0 . . 0 ( )
Transfer of Business Location. 0 . 0 . 0 . 0 . . 0 . 0 . . 0 (XJ
Change of Ownership . 0 . . 0 . 0 . . . . 0 . . . . . . . . . 0 ( )
New Building . . . . . . . . . 0 . 0 . . . . 0 . 0 . 0 . 0 . 0 . 0 .. ( )
Remodel. 0 . . . . . 0 . 0 . 0 . . 0 . . 0 . 0 . 0 . 0 . 0 . 0 . 0 . . 0 ( )
Temporary Business 0" 0 . 0 . 0 . 0 . . . . . . 0 . 0 . 0 .. ( )
Change of Use 0 . . . . . 0 . 0 . . 0 . 0 . . . . . . . . . . . . o. ( )
Applicant
Address
Phone:
I3rief description cff p.. roposed'business: .X ~ {I ~ e
hI'( {'~11 p I ..t:l+ ~ c.!c..,A; oj
Legal Description: Lot J., -t / e Block
Current Use of Property: A,//)rl/ tf"
Zoning Classification of Property: (JO'"'M /If ~y ~ L
()vtd.t,~#f (lAlMrt!'7 "1~/
23'0
Subdivision
^'
J ~, ___---
c<) l~
. THE F/.O~WING WILL BE REQUIRED:
PE;RMITS ~ BUSINESS LICENSE
1) Building 1) Taxi I
Will THERE BE ANY OF THE FOllOWING?
Construction changes. . . . . . . . 0 0 0 0 0 . . . . . . . . 0 0 0 0 0 .
Electrical changes 0 0 0 0 . . . . . . . . . 0 0 0 . . . . . . . . . . . 0 0 0
Mechanical (heating, cooling, stoves) . . . 0 0 0 0 . . . . . . .
Plumbing changes ....... 0 0 0 0 0 . . . . . . . 0 . 0 0 0 0 0 . . .
New orctel;;;;t~d .i1gns . 0 0 0 0 . . . . . . . . . 0 . 0 0 0 0 . . . . . .
New septic tanks. . . . 0 0 0 0 . . . . . . . 0 . 0 0 . 0 0 . . . . . . . . 0
New sewer service ... 0 0 . . . . . . . . . 0 0 0 . . . . . . . . . 0 . 0
Admission charged to patrons. . . . . . . 0 0 0 0 0 0 . . . . . . .
Is this a home occupation? 0... 0 . . . . . . . . 0 0 0 0 . . . . .
Excavation of filling of lots . 0 0 0 . . . . . . . . 0 0 0 0 0 . . . . . .
Work done in City right-of-way. . . . . . . . 0 0 0 . . . . . . . . .
Is there sufficient off-street parking? . . 0 0 0 . . . . . . . . 0 0
New driveway openings . . . . . . 0 0 . . . . . . . . . 0 0 0 0 0 . . .
A grading plan for site drainage 0 0 0 0 . . . . . . . . . 0 0 0 0 0 0
(parking lots, downspouts, etc.) 0 0 0 . . . . . . . . . . 0 0 0 . .
Are the existing streets paved? 0.. . . . . . . . . 0 0 . 0 . . . .
Are there existing sidewalks? . . . . . . 0 0 0 0 0 0 . . . . . . . . .
Is there curb and gutter? .. 0 0 . 0 0 0 . . . . . . . 0 0 0 0 0 . . . .
Other. . 0 0 0 0 0 0 . . . . . . 0 . . 0 0 0 0 . 0 . . . . . . . 0 0 0 0 . 0 . . . . .
YES -*
. ~
-F--
-~
-~
X_
- ----ox
=f
~~
~==
~-
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
2) Pei:ldrers
3) '2n'<1'Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) 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.
APPROVED
REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.BoI.A.
~ro~
'vU
~
..
g.- V N"- C.Sj)
ROUTING SLIP
~/ Certificate of Occupancy
$ __Certificate/Inspection Fee
1.V660 \ Q...M~
eo",." se..l; "C-!)
kc....
/Y1ov IF ~ ;/-
Phone:
New Business ............................ ( )
Transfer of Business Location. . . . . . . . . . . . . . .. (?<J
Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( )
New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Temporary Business ....................... ( )
Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
PI1-1,~ t
e..,c.
Legal Description: Lot /7 "'If /6 230 Subdivision
Current Use of Property: .lVtJYI/ t:F
Zoning Classification of Property: ()o-m~~ ~ C. S,b
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . .
Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . .
Plumbing chan es .............................
New or elocated ns . . . . . . . . . . . . . . . . . . . . . . . . . .
New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New sewer service .............................
Admission charged to patrons. . . . . . . . . . . . . . . . . . . .
Is this a home occupation? ......................
Excavation ot tilling 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 ~
~
-r--~
-~
--X
$
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
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. Sign
~
REJECTED Comments / Conditions
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
koo
9-/9-Q( pi)
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
PERMIT NO. 3?7"?
DATE ~/'5"" /7':3
~ READY FOR
T INSPECTION
License Number:
Installed By:
Owner/Business:
Owner/Business Address:
o RESIDENTIAL
~ COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
)1?l ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
DetailslDescription:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
W I/!-l.-
~<4/1 ~ S~
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
D OTHER
o Ditch Inspection O.K.
,1)9 Rough-in/cover O.K.
o O.K. to connect service
r"!fJ Final O.K.
Installer:
Site Address:
Permit/Receipt No.
..:J1
New Meters
Notify Port Angeles City Light by Street Address and rmit umber when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given b the electrical inspector in writing on either the Wiring Report
or on the Building Permi!. PHONE 457-0411, EXT. 224. t!U?
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
~ $ ~o
Eleclricallnspeclor Permit Fee
.
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
GREEN - Top: Meter Dept., Bottom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO <;/cFbO
//~tJ~f/
, ,
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW
o HEAT PUMP KW_
o FAN/WALL KW
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
~ SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
~ OVERHEAD SERVICE
o UNDERGRO~ SERVICE
VOLTAGE: /Zf) ;;z/f'D
o 1 rp )r3'rp
SERVICE SIZE ~SO AMPS
FEEDER SIZE AMPS
/UtJ1.
.
7~ ;1? /,us-~// 0?'
r:s~:~~'flt31. nJ
(
8md~ c 0-1 C&h-.
/VEt...,' pi1-l2#- A/ cYSO "KCM/ I
I
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
~ O.K. to connect service
'0 Final O.K.
Site Address:
7/~ SO.
~
permit57&;~
-"
Installer:
New Meters
.
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 Building Permit. PHONE 457-0411, EXT. 224.
~
~Iectrjca' Inspector
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
lUe
Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meier Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
.'
ELECTRICAL PERMIT
CITY OF PORT ANGELES
LIGHT DEPARTMENT
Site Address:
~6 S. Cj/-lHE
H<eC1'(llc.. ~fC.((VJ(f
. IASI <-Ivltt <eft..;) 1St
Installed By:
Owner/Business:
Owner/Business Address:
10 Residential
Heat KW
'0 Baseboard 0 Furnace/Boiler
10 Heatpump 0 Other
~Commercial/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
~Remodel
o Service update/alterlrepair
TlAdd/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai IslDescription:
Rf'Wlfl'i.
PERMIT NO. /10 0>
1!-z<j--'i7
DATE
o READY FOR )(WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Phone:
Sq. Ft.
o Overhead
o Underground
Voltage
o 1~ 0 3~
Service size
o Temporary
Amps
JJrW
r
lit!('o/"liJ lAir
~
M5A-'r" .
off7c If
~t)jJ 'fN'r
I
.
w/~!. A-tJ ~ Ac I:::v Z'2.;
(TJ./t (U P IJ 01 "-.A-L -;=v 15 )7~ /L-
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
D15I[<.:11 insp"<.:t1ulI O.K. ~~
MO-~Rough-in/cover O.K.')C. ~
DO.K. ta eeflASet serviee ~
~'Final 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 Plan Review approved/pending
Site Address:
J /~ s:-
e Ait
s t: tZ.-U I CIc..
Installer:
[('icTllle
Permit/Receipt No.
/ Ofo
New Meters Date:
..-G- 11- pf- - 37
Notily 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 /ltpector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, .EXT. 158 or EXT. 224.
r NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 3'0 e-
Inspector AfTlOunt paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
.
\
l,
OLYIo4PIC PRI~TERS. INC:.
S.
="
\!. .,.
""''''
Job wired by ~lectrical Contractor IJ Owner
Electrical conmctor name License numbc1'
-PO lec;t(t-/ Ca t'S
PUJ'C~.aner'! mail~a~~r:ss
f)'t b ~~'tI
ELECTRICAL WORKPERMlT APPLICATION
.
rnst:l.ll~tiOf\ description
~ommerda1 0 Residential
o New
~tered/Addition
+: j...e. a.l41 TYI c.. " l'-C u ,i-
<
...,j..o +V--I L+ee?..
.,
'€.....--
.
./
City fJ .A .
:rbon~ pumber to sc.hedllle inspedion:
. '15 rb-r5
Owner as defined by RCW.19.28,261:(1) Owrter will occu.py the Structure for IWO
Yl!a'.~ afte7' t/iLf elecrrlcal permit is filla/jz~d. (2) Owner ~ n~qf,ircd /0 hire an elecnual
cOIln-nct?' if a.9(we said prope1'ty 1:~ for .tell!. rent ()r te.ase.
After teadio& the above statement, 1 herehy certify that.l am the owner of the above
named property or :l licensed electrical contractoT. ( am making the eltctrica.1 instal.
J.!ltion or alteration ;n compliance with the clcclrical1aw$. N.E.C., RCW. Chapter
19.28. WAC. Chapter 296-46B. The City of Port Angeles Munic:ipal Code, and
Utility Specifications.
Signat
1:1 Cash
IJ Check #
~Ir-h-
IJ Credit Card Visa
Card #
Masrercard
Discover
'~or "~t:~;: ;;i~~(o
- -
----------5i.;LfO--
x
S~rvic~ Information
Electrical Load A tlons and or subtractions
IJ>(NO LOAD CHANGES
o easeboard I'm
CJ Furnace t<YI
o Heal Pump Ton LAR
o Fan-Wall KW
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phass 0 1 0 3.
Service Size: _
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-TN THERMOST.U / SERVICE
~
D~ API""'\I~ ~y [l/t,U, Apprg\lcd By '- V~te ApPfg\lOO Dy
/ / FEEDER
1h. HNAL DITCH
.). Z</ .i,/",,# /)
v.1JW "'Pf'f1>>'edBy D~IC App",v~t ay D~l~ ....llDro...;d.By
Illspec!ion An::a, Building or Equipment Inspected Action Takc:n Electrical
Date Inspector
-
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"."--"~",._'-" .. .' ..
J-~ '1"- Db ,k: -
~
cd W~0[:80 900c vc 'uer
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