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Home My WebLink About1431 W Ediz Hook Rd - Building This certificate is issue certifying that at the ti regulating building c" I Bus~ness name: , BusIness address: ~ Property owner: fA Pronerty owner's &d r , Automatic fire spri'l~ WfA Use & occupancy cl'a Building permit num '. 'f,~ Type of construction: \Y~ Occupant load: .. Pe Post on the premises in a conspicuous place. This (Y1~J .--- J: \Y III ~ -;' \V :s: 8\ .. j\, ~ ~ 0'--- J-tO/Oi CERTIFICA TE OF OCCUPANCY APPLICA TION Permit # 08 - 20~ CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 $50.00 $100.00 FEES Certificate / Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations Print in ink BUSINESS NAME BUSINESS ADDRESS $u, ~\?'l\L'~ S" {. . T'(A ,,.//,.1 q- Phone # L{';; ~- "\ )....'" <-( ~I q &-3102- , PLEASE NOTE: A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawnbroker, Dance, Hotel- Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information. Call for Certificate of Occu Building Department Inspection Please provide a min I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of m~wledge. ~ Date 7 If!! I () (I, Pc'ot Name "_~" N\R ~\b.J (' C 5'goaMe ~ ~-G..d ' I J ., ..WJL.I,. ..TttI;BI;.6.1;.6NY 9FJtlI;EQLLQWING? Nay" YESy" IF YES, CONTACT Electrical chances L...\ht.U ." Electrical Dep!. at 417-4735 New or relocated signs -;.oe-vv~ ,/ Buildinc Div. at 417-4815 Construction chanaes .., ~ V " Mechanical changes (ventilation, heating, coolinc, etc.) ,/ " Plumbinc chances .,., " Fire sprinkler system changes ./, " Fire alarm svstem chances v - " New or relocated sewer or water service ...... Public Works at 417-4807 Excavation or fillinc of lots " Work done in the City right-of-way " New driveway openings " Gradinc site drainaae (parking lots, downspouts, etc.) " Landscape irriaation system (backflow devices) Water Depl. at 417-4886 Is this a home occupation? Plannina Diy. at 417-4750 Is this a second-hand dealer or pawnbroker business? City Clerk at 417-4634 . Is there off-street parkinc for this business? ~ rr- 'i~ How many spaces? "2..0 I . Is the street in front of this business payed? ., Tl"' "t'e.-5 . Is there a sidewalk in front of this business? IJ' . Is there a curb & gutter in front of this business? rI pancv inspections before openina business: Please sign up for utility services 417-4815 & Fire Department Inspection 417-4653 at the cashier counter. imum 24-hour notice for inspections AC+IGN ','_d' ../. New business Transfer of business location from a PBIA location Transfer of business location from a non-PBIA location Change of ownership Remodel Temporary business Change of use y'" For City use onlv: Department Approved Rejected Comments / Conditions Initials & date Initials & date Building Type of construction Occupant Load Fire ~ I . 30 .cI( Automatic fire sprinkler system required no yes ~ ~ r~o":"'j. Y'.-e>_ "" Av.J.- ~~ c..r-u. ~( "'.. -- ~-- I e.-l E.A..t r. t....., t .., ""'" "' -\- . I Planning i ! ----_..----- !Ci~~~~~_-+-- I - V"II\.."-.tN's-t"-,,,-,.t- 'IF 5IJNF.Lw.....A- b~;;t?4J G~J~ .-_.-.._~ I ':'; I Ii ). i . . r. . ~,,- o..r' "- s: ..... " S (\.f.-e...~~ ',V\ f......+\f\.rL w-L \.<IiH .ut' L' ",,,1.(, \.Ju"", ! I r ,J J.- __ _~. .- .- _..L-- .~-Dl-jAA r ~ TForms/S,;;;d:ng DiViSiG.-::'~'r/i::':;lIE of OccupancY.Applica:ipll t7 t4:JJ\~" ~u.t ~-a:lUoR.. ~, j ~ p,.,.,-::;;....;j-J"~.-.-\ .0j~, -Yto..wl<u--f~T~-=-0.t; ~:=~ ~-~~~. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . Application valuation 08-00001268 Date 10/03/08 128276 - 1431 EDIZ HOOK RD 06-31-00-0-0-0000-0000- ELECTRICAL ONLY PUBLIC BUILDINGS & PARKS o Application desc Repair service mast Owner Contractor CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES WA 983620217 OWNER ~ Permit ELECTRICAL ALTER COMMERCIAL Additional desc MAST REPAIR Permit pin number 135822 Permit Fee .00 Plan Check Fee .00 Issue Date 10/03/08 Valuation 0 Expiration Date 4/01/09 .J: \)J Fee summary Charged Paid Credited Due ---------- ------ ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 ~ V ~ ;r.. 8 1\ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH-IN . FINAL OMMENTS: ,\. ,. . CERTIFICA TE OF OCCUPANCY APPLICA TION Permit # 08 - gO~ CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 r--~ FEES ~Certificate / Inspection $100.00 Parking Business Improvement Area (PBIA) fee charged for downtown locations Print in ink BUSINESS NAME BUSINESS ADDRESS Business owner's name ~ efT Business owner's home add ess )(:)J- $u, ~1~'l\.L\-~ S,< ,. TtI(A'N/,Jq-. Phone # L.( ~).- i)..y ~ . \)15l <\- ~~ s/ q t 310 l- PLEASE NOTE: A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawnbroker, Dance, Hotel- Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information. AC:r:IGN..---- - .. -./--- New business 1---. Transfer of business location from a PBIA location Transfer of business location from a non-PBIA location Change of ownership Remodel Temporary business Change of use ~ Call for Certificate of Occu Building Department Inspection Please provide a min _ JLYll,.1--IIi!;B~6.1;_8t.:JX_QLTttE_EQLl,.QWING2 Na/ YES/ IF YES, CONTACT Electrical changes L ~\ hiAJ ,,;' Electrical Dept at 417-4735 New or relocated signs I"'~y-~ ./ Buildinq Div. at417-4815 Construction changes .... ~ V " Mechanical chanoes (ventilation, heatino, coolino, etc.) ,/ " Plumbing changes ". " Fire sprinkler system changes ./, " Fire alarm system chanoes V " Ne'N or relocated sewer. or water serVice Y" Public Works at 417-4807 Excavation or filling of lots " Work done in the City riaht-of-wav " New driveway openinos " Grading site drainage (parkino lots, downspouts, etc.) " Landscape irrioation system (backflow devices) Water Dept at 417-4886 Is this a home occupation? Plannina Div. at 417-4750 Is this a second-hand dealer or pawnbroker business? City Clerk at 417-4634 ~ . Is there off-street oarkina for this business? ~ rr 'ic.-s How many spaces? Zo'I . Is the street in front of this business paved? " rt" ~e5 . Is there a sidewalk in front of this business? ~ . Is there a curb & outter in front of this business? ./ pancv inspections before openinq business: Please sign up for utility services 417-4815 & Fire Department Inspection 417-4653 at the cashier counter. imum 24-hour notice for inspections I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of mts;edge. , Date 7(8/ () g Print Name , '^- ~ JO..J r ~ For Cil use onl : Building Fire PBIA Planning I City Clerk Pubiic \Ncrks S;gnatuc. ~ ~--J. . Rejected Initials & date Comments / Conditions Type of construction Occupant Load Automatic fire sprinkler system required no yes ..,.".. r~o";"'j. ~.,_ J.-o....~ 1cJ~ c..r-u.. ",( It,. " fl., l uA- r~ c..., of 7 " "'" H... - L"-"\A.t..vs-t"-,,,-.L. .,F SldIi'\:JF;L~T' "-;le<l'j c..~,~ o~ ~ $)'" ., S t\.(.e..~~ ...... ,f--t\<\.r'L 1,J.t. wHI j.t.Jt'V _~'\AAn..~ ~L("'M-1f-S_..__ I~--r-~(,,"tr t-/o-Q(. ~ ~ ~. -- ~. \) ..:- ~~ T:Forms18,::lding Divisio...../Ce;:ih:.::jle of Occupancy.~pp!jc2tion e.. e>g-lz(J3 a'.O"T~... l.~~" ,-~.. ..... r-=...\. 1.\~1 "''t'~'~ _.0 ELECTRICAL WORK PERMIT APPLICATION Job wired by o Elcctrical Contractor 0 Owner Installation description ~ommercial 0 Residential Electrical contractor name License number Date Expires o New ~!ered/Addition r\,~T )2.,~p.,,\\? () O~ I N & Purchascr's mailing addn.:ss City State ZIP Telephone number FAX number pcm,is,e~/J\'OF nam~~T A N b~ c,G;..5 - Address of inspection I t.J 3/ €.-D I Z- J-Lt() K ci"Po\Z.T AN bk-~> ~ 93~~ I'hone lIumber to schcdillc inspection: Owner as defined by RCW/9.28.261:(l) OWller lI'i/l occupy the sfrllclurejiH fll'O years after this electrical permit is finalized. (2) OWl1er is required (0 hire a/1 eleclrical contractor if' above said property is fill' sale. rent or lease. Aller reading the above statement, I hereby certifY that] 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 296-46H, The City of Port Angeles Municipal Code, and Utility Specifications. o Cash 0 Check # o Credit Card Visa Mastercard Discover Card # Expiration Date of card Electrica I. Load. Additions. a o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW SefYice.lnformation o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 0 3 Service Size: Feeder Size: SAMLQAY.lNS.~ECTlON. CALL BEFORE..1:00 AM 16.0.=.U7-=.4.73.5. ROUGH-IN THERMOSTAT /' SERVICE 7/;;;(tFJ ~ Dale '\l'l'n"-ed By Date Approyed By 'f~ /,;: /r;~NAL ,~ DITCH FEEDER Dale Appro'-ed By "- Date Al'pruycd Uy....-/ Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector