HomeMy WebLinkAbout725 S Lincoln St - Building
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Building' pllision ",' ~\~'"
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This ~ertJP;:il[i9"~,~?$~~"~iY~t to the requi!,~'!J.~f. ,ofSection'p9 of the
uniform Bi(llrJi1Jg:C:M.e cef"IY.!~giJfi/!:q,t,;:fl?~)inie i/IJJ~~ ~J;is strltcture was
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in cOl1i'pJianc.e'wiih the 'VQ1'iOtlS;fJldinaifCili.'o[ffle:Citj,regulatbig BrJ.ilding
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OwnerofBusinessIResidenciTonY'j'H. Kim/Younq K~',..;ChEm'q A~~~ 3206 Cedron~' Dr. N.E.Olympia WA.
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, efes. WA 98262
2, 2001
Date
...~US place.
.,t.lding Official.
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DATE f '/30 ( 0 0
Address of Proposed Business
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Phone: I business (-::>,l:D) ').~.- home c..~bo)
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Sn,oke -t
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ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/lnspectton Fee
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Brief descnptlon of proposed business:
"
New Business ............. ..............
Transfer of Business location. . . . . . . . . . . . . . . .
Change of Ownership . . . . . . . . . . . . . . . . . . . . . .
New BUilding . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business . . . . . . . . . . . . . . . . . . . . . . .
Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SubdiVIsion ,i>A
legal Description: lot 10 Block 230
Current Use of Property. Re. h,,' t
Zoning Classification of Property: C-S D
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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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. Signed:
JElD
REJECTED
\
? J 2/01/00
/<JJ~ ) 11.~/ol
/7-ldDv 8u.
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Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
aJ1 C_~~ b-, ~-
~ - / ~
6J4 rt/~ ~
Installed By:
c:;:z ~
/-her/~
Owner/Business:
OwnerfBusiness Address:
o RESIDENTIAL
.B COMMERCIAL
o BASEBOARD KW _
o FURNACE KW -
o FAN/WALL KW -
o HEAT PUMP KW_
o SIGN
c
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
& ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
PERMIT N03 7 c:f~
DATE ~ /?? /;13
I /
phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
Details/Description:
.
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
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
AIA~ Final O.K.
Site Address:
702S-
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Notify Port Angeles City Light by Street Address and Permit Numberwhen 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.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ /0 t!:f!-
Electrical Inspector 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
ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE ONLY
Date/Reo:::
Permit/!:
Date Appro\led
The Electrical Permit Application must be filled out comDletelv.
Please type or reprint in ink. If you have any questions, please call (360) 417-
4735
Fax number: (360) 417-4711
REQUEST INSPECTION 0
Owner or Elec. Contractor Agent: 11I1Lf/tI/(SI;;1IJS X-.J./iEc'7AI C
Property Owner: D ft V 15 iz.R I CI r' So ,.,;
Address: '725 SO t-I J,V co L..J1J City:
Electrical Contractor: )/A'LV I'! l<' <;; {'IIi- Ai.$; 8/ t:C 77? ) c
.
/4 2 (, I1J JJ IiJ
Phone.
Fax:
Phone:
Address:
Po I? 710./ All: GrJ.. ~
License ##/jL Jle)EZ t!11pCJ.
P~R T A ;t./t:; ELiii!;r;
Zip: 9fI? ~~ C
Phone: 1 !1?-?BtJ 3
Zip :3 B3~ "3
City:
INSTALLATION WIRED BY:
o OWNER ~LECTRICAL CONTRACTOR
Credit Card Holder Name' JlItLVO~SIEKJ.s ~LJ:: erl? I C
192(,. H.I /) It
Credit Card Number:
. ?()
City: PtJ/?i Itj.JGIeL.~
Exp. Date:
.
Zip: ,9gg.1e '3
VISA~ MC,--
Billing Address'
PROJECT ADDRESS'
'7 2 5 ;;"0 CoI WCdt-ft/
TYPE OF WORK:
Check all that apply: 0 New
o Alteration/Addition
o Residential 0 Multi-family
f;!... Commercial 0 Mobile Home
Sq. Ft
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sigr
Number of Circuits added or altered:
V a.
DESCRIPTION OF THE ELECTRICAL PROJECT:
PERMIT FEE: .t1'1.e ()
Service Information
Electrical Heat Load Additions
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
_KW
_TON
_KW
LRA
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
/ hereby certify that / have read and examined this application and know that same to be true and correct, and / am
authorized to apply for this permit. I understand it is not the City's lega/ responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature: IJ-. ~.....<!iA ?u ~~
Owner or Elec. Cont. Signature:
C :lELECTRICALPERM IT APPLICATION
Date:
If /J'l )~iJ,
,
Date: