HomeMy WebLinkAbout509 S Liberty St - Building Certificate of Occupancy /
~e~ificate/Inspection Fee
DATE {~ ~ ~ ~ ~ New Business ............................
Address of Proposed Business Transfer of Business Location ................
Change of Ownership ......................
Applicant ~c~ ~e~ ~m~ New Building .............................
Address $O~ ~ t:,~eC~ Remodel .................................
Phone: business ~-G~ ~ home ~%~ Change of Use ............................
Brief description of proposed business: ~ Q Q ~ ~ ~ ~ ~[~ ~
Legal Description: Lot ~- t~4~H -I~ Block ~ Subdivision ~
Current Use of Properly: ~
Zoning Classification of Prope~y: ~1~0 R~
WILL THERE BE ANY OF THE FOLLOWING? YES/ NO THE FOLLOWING WILL BE REQUIRED:
Construction changes ........................... / PERMITS BUSINESS LICENSE
Electricalchanges ............................ ~ 1) Building 1) Taxi
Mechanica~ (heating, cooling, stoves) .............. / 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 se~ice ............................. / 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? .............. / 1t) 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) Gonditional use
Is there curb and gutter? ....................... ~/ ~ 17) ~her
Other .......................................
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date: (.~ / ~ tC)~
knowledge.inf°rmati°n I have supplied is correct to the best of mySigned: "-)"Q'~'~I~'~'L'~/ E~),,.¢
A~D REJECTED I~/"Z.~:.~~ Comments/Conditions
Building Section
Public Works Department
Planning Department
Fire Depar[ment
City Clerk
RB.I.A.
CUPANCY
City of Port An~
Building DiVision
This _ issued pursuant to the ~ the
i t ~
Uniforrr~uild ng Code certifying hal ~ ~ was
in c~npliance with the various Ordinances C e
~ construction or use. For the following:
Us~ Classification: ~ CaFe Building P~tmi~ No,: _ Business Name:
Group: E-3 , I 'l~peofConstruction: V'N UseZon~:
Address; An
Port Angeles, WA.~ 98~62~
2003
Date
place.
Shall not be ilding Official.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
7L'z/.5
7//7/93
, ,
DATE
ELECTRICAL PERMIT
Site Address:
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
~'DENTIAL
D COMMERCIAL
D BASEBOARD KW _
~ FURNACE KW ~
q . FAN/WALL KW ------r-
1lII. HEAT PUMP KW-L--
D'SIGN
D TEMPORARY SERVICE
1l PERMANENT SERVICE
~ NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
D OVERHEAD SERVICE
~ UNDERGR~O D SERVICE
VOLTAGE: Ld.~~~
,!'! SINGLE PH SE
D THREE PHAS~~
SERVICE SIZE ~ AMPS
Details/Description:
#uu- ~
-
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
k--I'j{ Rough-in/cover O.K.
V'f;J O.K. to connect service
D Final O.K.
Installer:
New Meters
.
Notify Port Angeles City Light by reet 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.
~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
~ 3D c9;!J
Electrical Inspector
Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Sile Address:
PERMIT NO.
-VOl/'/'
7//r/Y3
I
DATE
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
i
qwner/Business:
Owner/Business Address:
I
r
o RESIDENTIAL
D' COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o I' FAN/WALL KW -
o HEAT PUMP KW_
DrSIGN
DJtailslDescriPtion:
,
......d TEMPORARY SERVICE
)[] PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~
/j~
l.h~~f.
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
W.S. No. SERVICE SIZE
CAPACITY:
I 0 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
o Final O.K.
Site Address:
Lt'
Installer:
:;
Notify Port Angeles City Light b 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. 8' (}-()
~ ~ NO OCCUPANCY OR USE eSTABLISHED UNDER THIS PERMIT $ tt> 0 0 -
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPfC PRINTERS INC.
GREEN - Top: Meier Dept., Bottom: City Hall
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . INSPECTION REPORT . . . . . .
REQUEST:
Date /-/'3 -06
Time 7.: (/V AI'I^ Received by / ( 7
(PhOne,~~
Location of Work to be inspected !)OC,S6/,kr/y
Name of person requesting inspection vV4fe r tf if.
Address of person requesting inspection /7 u 3. S <> f? S I Phone No. (/ /7- </'r5lf'1
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. e~ G<.../C1..fe~
INSPECTION NOTES:
Inspected: Date ,-/1;-0(;
Remarks:
i;:
c:.]: r7l vi' "-
b \ c!.e eL7
,
Time /l-; UlJ iJ;vo By 7/7
/
0/ -eqK r If' /.:l::w' -e-d. c-.- { (L.. /1, eM / .
I
RESTORATION REQUIRED . . . . .. YES X NO
ft
b"JJL
[; rh. !-.:I.1' -1
;"LI
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...
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
D Asphalt D PCC rtrOther/OtI ~t' /
'f".' I
Work Order #] '" ~ l{). - / C70
[] COMPLETE
}(iNCOMPLETE
(Continue on reverse side if necessary)
!':TRFFT !':lIPFRINTFNnFNT
/DATE I