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HomeMy WebLinkAbout110 E Railroad Ave - Buildingo CERTIFICATE_OHF OCCUPANCY City of Port Angeles Building ,Division This certificate is issuedpursuant to the requirements of Section 170of the 2006 International Building Code certifying that atihe4irne.ofissuance this structure was in compliance with the various ordinances of the City regulatinebuildiUg:constructionor usefor the following Business name :Labrie::Glass-BrOwer `8,,RBS` Business address 110E 'RailroacrAve (Ownet:;pacir4 Labrie) Property owner City of Port,Angeles Property owner s,addresS PO Box 1150 POrtArigele8, WA ,98$602 1 7 Automatic fire sprinkler-System Per 1BC Use occupancy classification. Business: Occupant load Per 2006ABQ Thblert,004 Building permit number Type of construction VO. iM ander 03/18/10 Date Post on the premises in a conspicuous place. This,certificate shall not be removed except by the Building Official. P1 a21 rr "7 s PREPARED 3/16/10 8 35 34 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/16/10 ADDRESS 110 E RAILROAD AVE SUBDIV TENANT NBR BLOW HARD GLASS CONTRACTOR NORTHWEST TIMBERLAND HOMES PHONE (360) 417 0626 OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 5 0 0080 0000 APPL NUMBER 09- 00000902 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 11/06/09 JLL BLDG FRAMING TIME 01 00 11/06/09 AP November 5 2009 4 40 05 PM 1pangrle PAUL 509 362 4040 FRAMING AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE November 6 2009 3 30 12 PM jlierly BL99 01 3/16/10 �L BLDG FINAL TIME 01 00 March 16 2010 8 30 15 AM 1pangrle PAUL 509 362 4040 BLDG FINAL AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 11/12/09 JLL MECHANICAL GAS LINE 11/12/09 AP November 12 2009 9 50 38 AM 1pangrle PAUL 509 362 4040 GAS LINE PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE November 12 2009 4 01 17 PM jlierly ME99 01 3/16/10 MECHANICAL FINAL TIME 01 00 March 16 2010 8 31 25 AM 1pangrle PAUL 509 362 4040 MECHANICAL FINAL AFTERNOON COMMENTS AND NOTES PREPARED 3/05/10 8 57 32 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/05/10 ADDRESS 110 E RAILROAD AVE SUBDIV TENANT NBR LABRIE GLASS RBS STUDIO CONTRACTOR NORTHWEST TIMBERLAND HOMES PHONE (360) 417 0626 OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 5 0 0080 0000 APPL NUMBER 09 00001010 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 3/05/10 BLDG FINAL March 4 2010 2 29 24 PM 1pangrle PAUL 509 362 4040 BLDG FINAL SIGN FOR LABRIE GLASS RBS STUDIO COMMENTS AND NOTES PREPARED 11/12/09 9 54 44 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/12/09 ADDRESS 110 E RAILROAD AVE SUBDIV TENANT NBR BLOW HARD GLASS CONTRACTOR NORTHWEST TIMBERLAND HOMES PHONE (360) 417 0626 OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 5 0 0080 0000 APPL NUMBER 09 00000902 COMM REMODEL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 11/12/09 J L 1 1 MECHANICAL GAS LINE November 12 2009 9 50 38 AM 1pangrle PAUL 509 362 4040 GAS LINE PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE COMMENTS AND NOTES PREPARED 11/06/09 9 00 38 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/06/09 ADDRESS 110 E RAILROAD AVE SUBDIV TENANT NBR BLOW HARD GLASS CONTRACTOR NORTHWEST TIMBERLAND HOMES PHONE (360) 417 0626 OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 5 0 0080 0000 APPL NUMBER 09 00000902 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 11/0609 BLDG FRAMING TIME 01 00 November 5 2009 4 40 05 PM 1pangrle PAUL 509 362 4040 FRAMING AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE COMMENTS AND NOTES INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE fg2.5 c) -V ROUGH IN I0[of 97 14k\ FINAL 12 6 ttC 'Y COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 320 amp meter base Owner CITY OF PORT ANGELES P 0 BOX 1150 PORT ANGELES Permit Additional desc Permit pin number 155416 Permit Fee 113 75 Issue Date 10/21/09 Expiration Date 4/19/10 Qty Unit Charge Per 1 00 113 7500 ECH EL 201 Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983623003 113 75 00 113 75 ELECTRICAL PERMIT CITi OF PORT ANGELES 360- 417 -4735 09 00001088 973952 110 E RAILROAD AVE 06 30 00 5 0 0080 0000 ELECTRICAL ONLY CENTRAL BUSINESS DISTRICT 0 113 75 00 113 75 Contractor ELECTRICAL ALTER COMMERCIAL NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 1764 q2:B /1107 Plan Check Fee Valuation 400 SRV FEEDER Paid Credited Due 00 00 00 Date 10/21/09 00 00 00 00 0 Extension 113 75 Signature of owner or Electrical Contractor X Date City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417-4735 Fax: (360) 417-4711 Date. O 0 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* *Plan Review May Be Required, Please Complete Electrical Plan Re i ew Information Sheet Job Address: \O Y'� l� Building Square Footage. 2 \P\`MscO \CLe Description of above ah V Owner Infor Name: Mailing Address: City' +F\ State. t\ ZitY Phone—\ Fax: License Exp. Unit Charge Qly 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75,00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 RECEI1D? er(10 2009 ELECTRICAL INSPECTIONS Total (Qty Multiplied by Unit Charge) $ervice /Feeder 200 Amp. 3.1 S Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat \3, 1� Total ure of owner electrical contra -1 r or CieC dminist.ator L' Cash Check f Q 0 C i i ;l Qn e L a Contractor Information Name. `(�O4'��, C 6\.. C.■) e_c Mailing Address. *.c;) Y`2 ,\.JPc Vf\ a_ City 6 State \9 Zip: 3l9 Phone. 1 1 Fax: \1...L— Q 1 V0 License Exp O- `Pe Q, 3o'C"12_- Owner as defined by RC W 19.28.261 (1) Owner will occupy the structure for two years after this electrical pennit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certif ,ot I am the owner of the above named property or a licensed electrical contrac, .r I am making the electrical installation or alteration in compliance with the electrical law N E.0 RCW Chapter 19.28, WAC Chapter 296.46B, The City of Port Angeles Municipal Code, and Utility Specifications Application Number 09 00001010 Date 10/12/09 Application pin number 774420 Property Address 110 E RAILROAD AVE ASSESSOR PARCEL NUMBER 06 30 00 5 0 0080 0000 Tenant nbr name LABRIE GLASS RBS STUDIO Application type description SIGNS Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 1500 Application desc WALL MOUNTED SIGN FOAM LETTERS ON N SIDE OF BLD Owner Contractor CITY OF PORT ANGELES P 0 BOX 1150 PORT ANGELES Fee summary CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 WA 983623003 NORTHWEST TIMBERLAND HOMES P 0 BOX 3028 PORT ANGELES WA 98362 (360) 417 0626 Permit SIGN Additional desc FOAM LETTERS ATTACHED TO BUILD Permit pin number 154435 Permit Fee 85 00 Plan Check Fee 00 Issue Date 10/12/09 Valuation 1500 Expiration Date 4/10/10 Qty Unit Charge Per Extension 1 00 85 0000 PER S WALL SIGN OR MARQUEE 25 SF 85 00 Special Notes and Comments October 12 2009 1 01 09 PM sroberds The proposal is to permit 46 sq ft of signage on a structure in the CBD 166 sq ft of signage is permitted for the subject structure No land use issues are anticipated Charged Paid Credited Due Permit Fee Total 85 00 85 00 00 00 Plan Check Total 00 00 00 00 Grand Total 85 00 85 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 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 laws and ordinances governing this type of work will be complied with whether specified herein or not. The granti it s not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perform. ce of co ction. ate Print Name Signature o Cont fs'•r or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION Date Accepted By Footings Stemwall Foundation Drainage Downspouts R.W PW Engineering Piers Fire Post Holes (Pole Bldgs 417 -4653 PLUMBING FINAL Date Accepted by Under Floor Slab 417 -4750 Rough -In Water Line (Meter to Bldg) Gas Line 3J1n1Planning /t Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wail Floor Ceiling MECHANICAL. FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 417 -4750 Building 417 -4815 3J1n1Planning /t PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T.Forms /Building Division /Building Permit Applicant or Agent Property Owner Property Owner's Add ractor /Engineer ontractor /Engln is License SIGN PERMIT APPLICATION CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 L alzc G, LA SS 12 ,615 s ress Date Print Name vd4R --p� Wpglr -uobe r ibiut Inn Me. t r StA i•DeP l /116 Address JD t�)G .5D2$ Pe7gfr L3' 0 T Forms /Building Division /Sign Permit Application.doc \c 4004 For City U Da Received e it ®q at Approved Signature Phone Phone Print in ink Phone 41 0624 A l v a M A P S a v P 43 to Z Expires iwA -c, Project Address Business Name Parcel Number Lot Zoning 63 'Q'.11: evAIDlo Submit an 8 IA" x 11 "site plan three sets of plans that include. Type of sign (wall- mounted projecting freestanding illuminated other Placement and sq. ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code of the City of Port Angeles Municipal Code for sign requirements. _P T .z .4 rl G 't1&b.---11 1 ,14 '''1 ALT•vi A■ Totals (Unit charges Sign(s) Unit Charge Quantity multiplied by quantities) Type of Sign Valuation $47 00 x $85 00 x $115 00 x $2?sca, All signs less than or equal to 25 sq ft. Wall sign or marquees, over 25 sq ft. Freestanding sign or projecting sign, over 25 sq ft. GRAND TOTAL Make Checks Payable to City of Port Angeles Credit Cards (Except American Express) are accepted Existing sign(s) area sq. ft. Proposed sign(s) area- ft. Total sign(s) Ale Mi j ft. Building facade area (height 12 G ft. X width(p(D ,5ft.) 8 3 I sq. ft. (If a building has more than one business in it, only measure the area of the building facade that is used by the business applying for this permit.) I have read and completed this application and know it to be true and correct. I a•• thorized to apply for this permit and understand that it is my responsibility to dete i ine hat permits are required and to obtain permits prior to working on projects 23`x2' inside of front WF0103901 001 City of Port Angeles PAGE 1 REQ DATE 09/02/09 09/02/09 15 58 56 SCHED START 09/25/09 SCHED COMPLETION 09/25/09 CREW Electric Inspections CX EINS LOCATION 110 E RAILROAD AVE LOC ID 99364 SUBDIVISION LOC ZIP 98362 REQ DEPT PRIoxilY meaium REQUESTOR BLOW HARD GLASS ORIGIN Staff REQ USER KEMERY AUTH USER KEMERY WRK TYPE Routine ELECTRIC METER INSPECTION PRIMARY CONTACT INFORMATION BLOW HARD GLASS 2886 MONROE RD PORT ANGELES, WA 98362 START TIME START DATE UNIT OF PRODUCTION ELECTRIC METER INSPECTION CATEGORY CS-Inspections INSP TASK ELECTRIC METER INSPECTION ELMT READY DEPT FN-Customer Service FNCS SCHED START 09/25/09 SCHED COMPLETION 09/25/09 CUSTOMER BLOW HARD GLASS CUSTOMER ID 95667 CUST PHONE (360) 452-5451 1bji3/05 5114 c -A? y (360)452-5451 COMPLETION TIME COMPLETION DATE QUANTITY LABOR ---EQUIPMENT-- MATERIAL DATE EMPLOYEE HRS OT NUMBER HRS ITEM QTY COST Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TENANT IMPROVEMENT GLASS BLOWING STUDIO Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 MECHANICAL PERMIT 152967 121 15 9/21/09 3/20/10 09 00000902 235108 110 E RAILROAD AVE 06 30 00 5 0 0080 0000 BLOW HARD GLASS COMM REMODEL CENTRAL BUSINESS DISTRICT 10000 Owner Contractor Date 9/21/09 CITY OF PORT ANGELES NORTHWEST TIMBERLAND HOMES P 0 BOX 1150 P 0 BOX 3028 PORT ANGELES WA 983623003 PORT ANGELES WA 98362 (360) 417 0626 Structure Information 000 000 TENANT IMPRVMNT GLASS BLOWING STUDIO Construction Type UNKNOWN Occupancy Type BUSINESS OFF /PRO /MED /REST Permit BUILDING PERMIT COMMERCIAL Additional desc TI GLASS BLOWING STUDIO Permit pin number 152835 Permit Fee 207 75 Plan Check Fee 135 04 Issue Date 9/21/09 Valuation 10000 Expiration Date 3/20/10 Qty Unit Charge Per Extension BASE FEE 95 75 8 00 14 0000 THOU BL -2001 25K (14 PER K) 112 00 Plan Check Fee 00 Valuation Special Notes and Comments A minimum 2A 10BC fire exinguisher is required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to an exit 0 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 7 25 3 00 10 6500 EA ME HOOD /DUCT MECH EXHAUST 31 95 2 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 21 30 1 00 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS 10 65 e n a te6i 63- 16 -1 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perfs_,, Pik._ pf c on. Print Name Sir of Cp''ractor or Authorized Agent Signature of Owner (if owner is builder) Date Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION Date Accepted By Footings Stemwall Foundation Drainage Downspouts R.W PW Engineering Piers Fire Post Holes (Pole Bldgs.) 417 -4653 PLUMBING Planning Accepted by Under Floor Slab 417 -4750 Rough -In Building Water Line (Meter to Bldg) 417 -4815 Gas Line Back Flow Water FINAL Date AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Accepted by Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T:Forms /Building Division /Building Permit Application Number Application pin number Other Fees T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 09 00000902 235108 Special Notes and Comments September 15 2009 6 04 30 PM sroberds The site is located in the Central Business District Work involves interior remodel no expansion No land use issues anticipated Electrical load calculations and electrical permits are required September 9 2009 2 51 32 PM Bob Larson 360 417 4706 New single phase electric meter panel to be installed on the exterior north end of the east wall of building at the customer s expense Installation shall be in compliance with the City s Electric Service Requirements and Guidelines Public Works Utility Engineering has no requirements for this plan review Fee summary Charged Paid Credited Due Page 2 Date 9/21/09 STATE SURCHARGE 4 50 Permit Fee Total 328 90 328 90 00 00 Plan Check Total 135 04 135 04 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 468 44 468 44 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION Date Footings Electrical Stemwall 417 -4735 Foundation Drainage Downspouts Construction R.W Piers 417 -4831 Fire Post Holes (Pole Bldgs.) 417 -4653 PLUMBING Accepted by Under Floor Slab 417 -4750 Rough -In Building Water Line (Meter to Bldg) 417 -4815 Gas Line 31_1--- Back Flow Water FINAL Date AIR SEAL. Walls Ceiling FRAMING 1 I 6-oti TG(-- Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. 2 I Accepted byJ Heat Pump Furnace FAU Ducts Rough -In Gas Line 11 (Z--n9 Sires Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date J I6" 1d MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 3 —tb -1O 31_1--- PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T.Forms /Building Division /Building Permit BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant c (N 1/4 _1\ \_t 00.e \tr- P one '/5Z SKIS t Property Owner oc 7 P Phone Property Owner's Address f i &oe ib t PA, Wit- 6 1g3(.0 2- 0 2-17 Contractor c p. t7A�. w slv A v k Nolk ts\- 1 ,e- Phone 360 `160 3311 Contractor's Address 9 o 1 ,0•4 4 3028 License wAtr 0, N o3 -ya A Expires 1 J V3/7010 E -mail o o t cO 6.931 (Cm& PROJECT ADDRESS Q E_ 'S Parcel Number Project Type Brief Description. Check all that apply New Construction pt✓r Ivai4,ah w S gave Pau 1 Lab e. c_ copy of the O Residential Multi- family gCommercial Industrial Addition PtiUai Co r% ui+an+5 L Lr Ehldrot\ rnehtai En &ineerin reforf about r�.V.ab sQatti �or .+�c�ks�•o Ga \�,r asbestoS Lewd xRemodel Sn -.treas r th 4 Mort 11' s c I SM I Sve'gf iectd Paint or a- 5besto5, Paul Ini4haled ou co 0.emolition i gave Pau Or ca a. 0,4 b-e 5+0 s i n c� wavA -e- eitt "s o app c.d`}-I oY� cs.i �y Re -roof House garage other tear off re- roof El fay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Existing (sq. ft.) Proposed (sq. ft.) per sq ft. f E Total footprint of structures sq ft. Lot size sq ft. L t coverage Site Coverage the a ount of impery .us surface on a parcel including stru ures paved driveGvays sidewalks patios and other impervious urfaces (s PAMC 17 94 135 for exemptions) Site coverage Max. height of proposed Will a lawn sprinkler syste Will a fire sprinkler syste T Division /Bldg Perrrit.doc s installed? installed? J Date 9/Z/O, Print Nam tt\pc v0- ft. Occupancy group Occupant load Construction type Signatur 1W.veNk For City URA (lnh, Date Received Permit 0 p Date Approve \ow \P‘rc) CARS Zoning Lot TOTAL VALUATION 10 000 of bedrooms of full baths of half baths I have read and comp ed this ap lication and know it to be true and correct. I authorized it and understand that it is my respon •ility to determine what permits are required and to obtain permits prior mro: 14 .32 7 4. E -ex A1'? �n i Q.U1T _Ton IrOVe-XYleinin Irl G (v e s Re_r'1oV-e Some 1k/ iov Wo.A \S w z hd oc,35 some c(14 r- i o w doors S- e-vexa Two 2)r ex ∎air' £J owS e. o �n,e e� do� �r m wad cemo (Th d oor lsvy‘Gcir`) ro cone Ykks zo j k ec�) P 51.kss-b■owitnj InetuRnj e erY■ek± ,,a ce,1Ie q 2‘ -O F ur Pau tab r e (cY1 bye, a- v f- a e?.ckaU o©C S (o u -y fe a U 1 walk 1 S C w at\ (o+o some_ v� 5 C han One e c 0Y Door 4 o �r cma oV©o r, OCTOBER 20, 2004 D9 �.nr+ial d by, pay l �a6he ALKA1 C ne.ceive�j R ONSULTANTS, LLC Environmental Engineering Geotechnical Engineering Wetland Consulting LIMITED HAZARDOUS MATERIALS SURVEY WEST PORTION OF LOT 6, LOT 7 AND LOT 8, BLOCK 1 E. FRONT STREET E. RAILROAD AVENUE PORT ANGELES, WASHINGTON 98362 1 0 EXECUTIVE SUMMARY PROJECT No ACL04 -E 106 ALKAI Consultants, LLC (hereinafter called ALKAI) was retained by Mrs. Bauer of The Port of Port Angeles in September, 2004 to conduct, in conjunction with a Phase I Environmental Site Assessment, three Limited Hazardous Materials Surveys, related to Asbestos Containing Building Materials (ACBM), Lead Base Paint, and PCB Ballasts in fluorescent lighting fixtures, within the three buildings located upon the properties known as the West Portion of Lot 6, Lot 7 and Lot 8, of Block 1, in Port Angeles, Washington (Figures 1 and 2). Authorization to perform this survey was received by ALKAI's proposal 092204E013 dated September 28, 2004 The purpose of these Limited Hazardous Materials Surveys were to identify hazardous building materials, and if any were present, to develop a budgetary estimate for removal of hazardous building materials for use in planning for future development of the subject properties. These surveys, conducted on October 6, 2004, encompassed the intenor and exterior of the structure, excluding the roofs. Suspect asbestos materials observed on the subject sites included. Garage at 107 Front Street: o Plaster -on -Lath on interior surfaces of the Front Street end of the structure. Budget Rent -A -Car Office: ooring materials. o Flooring matena s, an lie C (Zattroad o The `Troweled -on White Exterior Wall Treatment of Structure. o The fluorescent lighting fixtures withm this vacant Restaurant were also mvestigated, together with sampling the brown enamel paint on wooden surfaces of interior and exterior of structure. Asbestos was identified only in the Restaurant, in the following materials: The brown nine -inch square vinyl asbestos floor tile, and black mastic on the floor of the storage room on the south wall, and, The black mastic under the thin brown sheet vinyl on the floor of the restroom located in the southwest corner of the building The budgetary cost estimate for the removal of these asbestos containing building materials is two thousand dollars ($2,000). ALKAI Consultants, LLC 9465 Pro-ost Road NW Suite 2048 Silverdale, Washington 98383 Phone (360) 613 -2407 Fax (360) 613 -2408 AC L04- 106_PAasbestos.doc WILL THERE BE ANY OF THE FOLLOWING? NO/ YES/ IF YES CONTACT Electrical changes V Electrical Dept. at 417 -4735 New or relocated signs 5' v Building Div at 417 -4815 Construction changes Washington State lax I D 2 9c/ 3- n../. If known list the name of the previous business at this location Mechanical changes (ventilation, heating, cooling, etc.) �//JJ 6 g22_0j SR Plumbing changes -9-13,0I1, 1-8-09R1/ Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Public Works at 417 -4807 Excavation or filling of Tots Work done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Water Dept. at 417 -4886 Is this a home occupation? Planning Div at 417 -4750 Is this a second -hand dealer or pawnbroker business? City Clerk at 417 -4634 Is off street parking for this business? t/ How many spaces? Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? f BUSINESS NAME -c& name s-ee stsr-. yni-4- New business V vPdai BUSINESS ADDRESS \n C\ZAA .C6 3. w Zoning Cce50 Business mailing address 79,51,c, 5' cp-e 'Q-i Phone Days hours of operation S A Y52-- 5`(S" l y Opening date I\30,_, Washington State lax I D 2 9c/ 3- '1E33 If known list the name of the previous business at this location Brief description of proposed business zi 1; L C.,\.. L A 1/4_0 Change ofuse ACTION Rejected Initials date Comments Conditions New business V Transfer of business location from a L M4 ar r�V, i F IV- O t PBIA location Occupant Load Transfer of business location from a non -PBIA location Fire Change of ownership Automatic fire sprinkler system required P Y Q Remodel yes Y Temporary business 9 -3-6y R Change ofuse g22_0j SR rt Department Approved Initials date Rejected Initials date Comments Conditions Building 03,16_10 3( L M4 ar r�V, i F IV- O t Type of construction Occupant Load Fire p (y� 9'��'�I K�''!/ Automatic fire sprinkler system required P Y Q no yes Y PBIA 9 -3-6y R Planning g22_0j SR City Clerk -9-13,0I1, 1-8-09R1/ Public Works CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 $100,00 Print in ink o de Gl la Ioweir 4 RI3 S scv, p tvr- s �1v61>i Business owner's name r J \;-4 Phone `iS Z -S _Business owner's home address ec 7 gr5G2 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. Date T Forrr For City use only CERTIFICATE OF OCCUPANCY APPLICATION Permit# O- lO1 Call for Certificate of Occupancy inspections before opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read thi supplied /s correct to the best of m knowledge Print Name Awl\ J -163tt Signatur n.4 ')i Ision/Ceitificate of Occup :y Application 6 ko t FEES q- 902 Certf cate Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations Please sign up for utility services at the cashier counter nd state that the information I have 6 4 O Use Classification: Business Group: B No. 48 This Certification issued pursuant to the requirements of Section 301 of the International 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: Building Permit No.: 05 -163 Business Name THE BOARDWALK. Building Official CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division Type of Construction: V -N Use Zone: CA Owner of Business: Christopher R. Smith Address: 1916 W. 5 Street Building Address: 110 Railroad Ave. Port Angeles, WA. 98382 Port Angeles, WA. 98362 November 16, 2005 Date Post on the premises in a conspicuous place. Shall not be removed except by Building Official. 4 O N U 4 1 O ROUTING SLIP T k l,c�a,cCJWa.\ k �,�,J Certific of Occupancy 0 S 63 $47.00 Certificate /Inspection Fee U f p°fli 1 N -w F DATE 3 s' New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use 1 Address of Proposed Business //o /24 LRvoh) Applicant kri's kc, CM i -frl, Address /57k I S y-. R A474fe a IA) it Phone: business ?60 Soli ?D eo home 34 J <Th Q(TI Brief description of proposed business 12c s +c u,.-f Legal Description: Current Use of Zoning Classification Lot Block Subdivision Property of Property WILL THERE BE Construction changes Electrical changes Mechanical (heating, Plumbing changes New or relocated New septic tanks New sewer service Admission charged Is this a home occupation? Excavation of filling Work done in City Is there sufficient New driveway openings A grading plan for (parking lots, downspouts, Are the existing streets Are there existing Is there curb and Other ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL 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 BE BUSINESS 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) REQUIRED: LICENSE Taxi Peddlers 2nd Hand Dealer Pawn Broker Dance Hotel Motel Fireworks Ambulance Tattoo shop Other cooling, stoves) signs to patrons v'"- of lots right -of -way off- street parking? site drainage etc.) paved? sidewalks? gutter? 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. Date 3 Signed. cc APPR VE I 11 0 REJECTED Building Section Comments Conditions Public Works Department Planning Department Fire Department S 7 5 B LK City Clerk 3 PB.I.A.Y+xiat O Use Classification: Restaurant Group: A -3 VG R 1 Ir1V/1I G Jr V",+VVrMIVV T 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: Building Permit No.: Business Name: The Border Cafe Owner of Business/Residence: Randy Deaton Address: 927 Bryson Ave., Port Angeles, WA 98362 Building Address: 11 t Railroad Ave,. Alo Type of Construction: VN Use Zone: CBD Port Angeles, WA 98362 January 21, 2002 Building Official Date Post on the premises in a conspicuous place. Shall not be removed except by Building Official. ROUTING SLIP I k e BD rd e'r C ertificate of Occupancy $47.00 Certificate /Ins ection Fee J v N..: 44k,c woo. DATE f f v New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use X Address of Proposed Business 110 L 141. Idradd 19111= Applicant R4 De,4 fog Address 3 i t y s a v I 0 1 N, I A i2 f Ruye4s Phone: business 6-65-42.17 home 11 Brief description of proposed business P e<f Legal Description: Lot e Block 1 Subdivision /,Ce /Qt4dS 2 Current Use of Property ,..-.1-., Zoning Classification of Property C. E WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes THE FOLLOWING WILL BE REQUIRED: PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 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? 11) Fire New driveway openings 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other 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 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. �ISigned ate f Y 2- /J 0....e...gt4. fS APP REJECTED Building Section Comments Conditions Public Works Department yrt102 SgL Planning Department 0 Fire Department Z- 8kA City Clerk C P..B.I.A.? c) vW DATE 5.`1 0 2 Address of Proposed Business i /o L Rg,L 2dn, AVE Applicant Rw>✓€4 J/ri Ion) Address 9 2 7 16A/S0 v /9 'Y Mitei Phone: business 31 0f f 2-1 1/ home Brief description of proposed business: Pest. Legal Description: Lot e 8 Block Current Use of Property C Zoning Classification of Property Subdivision /4 e/ar'idS If )e4 WILL THERE BE ANY OF THE FOLLOWING? YES NO 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? �L Is there curb and gutter? Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the ate information I have supplied is correct to the best of my knowledge. Signed 2- REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk R. B.I.A.' 0 ROUTING SLIP Certificate of Occupancy $47.00 Certificate /Inspection Fee Tine Bo rci et New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use 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) Horne 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 Comments Conditions v►v A -3 b 0 b 0 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 grdinances of the City regulating Building construe:totter use. For the following; use classification: Restaurant Building Permit rtcht Busitiont. The Border Cafe Group: A -3 Owner of Business /Residence: Randy Deaton Address: 927 Bryson Ave., Port Angeles, WA 98362 Building Address: I X.t t .Ir••� t�•. A 98362 Type of Construction: Use Zone: CBD January 21, 2002 Budd] g'w,y x.- Date Post on the picuous place. Shall not be removed except by Building Official. Sit Address: l i� r 14-401 am -T to Pr G /J READY FOR (�•'�L /r.JX9`! INSPECTION WILL CALL FOR INSPECTION Ins ailed By: CQ License Number: Phone: Ovyner /Business: I 104 1 tJ4 1 Phone: (ter/Business Address: Sq. Ft. Si a Address: r 14-401 am -T to Pr G Permit/Rec ipt No. 7 In taller: I G CQ New Meters Da e: isy3 RESIDENTIAL OMMERCIAL BASEBOARD KW FURNACE KW FAN /WALL KW HEAT PUMP KW ISIGN Details /Description ct k r9-( 6) I W S No. CApACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE itch Inspection O K ough -in /cover O K .K. to connect service /telL Final O.K. 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 n the Building Permit. PHONE 457 -0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT C R D W WH OLYA tE File by address PIC PRINTERS INC. Electrical In sp or CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT TEMPORARY SERVICE PERMANENT SERVICE NEW CONSTRUCTION REMODEL rk ADD /ALTER CIRCUITS /0 SERVICE UPGRADE /REPAIR SPECIAL EQUIPMENT (LIST BELOW) SERVICE SIZE DATE YELLOW file by number PERMIT NO DATE ENGR. 9os OVERHEAD SERVICE UNDERGROUND SERVICE VO LTAG E: SINGLE PHASE THREE PHASE SERVICE SIZE AMPS CHANGE SERVICE WIRE OTHER Permit Foe PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall e Address: //0 4-91// READY FOR WILL CALL FOR INSPECTION INSPECTION 0 cc LL o O a G. o w _1 a c a z cc O 4 LL t3 0 W w m z 6 a a k3 Installed By: License Number: Phone: r /n 2 1/ /Y( 'w r'' n w O4,ner /Business: tf>/ c-r. c(.6..t WK.; Phone: Ogner /Business Address: Sq. Ft. Si'e Address: p NO E �i4-i/.�d*4rl Permit /Receipt No. JO 0 'Taller: n- New Meters Da De RESIDENTIAL COMMERCIAL BASEBOARD KW FURNACE KW FAN /WALL KW HEAT PUMP KW SIGN ails /Description CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 ELECTRICAL PERMIT TEMPORARY SERVICE PERMANENT SERVICE NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR SPECIAL EQUIPMENT (LIST BELOW) PERMIT NO DATE OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE: SINGLE PHASE THREE PHASE SERVICE SIZE AMPS (o /et Ta lc P (1 SERVICE SIZE DATE W. No. CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE ENGR. CHANGE SERVICE WIRE OTHER itch Inspection O K ough -in /cover O K O.K. to connect service inal O K No ify 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 Q the Building permit. PHONE 457 -0411, EXT. 224. Electrical Inspector WH FE File by address OLYMPIC PRINTERS INC. YELLOW file by number NO OCCUPANCY OR USE ESTABLISHEO UNDER THIS PERMIT D rmit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall Site Address: Address: //a f 41?2,/d,ri READY FOR WILL CALL FOR /iff INSPECTION INSPECTION Phone: Owner /Business: �i�i /.�i Phone: Ow /Business Address: .1-40 Sq. Ft. Site Address: //a f 41?2,/d,ri Permit /Receipt No. cells Inst' Iler: 4 :,A A New Mete rs� Date: /s�' Residential Heat KW Baseboard Furnace /Boiler Heatpump Other Commercial /Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) S CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT PERMIT NO. DATE 7 ;3 9/ New Construction Overhead Remodel Underground Service update /alter /repair Voltage 10 30 Add /alter circuits Service size Amps Auxiliary power Temporary (list below) Special equipment (list below) Det:ils /Description C.GA _eV. W.S No Service Size Date Hold for: Easement Letter Capacity: O.K. Not O.K. Comments Ditch inspection O.K. Rough -in /cover O.K. 4K. to connect service YCLFInaI O.K. Signed up for service /meter Meter Department notified for installation Fire Department notified of inspection Plan Review approved /pending 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 jfi Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. Inspector WHITE file by address YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top: Inspector, Bottom: City Hall OLYM .,C PRINTERS. INC. Amount paid