HomeMy WebLinkAbout112 E 1st St - Building
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ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
DATE :} 17 Ib 'fJ- .
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Phone:
business i.-
Brief description of proposed business:
New Business ............................
Transfer of Business location. . . . . . . . . . . . . . . .
Change of Ownership . . . . . . . . . . . . . . . . . . . . . .
New Building ................... . . . . . . . . . .
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business .............. . . . . . . . . .
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Subdivision .A.< R ~,"",-i~
legal Description: lot I
Current Use of Property:
Zoning Classification of Property:
V:..; Block _ s I
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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......................
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Admission charged to patrons. . . . . . . . . . . . .
Is this a home occupation? ...
Excavation of filling of lots .......................
Work done in City right-af-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.................. .
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.
REJECTED
Building Section
Public Works Department
Planning Department
Fire- Department
City Clerk
P.B.I.A'f'4;d
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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 instatlation
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
Date: ,) / 7 tS d-.
Signed:' ~
Comments / Conditions
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. C/3 S- /
/o/2o/9.r-
OATE
ELECTRICAL PERMIT
Site Address:
Sq. Ft.
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
!
Owner/Business:
Phone:
Owner/Business Address:
o RESIDENTIAL
I)( COMMERCIAL
tJ 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
:g ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
Details/Description:
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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 OK to connect service
Q ~ Final O.K.
Installer:
Site Address:
Permit/Receipt N~J S-I
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 ~HONE 457-0411, EXT. 224. &--0
, ____- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ :;] 0
Elect Icallnspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. / r; 5 J
<:(1 r( !11
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ELECTRICAL PERMIT
DATE
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DY FOR
INSPECTION
i~n~ Number:
(L/tcrJ(> /.r:z <:
D WILL CALL FOR
INSPECTION
Site Address: //:2 E / 5 ;r-
Installed By: ./1/1 L/'
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Owner/Business:
Owner/Business Address:
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
~ommercial/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Details/Description:
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Phone:
Sq. Ft.
~ .6'~Construction
lZl--R'1lmodel
o Service update/alter/repair
~dd/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Overhead
o U erg round
Voltag
010 03.0
Service sl
o Tempora
Amps
/ .:...-. 7.: .(> r6'1'(!
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W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
rwr'lfJ Rough-in/cover O.K.
/ r 0 O.K. to connect service
i:J Fina~ O.K. ^ n ~ (L
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Site Address:
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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 in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
;fA..1-- NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT ~O ~
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
//2
Installer:
Size
Comments
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
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Permit/Receipt N
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