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Home My WebLink About1127 E 1st St - Building i " C ERTI FICA;re::o:p,"ecc U P ANCY /. .~.""",,~<,,~~ ,iIJ' 4~9itY~ot;~~1j!';~~~~I~S.,.. "'".''''''''' f? LW' Buildingd)ivision:?:~~'l",,,, I ~ ".;;',"..''{, This Ceftiil:;ii[9ji;,iS~I!'!c4.p..!frsuant to the requirements ofSecti;;"~109 of the unifornJrBi11~{~g;q~Y~~(f!i/l/f#H1?Mt!..~i]!1{:tjJiS!~"!J.'ii-.this st~ucture was in comiJ!f~~f~~!!f/the tJt:i!,jJs'~r.f!,~r(~rJli~~'?Jj,;h&,~gp.J1Wl1g l{,uilding I /J~';,~~.'i!r'iJ.Jconstngjl ~ e''!f1'J':.thefollowl' ~. '0 ,"'~ , I :, "".:,"'"_ \ """"':;:-::"""'''''''"'''')'''_ Pdrt,~,]l w A 98362 '1>, "~~~L. t"}~~ro~'~""T,wv,;"y,*,y,,,,,,:~f""'o/ I Building Address. 1127 EJs'" '. . ~. - .... '" .,h~ ,'- 62' \, (2 2001 Use Classification: B~ildjn- ~, Post on tfi~~. . picuous place. ' Shall not be reinbved,J:l~cept'bY'Building Official. ~'I " / B v ~ - ~A- 'J <\/ /!-L~ ~L . r-A-tz-D lZJV ~ . v0 ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE 'S', tr, .. to ( Address of Proposed Bu~esp' ,.,-. ~ I \ e--.:L-.J sx:- :> I c::: Applicant N t'W t111 ("Lav/JI(j/to.1{;:!lffMU{}I~ Address ~7 o8e. flft1t()~/1fVY business 5<t~ ~lhome 1\l-~Z/(, Phone: New Business .........................", Transfer of Business Location. . . . . . . . . . . . . , . , Change of Ownership , , . . . . . . . . . . . . . . . . . . . . New Building ............,."""..,...... Remodel. . . . . . . . ... . . . . . . . . . . . . . . . , . , . . . . . Temporary Business ...........",.",.,... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . , I fJ1lJI(L--Ul2T .I LV e6 ~I ~ ,J Brief description of proposed business: , Cog,' D="p"'"' "" n~ "OOk:;;l Current Use of Property: /J1 &u /L-PJ'L. Zoning Classification of Pr;perty: % 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-ot-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 )( =x: )<.. y~ -~ =::z -~ -~ X' =~ Ei 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. Af'P.~fD REJECTED ~ Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. ~ "-15- QI ~ kC(j) r;;,29-1J/ P0 ~~VIV\:r \.0"' ~" c)-",O~Q<,"<;. ~::?\'" ......~ ~ - ~rcWo#" ( X.l ( ) ( ) ( ) ( ) ( ) ( ) . SUbdiV~~0r'/:I~ L /Ul*-7I1!A1.%r ~ . 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 Date: o iF: fJ I 111&, J 01. J II -...., / ell) v Signed: Comments / Conditions ~ '!!f: /I ~/JJmJ -:-- '1 S ifc 0-1/ ~1~t.~n~tvIWttf z:: rJf'ff~e flU '1f1/S 1ZU~/)IAJ6< N ..J ft1 .-... ~ ~'PORr -1~ $'....O~~~ r..a ~~ ~ 'tiii1CW?" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Lasered em o ,...j ~ o \J\ Appl1cation Number Appl1cation p1n number Property Address ASSESSOR PARCEL NUMBER. Tenant nbr, name Appl1cation type description Subd1vision Name Property Use Property Zoning Applicat10n valuation 07-00000705 Date 335740 1127 E 1ST ST 06-30-00-7-1-0250-0000- SEQUIM DRY CLEANING 6/21/07 SIGNS COMMERCIAL ARTERIAL 300 Owner Contractor CHARLES LAFOND & JENNIE HAJEK PO BOX 397 CARLSBORG WA 98324 OWNER Perm1t SIGN Additional desc 15 SF WOOD SIGN FRSTNG Permit pin number 104661 Perm1t Fee 115 00 Plan Check Fee Issue Date 6/21/07 Valuat10n Expirat10n Date 12/18/07 Qty Unit Charge Per 1. 00 115 0000 PER S- SIGN FREE OR PROJ 25+ .00 300 Extens10n 115.00 ~ Spec1al Notes and Comments 06/20/2007 04:38 PM SROBERDS --The proposal is a freestanding sign in the CA zone. Slte frontage allows for 62 5 sq ft. The proposal 1S 15 sq ft No land use 1ssues are ant1c1pated. t\) Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115 00 115.00 .00 00 Plan Check Total .00 00 00 .00 Grand Total 115 00 115.00 .00 00 tJ\ 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 as commenced, or if required inspections have not been requested within 180 days from the last V\ 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 granting of a permit does not ~ presume to 9iV~ au~n to violate or cancel the provisions of any state or local law regulating construction or the performance of :J' "J3Jl7JJcfl (g - 2 /47 . Signature of Contractor or Authorized Agent Date Signature of Owner (If owner IS builder) Date T IPohclesll 102_15 bUIlding penmt IIlspectlOn rccOld05 wpd [1/4/2005J <:... Oi-rOC:; BUILDING PERMIT INSPECTION RECORD CALL 417-48]5 FOR BUILDING INSPECTIONS CA.LL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS LlTILITIES PLEASE PROVIDE A MINH\'lUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN}' 1YOFJ, BEFORE J]\,SPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA TION KEEP PERMJT CARD AND APPROVED PLANS AT lOB SITE IN51'ECTION TYPE DATE ACCEPTED COMMENT!> YE5 NO FOUNDA TlON FOO riNGS SHEAR WALLS 1 WALLS FOUNDA TION DRArN AGE 1 DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LlNE FINAL DATE ACCEPTED BY BACI~ FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DQ\VNS WALLS 1 ROOF 1 CEILING DRYWALL (lNTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL ROUGH-IN HEATPUMY/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY WOOD STOVE 1 PELLET 1 CHIMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCYJNG & HOLD DOWNS SKIRTING - PLANNING DEPT SEPARATE PERMIT #'s SEPA. I' ARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT 417-4735 ELECTRlCAL LlGHTDEPT CONSTRUCTION R W 1 PW / CONSTRUCTION - R W ENGINEERlNG 417-4807 PW 1 ENGINEERlNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 4]7-4750 PLANNING DEPT BUILDING 417-4815 BUILDING t-.J ?1 J /') 7-:}U mJdm T ermIllJ1s ectlOn reem d05 w d 1/4/2005 I I r \Pol1eles\1102 15 b gp p p [ PREPARED 6/27/07, 8 22 27 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1127 E 1ST ST SEQUIM DRY CLEANING INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE SUBDIV CHARLES LAFOND & JENNIE HAJEK 06-30-00-7-1-0250-0000- 07-00000705 SIGNS PHONE PHONE PERMIT: SIGN 00 SIGN REQUESTED INSP TYP/SQ COMPLETED RESULT BL99 01 6/27/07 {(, ff DESCRIPTION RESULTS/COMMENTS BLDG FINAL 06/27/2007 08,05 AM LPANGRLE ED 683-2642 BLDG FINAL - SEQUIM DRY CLEANING SIGN INSPECT BEFORE 3 00 PM THE BUSINESS CLOSES AT 3 00 PM 5 6/27/07 Lasered CED -------------------------------------- COMMENTS AND NOTES -------------------------------------- r- CJ~ fTlen O~ Q. ~,t'<_ ..._~ ~', . ~ : ......~__. "'___"h>............ ....A~ ,,' ;\, ,,' , I \ t~~t ',,'..:Z.::: -~-S;~{:.~~~ ' ., ',,\ \-l ,~~ ~ 'i-' ,"\;\ Lasered CEO ~ 14 June 2007 Lasered CEO Work plan for new sign at Sequim Dry Cleaning, 1127 1 ST Street. Existing pole has two horizontal bars that will support the new sign. Cross bracing Will be added to tie them together and new sign will be attached to the cross bracing. New sign weights 321bs. Cross bracing will be 1 ~ x I ~ inch 90 degree 14GA steel. r=--- - ------~~- - - -------, STEELWORKS., I 61401 II I i IpUH STL-SLT ANG i 1"1-'1/2" X 1-1/2J1 ;"--4,fT (14GA) I ~~Jh ~&e :B~_ __ !NV 48Z024 L 0 53538 _61~0! _~-;l':~' R&S: t~It:~~ ~ ~ r " ~7 3/fL J 4-b' >i u~ ~.~ lt4 L ~ oSS ~ ~;>.c · ""'}' ~ ~\'~~'ft o ,q([;,'f ~ ~\f'J~ ':t? :::s ~ ~ ~ ~ L :pI \\25 ~ u:L ~ ~ ~ r4 - ~ w A J gJJf \\2...7 ~' . . ' :;:,~~ \ \, \.51 -- <:;;1'<i2.$'('"""\ ~r4 t Lasered CEO <S. " 'l ;V , ).,. )I I I . I 0\ ' _~u ,rl'\r:- ~" '~, 4( -- ,~,"#IJ.;11Ji;,' ~.r~, 'j' "- - "'ll,;j' j~'tVf.J>,l" ~~\ , l~ ;::;~) ~--- ~- Lasered CEO f, Fill out COMPLETELY and in INK. Your application and site plan MUST B ' ill COMPLETE to be accepted for review. IfYOll have any questions, call /1 PERMITS (360) 417-4815 FAX(360)417-4711 BUILDING PERMIT - APPLICATION FOR OFFJClAL USE ONLY Date Rec ~b - 14 --0 '7 l'~" 01j~ Date Approved ' 1..../ 'l Date Issued t1(, - tJ,=-07 Applicant or Agent SE crt.{, 11 \J~ ~ C {~A Iv ~~ Owner:W i: ~ /iUL"( LJelPlL. Address: U ~ 2' _ LJ IY$"'- ~ -'V~~ City: B ~ ::;~ QIA. ~ M Phone: (pel. 2 (,~L Phone: &f!J!:. -26 c.(2- Zip: q~3a2- Architect/Engmeer AJO.JV e.. Phone: Contractor /lJC;I /V ~ Address' /V ( A PROJECT ADDRESS: //2- 7 2.~ / srI LEGAL DESCRIPTION. Lot: 7(8 ~L Block: State LIcense #: Exp: Phone: ZIp: CIty: P.1l CLALLAM COUNTY PARCEL NUMBER: ZONING: SubdivIsion: tJES-rfJl/ALS (J&'3tPtJ() 7 JOl~avD Fi is'- TYPE OF WORK: o ResIdentIal D New Constr. D Re-roof D Stove D MultI-family D AddItlOn D MoveD Garage ~ CommercIal 0 Remodel D DemolItion D Deck D RepaIr ~ SIgn D Other DESCRIPTIqN OF THE PROJECT: S'. N +0 2: 15~\/V ' d ~ SIZEN ALUATION: SF.@$ /SF.=$ SF. @ $ /SF = $ SF. @ $ /SF. = $ TOTAL VALUATION $ ~(JO J!;#- 1. 'X ~' :31'f",l", W Occupant Load' COMMERCIAL/RESIDENTlAL: Occupancy Group: No. of Stories: Lot SIZe Total lot coverage EXlstmg Sq. Ft. & Proposed Sq Ft = TOTAL Sq. Ft % ESAlW etland( s): DYes 0 No SEP A Checklist requIred? DYes D No Other APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNlNG USE ONLY: . VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the apphcant . This figure will be revIewed and may be revIsed by the Buildmg DIVIsion to comply with current fee schedules. Contact the Permit . Coordmator at 417-4815 for aSSIstance. PLAN CHECK FEE' IF a plan check fee IS due it must be subIDltted at the tlIDe the building permit apphcatIOn and constructIOn plans are sublll1tted. All other permIt fees are due at the tlIDe of permit Issuance. EXPIRATION OF PLAN REVIEW: If no permit IS issueCl WIthIn 180 days of the date of applIcatIOn, the application will expire. The Building OffiCIal can extend the tlIDe for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the InternatIOnal BUllding/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and exammed this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. . ..~ Y.} /) T.\FORMS\BldgPenmtform wpd Applicant: E~~ Date: &- Ie.! 07 , ;. ,"~){r:::;~;:::::;:~~>~~,<, C E RTI1Fl" ~,€ATiE~,:,i)~F~~!O'C'6"U PAN CY ~~~~ ~ ~"';~ ;' ,,-,,";..}. ",,~~t;f~1>~~\*',(t.r,3~';/7;, ,Ii' :~",' : \, <<( ~j~,..;;; S:yf~,li^~\. J,"'\i::'~:1" ~itv'o'f"Port Angel~:~~;': 'Buihttn:~:i:~pi~ision l ' "'7'"' "'l;y,J,?:~1ij~ ~,:: ,~ This certificate IS IssuedlJUr~uarlt tq" th~, requirements of Section J J 0 of the 200'SJt,lnternatlOnal Buildlllg Code Ii" '\'~, C," l,'''''p/ h'^' ",' ", , 1>\ certifyi~g that at. the tf7~'ofJ~~;~~~~~~)tllt~l{r~~twe",Vo:'~~ l~, cOl1(:I1~r~q~~:tl'.~ the va~\ious ordmances of the City regulatlllg buzldlllg censtruetlOn'on.,use lf07~lthe1011owmg.v,'',!--','' "',,,,,,11' :r!~~, ,'~, "" \ii, l::'t", ( ", !lFr>~~:~' '\:vr~:',.~:', <~,~c :: ~ '>~A/:~:~~\~~,t~~~~;0i:::I~JJ,~~:\ (<,' '\~ l~{:~S'e' tUmiD GlealdHl, , :;:'<l""',:);;\;~,' ,',,' " l~ "t""\ ,q" ry" """'" g,,,, " ~,,'J1\'1 r')7"'E' -1 st St ,I ,,\"'~,\.i'hh , " I"-'*",~", 1~:Z.~I,:~ .)1 . ~1':',~',~~~~;1'~~~:':\L" ' ~imr<f_""~, 'F, t ""'ll" ( '11 '1',-<'[\" "~Edwa'rd Weikal "1., ~ , m~ ~,,~ ~,_,,"~", ',<,I , ' ~h~' ':'~'\l,"r':':~}' ~ '," .' , > a ~~%~O;:Frost Rd., SeqLJini~~ ~;' ssmci1tion. Busil)les ;Jf", "'l'I.1\M"} '~"1 M#tr' ,,,,;,;1':,\~' 07 44' ,v e~,,~:;,,> '" - " --'-V!'-' Business name: Business address, Ovmer of busines Ovmer's address: Use & occupancy Building permit nu Type of construction: 05/01107 Date Post on the premises in a conspicuous pIa ~. l . e removed except by the Building Official. CA b Cl , 01 44 3 Seq)vl m ~ etlh l t'\ '1 - ROUTI NG SLI P Lasered ~?ORr ~'" $' 0 ~-".li-.{)-(I" Certificate of Occupancy CEO ()~~]<p "- -=->J '=- $50.00 Certificate/Inspection Fee ~ "t-eL1C wo~~r:" , , DATE ~t~o lor New Business. . . .......... . . . ... . . . ( ) ~ Address of Proposed fuJslness Transfer of Business location . . . . ..... ..... ( '"'1- ) \\7-, r.~ t~ ( ) \ Change of Ownership ..................... ...c A~~I~rft &llcl'~ WE-lK/\ r New BUilding . . . . ........ ...... . . . ...... ( ) ..L ~cmne.r ~ Pfl~ k: Remodel . . . ( ) oQ ress ....... . ..... . . . . . ....... . SE'Q'^.\H. w.A- home @2- 9<.11 (j Temporary Business. . . . ..... . . . . . . . ...... ( ) Phone: business l..iiY-20'-l.L Change of Use . . . . . . .. . . . . . . . . ...... ( ) Brief description of proposed business: ~ ~ f\ <;~~ ta..l C\tfr,v\^'i i L ~/\IJ;J ( legal Description: lot Block Subdivision Current Use of Property: c!/l ZOning Classification of Property: - ,.-. WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: j Construction changes -~ PERMITS BUSINESS LICENSE Electrical changes - 1) BUilding 1) TaXI -- {\\ Mechanical (heating, cooling, stoves) .. . . .... . ".- 2) Plumbing 2) Peddlers -- Plumbing changes _ r 3) Electrical 3) 2nd Hand Dealer . New or relocated signs -......- 4) Mechanical 4) Pawn Broker - New septic tanks - ~ 5) Sewer 5) Dance ~ New sewer service . . -~ 6) Sidewalk Installation 6) Hotel - Motel Admission charged to patrons -~ 7) Driveway Installation 7) Fireworks ~. Is this a home occupation? _ --L:.. 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? -~ 11) Fire New driveway openings .. . .......... . -~ 12) Occupancy A grading plan for site drainage _ -----L- 13) Sign --...... (parking lots, downspouts, etc ) --?- 14) Shoreline :3 Are the eXisting streets paved? ~- 15) Home occupation ~~ Are there eXisting Sidewalks? .. . ~- 16) Conditional use -- Is there curb and gutter? --- 17) Other ~ -- Other -- Date. L\h~~ 0 I hereby apply for a Certificate of Occupancy and acknowl- 00 - edge that I have read this application and state that the ~ information I have supplied IS correct to the best of my - knowledge. SIgned: 5:{' 0 ~ E... WE.\ \( A L ~i!J REJECTED Comments / Conditions J BUilding Section 7 Public Works Department 0 Planning Department ~ \ZD Fire Department 0 ~V 01+-?D-07 City Clerk P.B I.A. " (' ~\ ...... . b ... ' ~'--l. ( ~ (: 1"'" ~ ,,/\ ~ . J "" <.,-" ~ 1"\ r~ q q 3 ".J "--1;) ({ ~J I iY\ _iJ ,-" ~ j ROUTING SLIP Certificate of Occupancy $50.00 Certificate/Inspection Fee Lasered CEO ~ " ~.~<'\'l' C!~___CJl "- e=....w '=- ~ "'U8L1C WO'r-'f.~ f .- " ~ DATE n ~'" ~ f \ 1\ -!.. " II.... - / \ ("i!,,~) . Address of Proposed l2usiness '~ ~ ~ - ~ ( ~ ~ '.~ :JL~"'...-r ~";'"i 1 Applicant (" ,{ ~:f .i\r,:r:: '\>.i~~ ( ..~""r~ Adaress ,J I t... II ;' 'H'_;:';' H~ ~ ~ , ;of ,-...{ . , !;r}.. i Phone: '""" " /' I ~ /," ~,,\I~l\....\~t\..,,~ ...../1 . 1.::\." ;, .d2 bUSiness ",~;..l '" - ..- ";,1' '1'1; I! ~ home Y.UI' , 7; I Brief description of proposed business: \-..' (~....' ::. " ;':::;0".;1?~ legal Description: lot Current Use of Property' Zoning Classification of Property: Block 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. , YES NO - ---+---- -~ ,,' - -----'"---- -~ -~ AdmiSSion charged to patrons Is thiS a home occupation? Excavation at tilling at lots Work done In City right-at-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 -~ -~ -~ -~ -~ - .,~ t. -- 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. APPROVED REJECTED ~ BUilding Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. New Business. . . . . . . . . . . . ,. ............. ( Transfer of BUSiness location. ............. Change of Ownership ........,............ ( New BUilding ..........",.............., ( Remodel . . . . . . . .. '............... .... ( Temporary Business, . . . . . . . . . . . . ., ....... ( Change of Use . . . . . . . .. . . . . . . . . . . . . . . ( ) ) ) ) ) ) ) ( ,4 - r .- ,\ .- ~'" \~~.... , (~, \ . 4~\ v": t... JIo __ II Q / ,...i I' ~ :' r '-__ ", <1 ">;.~ I'! ~~1 i./} SubdiVISion ,.c8J 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 , .\b;'\t:,:~? ~ \ ~ .. ...." t ~ ~~ '~~"t" ". .,,' i " Signed: (,-~ ,~ \...,..,..1-,,).- is; c _' 5,,) !_~ . t~~ l~" ,IJ L ~i, L .:~'~.l ,'<,H, ~ Date: " , .-- .,.- ~.~.. - ~ ~ / Comments / Condition!!:: /f-n \ /\. I }- 0 \. /lo\ . ~, ro ,. /"-. , 1\A;" r-? _0 fJ \_ . ^-( ~ '{ \ -l> ; : , " , ' /' . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO S-~ 7 8ft"! 'l(P DATE , ! Installed By: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW o FAN/WALL KW o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR Details/Description: ;1/. fA). Mr3~7-1fL- o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1~ D3~ SERVICE SIZE FEEDER SIZE I~, r <27(f f(J AMPS AMPS o TEMPORARY SERVICE . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED 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: Installer: A.) ~ New Meters Date:/1. f" 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 Building Permit. PHONE 457-0411, EXT. 224. ~ ~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ cd2S t!f? ~ Electrical Inspector Permit Fee / WHITE - File by address PINK - Top Eng, Bottom, Customer GREEN _ Top Meter Dept , Bottari ...o!IIIIIIIIII /OLYMPICPRINTERSINC / ~ 2. Ii Permit/Receipt No. :50J 7