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HomeMy WebLinkAbout101 W 1st St - Building moved except by the Building Official. . ~,,,.;,,;r,~~'~:~eZ~:~~}~i{.~:{'$~.~~~~:;,, """"'" CERTIfri,€~T" /(~~~lG'ClJ.PANCY #' -.,.,,;; -. .. ,'~" .,~.,.,._",~,."".. -, - ':\"'.. -,."~" '1l!: ''''^''~,t).'' '. ''''....'...."..'''\In......'' ,"'. '...'..,. """.'" '-"~ _,,~Wl"" '0"- .. ,."".._,.~,,<,;. '~-:\'\" ..;,' '''''f;..,.~. ,.,'1 "''''-''~ " ..... .. Ci~ of Port AngeIEfs<i'Buildiii,g:~ivision This certificate is issued p.L,j~!If,~;i?3!h~,~eq~iren:ents O!;eCliOn 11 po;~~e ;~03}ternational Building Code certifying that at the timefof},'i~~~ri~~~t}iti~tf~~~qtiArf:~lfaS, ~n complia'n~'e>with the vari;tus ordinances of the City regulating building con!!ru......Ci.'..'b.".h.'.,.O..'...~;.'.:u.":~e foAth.. e.".'(fo'.il.8....'ti!ifr'!;~;)"'> , ~ ~:~f~:\~8!~{~~~\~i1t\I" '{3"~\'~ ~:;~r:'~~':' .. .. Business name: . F.,.6~iii'f~T~~squar~~t~rers" '. "'~".""1'F''''' .'!If," ~ Business address,' \1fQ~.tN. ,MJ"y=.jst St . .. ~.-. ;~i.t H'~~ Owner of business,' Allali1~~sTuttle Owner's address: 6~~~~YIOr Cutoff, S'~gl!iir:n\~ Use & occupancy classification' Mercanti \\ ~;t';Y!:\:ili,i~ uilding permit number.,' '\\Y\if~!b,~""",.,, 06-271. pe con true . n,' \/=1'\1 - o - MaJId 12- 17 ~07 <' L-. -- \P -to i. ~ Fa U V'lt-cJ \'1 I::AUKQ., ST S9,VG.X'e 'T!:~ '(;1'1 n' :pc\.1\;. \W 3-23--0(; t.los'/\,e -SeMJ e.k.r- 5 ~ yex- 0 \J.l '<'ex' ROUTING SLIP ~"'o\"\e, ~'~ o.J-;~-\- Certificate of Occupancy \ 0 - \ Z. 0 ii cl- I"e- '" l'(\ e $50.00 Certificate/Inspection Fee j)<'\o..~ t c.\~ 0-. 00.- \ O\i1- ye/\ (jJ~EWI New Business. . , . . . . , . . . . . . , , , . . f\~eJ:~\1 Transfer of Business location \-\e, ,~. . . C: 0" ( -*,',> C 0"1 Change of Ownership ........',.....,...... ( , New Building .,....,.......,......,...... ( Remodel. , , , . . . , . . . . . . , , . . . . . , , . . . . ,. ( Temporary Business. . . . . . . , . . . . . , . . . , . , , .. ( Change of Use , . . . , , . . . . . . . . . . , . . . . . . , , .. ( ~o :lI:OiP-2.1I f ~O""'" tO~o'Y", ~_<P <l T:::;:;:._: '--~ ~ '- ~"w<i"~~ DATE Address of Propo~ed Bu~iness /0/ WG'Sf- /sr Applicant fJ/le..n R. Tuttle Address 6;1..5 -ra//~,.. cllfaFf sezt.tltn, w' . Phone: business 686-.3633 home 683"'1'008 .......-- ) ) ) ) ) ) ) Brief description of proposed business: legal Description: lot Current Use of Property: Zoning Classification of Property: 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 tor site drainage . (parking lots, downspouts, etc.) . . . . Are the existing streets paved? . Are there existing sidewalks? . Is there curb and gutter? . Other. :Jeue/j A*,// Block Subdivision YES ~ THE FOllOWING Will BE REQUIRED: - V-' PERMITS BUSINESS LICENSE -- 1) Building 1) Taxi ....- 2) Plumbing 2) Peddlers -........... -- 3) Electrical 3) 2nd Hand Dealer ........... 4) Mechanical 4) Pawn Broker - i:7" -- 5) Sewer 5) Dance ~ 6) Sidewalk installation 6) Hotel - Motel -.........- - <7" 7) Driveway installation 7) Fireworks -- 8) Curb installation 8) Ambulance V-- 9) Sidewalk obstruction 9) Tattoo shop - V ......--- 10) Water meter installation 10) Other -........... 11) Fire -- 12) Occupancy V- 13) Sign -- -- 14) Shoreline ......-- 15) Home occupation -- ........... 16) Conditional use -- ......- 17) 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. ~r~OVED REJECTED 1'2. a{:> A 3~~) Date: Signed: Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk PB.I.A. 4f1.()(oS(.J, 'i II I -y 01 1<1:>1l I ~bBll '3 fri/()(, RH . ( S '\oiir~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98362 Applicatlon Number Appllcatlon pin number Property Address ASSESSOR PARCEL NUMBER' Appllcation type description Subdivision Name Property Use Property Zonlng Application valuatlon 06-00000512 Date 421248 101 W 1ST ST 06-30-00-0-0-1569-0000- ELECTRICAL ONLY 5/17/06 CENTRAL BUSINESS DISTRICT o Owner Contractor MARKLEY, TTE DIANE L PO BOX 2835 PORT ANGELES WA 983620333 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit Additional desc Permit pin number Sub Contractor Permlt Fee Issue Date Expiratlon Date ELECTRICAL ALTER COMMERCIAL OLY EL / HP ON AWNING 77636 OLYMPIC ELECTRIC 61 30 plan Check Fee 5/16/06 valuation 11/12/06 .00 o " \) "- Qty Unit Charge Per 1.00 61 3000 ECH EL-COMM ALT <5 CIRCUITS Extension 61.30 t ------,--------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 61.30 61 30 .00 .00 Plan Check Total 00 .00 .00 00 Grand Total 61 30 61.30 00 00 " l~ ~ COMMENTS/ ACTION NEEDED \ ELECfRlCAL PERMIT INSPECflON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEI'TJID COMMENTS , YES NO IJITI :H lH lll( iH-lN /CUV,hK :ShK Y 1l.,;,h , 15-1"~1)' 1"kA) I , GENERAL COMMENTS: PW-II02.I' (41961 $~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 911362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER. Application type description Subdivision Name Property Use Property Zoning Applicat~on valuation 06-00000512 Date 421248 101 W 1ST ST 06-30-00-0-0-1569-0000- ELECTRICAL ONLY 5/17/06 CENTRAL BUSINESS DISTRICT o Owner Contractor MARKLEY, TTE DIANE L PO BOX 2835 PORT ANGELES WA 983620333 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Exp~rat~on Date ELECTRICAL ALTER COMMERCIAL OLY EL / HP ON AWNING 77636 OLYMPIC ELECTRIC 61.30 Plan Check Fee 5/16/06 Valuation 11/12/06 00 o "'- \) " Qty Unit Charge Per 1 00 61.3000 ECH EL-COMM ALT <5 CIRCUITS Extension 61 30 t ------,--------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 61.30 61. 30 .00 .00 Plan Check Total 00 00 .00 .00 Grand Total 61.30 61 30 00 00 ""- l~ ~ COMMENTS/ ACTION NEEDED \ ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO I III 'H 1(111 Il -rH-lN I CUYbK ~hK V lL:,h , FINAL 15-1'I~/)' I..b-A ~ I I GENERAL COMMENTS: PW-II02.J5 (4196] (~ORT "\J\.( ,:;.O~.y~ a~. -- ~ ~ "4i;~ CITY OF PORT i\NGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Lasered CEO App11cat1on Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivis10n Name Property Use Property Zoning . . . Application valuat10n 12/01/06 06-00001260 Date 321060 101 W 1ST ST 06-30-00-0-0-1569-0000- ALLAN & LEAH TUTTLE SIGNS ~ f#!:6~ 1"2.;1 t / {t~. CENTRAL BUSINESS DISTRICT 623 Owner Contractor MARKLEY, TTE DIANE L PO BOX 2835 PORT ANGELES WA 983620333 JACKSON'S SIGNS & GRAPHICS 472 MOUNT PLEASENT RD PORT ANGELES WA 98362 (360) 457-3703 Permit . . . . . Additional desc . Perm1t p1n number Permit Fee Issue Date Expiration Date SIGN 91082 47.00 12/01/06 5/30/07 Plan Check Fee Valuation .00 623 Qty Un1t Charge Per 1.00 47.0000 PER S- SIGN LES THAN 25 SF Extension 47.00 Fee summary Charged Paid Cred1ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate 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 inspection. I hereby certify that I have read and exammed this application and know the same to be true and correct. All proVIsions of laws and ordinances governmg thiS type of work will be complied With whether specified herem or not. The granting of a permit does not presume to give authority to Violate or cancel the prOVIsions of any state or local Jaw regulating construction or the performance of ~ons::2 ~ I~/~ Signature of Contractor or Authonzed Agent Date Signature of Owner (If owner IS builder) Date T \PolIcles\11 02_15 buIldmg pel1nJt mspectlOn record05 wpd [1/4/2005] ~ \ ~ (J - \\ - ~ z:. c. - ,* ~ , B~DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILlT[ES PLEASE PROViDE A MINIMUM 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO . FOUNDATION: FOOTINGS " SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) SHOWER PAN FINAL DATE ACCEPTED BY MEDICAL GAS LINE AIR SEAL WALLS CEILING ro'RAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF / CEILING DR YW ALL (fNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP / FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA P ARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE I YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL ~ LIGHT DEPT dlNSTRUCTION R.W.I PWI CONSTRUCTION - R W. ENGINEERING 4] 7-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 , I. . ~ PLANNING DEPT BUILDING 4]7-4815 r'Zll U IlM !(/LL BUILDING ohcles\1102 15 bUlldm' enmt ms ectlOl1 record05.w d [174/2005] T\P gp p p PREPARED 12/11/06, 10,46 02 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . APPL NUMBER 101 W 1ST ST ALLAN & LEAH TUTTLE JACKSON'S SIGNS & GRAPHICS MARKLEY, TTE DIANE L 06-30-00-0-0-1569-0000- 06-00001260 SIGNS PERMIT: SIGN 00 SIGN REQUESTED INSP TYP/SQ COMPLETED RESULT INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV PHONE PHONE (360) 457-3703 DESCRIPTION RESULTS/COMMENTS BL99 01 12/11/06 JLL BUILDING FINAL TIME 13 00 -------------~~------~--_:~~~~~~-~~~~~~~~~~--~~~~~--~ PAGE DATE 6 12/11/06 Lasered CEO COMMENTS AND NOTES ----------------------------------____ PERMITS ~~-----~~----..._--.-. .,",... ..... - " ~"~.;~,~;~q:j!Jiln;4t~;:=Ef~l~l~~1W~~?:~~;~t\;~'~~~{~~"~~'1;~!<;~~ii~~,'~J}fi~~~;~~~'~~n;~~i:"'~~~)~~f~;. "nrP;~~';~'/"'~" ,-', ",."", ",'m~"I;!;t~;r,~~,-m~/)m:'h_~' ~i~~~~:~~t;t;~;~)~~:~;I~~~,~i;B~~;'~~') 1 2/1 X 8' 8 sq. Ft. East Side 1 2/1 X 8' 8 sq. Ft. South Side Fountain Square Jewelers 101 West First St. Zoned: CBD r- OCU mC/) CJ,~ '~ Port Angeles this a\1wOrk IS the property of Jackson's Signs. 472 Mt. Pleasant St. Port Angeles, WA It is not to be reproduced In whole or part without written permission. First St: 26' x 12'=312 sq ft. X 2010 Laurel St: 56' x 12'=672 sq.ft x 2010 64.4 sq ft. 134.4 sq.ft. Sign 3/4" MDO Plywood r- !.l:> tS:> OJ o ~ !.l:> :3 ~ ~ \SI ::s- Cb '"'"I Mounting Instructions Awning 1- Cl) ..s:: \Sl ~ ;:; ~ 1.\'1 ~ "0 (Q ~ 1.\'1 -l This artwork is the property of Jackson's Signs. 472 Mt. Pleasant St. Port Angeles. WA It Is not to be reproduced In Whole or part without written permission. 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'J'?, " l~.",',I, V<f'!,~I.. .'n ,.v,>' ",v"_", ",'" " ~~""I~, "' ,v,,, ",.; '~, " ",." ,,'" .. ' . . ~~T " '" ~'UUl IJ , , '~cfth;jf "~tO~vhEit#iJrffilJfi1e~~~-~i~ '.-';'11fiisfti6ti1JlIrJCff"~1>>'ft1riloA.vdlki" f", .;;" ", ....~~~:;.,~~::.}~~~r;j~idj.-o~~............ '<.... .',;/Y\;, ': \. ." :~'.. ': ::: ':;'" ~,' ! ,:,:': :."'~" '\' ',", ..~n__ ::<), '::.- ,: " ",-,,'C',l:, r': ' ~ ',(, ~,~i'" "';:,;; :;:':. o;":"'~ :~ ";",: "'; ~__.. "-:":" ,>:",:'" ~',', ~" , .', ''-;::'' ',' _..:, )JS "'-ii.....,.... CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 98,('2 ELECTRICAL PERMIT Issued: 1/29/99 Permit No: 6546 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ LARRY ALBERTSON 101 1ST ST W 101 W 1ST ST Lot: 20 Port Angeles, WA 98362 Block: 15 Long Legal: 360/452-7663 Sub: TPA T: DIAMOND GALLERY S: Pare No: CONTRACTOR-----------------------------DESIGNER--------------------------------- ANGELES ELECTRIC 524 E. FIRST ST. PORT ANGELES, WA 98362 360/452-9264 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML. MISC. prj Value: $0.00 Occ Type: Cnstr Type: MOVE PANEL Occ Grp: Occ Load: Land Use: CBD Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser X Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT NOTES-----------------------------------------------------______________ MOVE FEEDER PANEL SO IT IS ACCESABLE FROM DIAMOND GALLERY PROJECT FEES ASSESSMENT--------------------------------------___________________ Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Mise MOVE PANEL $69.50 TOTAL FEE: Amount Paid: $69.50 $69.50 ================================= -------------------------- TOTAL FEE: $69.50 Balance Due: $0.00 COMMENTS/ACTION NEEDED -- - - - -----~ ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPKCTION TYPE DATE ACCEPTED COMMENTS YES I NO -IN I LuVER SER VICE ~ , , I ;fZ'lF{q I . GENERAL COMMENTS: PW-II02.I'I.u96J ~ Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. ~/:;~o . ELECTRICAL PERMIT DATE Site Address: o READY FOR INSPECTION License Number: o WILL CALL FOR 1 NSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction ~Remodel o Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voitage o 10 030 Service size o Temporary Amps Detai IslDescription: AjJ t.ut~ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. /~." 0 Ditch inspection O.K. ~:~ Rough-in/cover O.K. o O.K. to connect service .~ Final O.K. 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 Wr ~ Site Address: Installer: . Notify the De art ent 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.15~EXT. 224. ~ I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ - Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRI"ITERS, INC. Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. ~(P~3 :3;46/9 tJ . ELECTRICAL PERMIT DATE Installed By: READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: OwnerfBusiness Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage o 10 030 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps Details/Description: i)cu~(.....1 ftY I} 14./0 It) / 7.c V -e...- . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments -lAM 0 Ditch inspection O.K. /t'f'.f)!:J Rough-in/cover O.K. o O.K. to connect service ~~ Final O.K. 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/pendi ng Site Address: Installer: PermitfReceipt No. ~&.S3 New Meters . Notify the Department of City Light by Street ~ddress 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 b~ ~7:Spector i Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. _ S NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ 0, 8 d nspec~ Amount paid WHITE - file yaddress YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRI,"TERS. I,"C. /01;J FEE RECEIPT NUMBER CITY OF PORT-ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 017 PERMIT NUMBER . - II/lL V~E TOTAL FEE It 0(/ Z83t:?N Co;0 , ~ CONT. LJC. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address WI -S--FiElJ 5 AI doR. S711 t:.t;: PERMITS WIT WRONG ADDRESSES ARE CANCELLED ~r;DJ:lVE t{//lL--:"NER - C:oN'T/U9c.ruiiiU;tallationBy !I/ll.VtJRSEA/5 ,ELECTRIC o..we.:sAddress /795' ;L/7 / /2 W. Installers Address /4E.ft, W //li) - Oay Phone . . c;1c8- 2i yt 6 - Installers Phone 15''7 - 7 B03 Application is hereby made for Permit to install Electrical Equipment as follows: R IE Mo V E ,/RE RtJt,TG: FYIS77,/1/C L/G!l71;1/C f>:I1A/I/~A//);fi./0F. CI/?{!.UITS Wiring Method CbiVLJtf IT . NUMBER AMP 120V . 24QV NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PEA '0 100R FEE USE OF CIRCUIT CIRCUITS PEA '0 100R FEE CIA 30 CIA 30 LIGHT SIGN LIGHT /f 2.0 V /t"E. 50 VOLTS OR LESS .- MOTOR - CONVENIENCe - CONVENIENCE .- MOTOR APPLIANCE MOTOR DISHWASHER FI RE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER lAUNDRY DRYER REINSTAllATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE . GAS - Oil FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT / Z 0?. TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT-BREAKER A.C. UNIT AMP . PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. .- I SUB-TOTAL /6q;:.. SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made J-/1/1/W ,195".0 . .~ CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) PermIssion is hereby given to do the above descnbed work, accordmg to the conditions hereon and according to the approved plans and .~""~"o"' '~""" '""",0, ",,,,, ""m."'~' wOO '" o:"'"~~~;"' ,/" ;,' Date Permit Issued PLANS PPROVEO Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CA.NARY. Duplicate PINK - Triplicate WHITE CARD - Inspector's Report OLYMPIC PRINTERS, INC. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS '. ~\o "1~ O.K. FOR COVERING -V " O.K. TO CONNECT SERVICE / FINAL O.K. 'l I . ~ Cl a: <I: :2 !a :I: .... Z W .... [e .... o z o c . v 05/15/2006 07:55 3604523498 OLYMPIC ELECTRIC PAGE 01 8~ ELECTRICAL WORK PERMIT APPLICATION I .fob "ired by ~eelriCal Contraelor 0 Owner Jns~ti"n dCElcnption l!f Commen:ial CJ Re..ddential -/2 License numher Dote Expires . . "? n<_ C/LYM'p~~"1l1 Pu SeT maihnJl, addr~!l t.j~fO . rd~""~7 Q? c~ ~. State ZIP . Wrr 'r:)C'",t?S- V..J. 7?f~3 TeltphQTle number FAX number ~ -..2 - ~if~/ .....rY lJNew lJ AlteredlAddltion firer/- !?-//# Premfges (lWner'5 ..ame n;../"",l.:1r;? .~.?~ Address of in!lptdion or / t!? / "f/ / :L- CBY~ 1"/9, ~ Y'". ~:/J r Phone II1"nbel'" tn uhed'Jle ,nspedlnnG 7C _ Lj Owner 0.... defined by R.CW.19.~,~',2f1J:(J) Own,,:r wifl Of:;ClJpy the :~tnJ(:tllrc for two years after IMs cler..'rical permit i.~ finali~M, (2) Owner i.r required In hIre an e}ect1"ical can/rOclt)1' if above snr(1 propcny i.'l' for .'l'ak rent or fc().'l'(!, Arter re(ldin~ the above statement, I hereby certify (hi'll I am t'he owner of the above n::l.med PfOp~rty or a ljcc:"~ed electric!!l c01'ltrncto1'. I :am making the electric:d ;n!ltal- lation or altef3tiOl'J in compliance w;tl1 thc electrical hws, N,E.C" RCW. Chupter 19.28. WAC. Chaptet 29fi-4(iB~ The City of 'Port Angeles Municip;l1 Code, and Utility SpecificlltioTl~, Sll!:natul'"e or owner, electdcal t:ontrnctor .." eledTical AdmlnlstutnT o Cash 0 Check # c;6'edit Card Visa Mastercard Discover Card # ---------------- Date:5#7.@6 I al Load ~dl!lons and or sublra.c.fu!!ll o NO LOAD CHANGES lJ BasebOard IWI CJ Furnace KW lWFreat Pump g Ton _ LAR o Fan-Wen _ KW Expiration Date of card Service Informall'!.l) D Overhead Service o Temp Service o underground Service VoltagE) Phase lJ 1 lJ 3 ServIce Size; feeder Size: SAME DAY lNSPECTION. CALL BEFORE 7:00 AM 360-417-4735 - ROUGH-IN /' THERMOSTAT /' SERVICE \. lJIl.lC Aprrt'ivctl By ""IC ^Pl'l'I....('<l fly \. nllre A1>rmvea ~)' r FlNAL "\ DITCH r FEEDER ~~/ "- Ollte 1'11l~ro"cn Ry \. UnlO i\IlP~lIved ey Inspection Area. Building or Eq\lipmen[ Tnj;pected Action T(\ken Electrical D:l.tt lnspcctor S//,2/C. b '.. ...u_ _. , , ...J.j7~ , , , .- . --- , '- ~ , . .'\ .- -- ' om &--r.// 5//1'_ /10/ , . -, E