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HomeMy WebLinkAbout220 W 8th St - Building $~ "'r~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 32\ EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000263 Date 744593 220 W 8TH ST 06-30-00-0-2-6632-0000- ELECTRICAL ONLY 3/22/07 COMMERCIAL NEIGHBORHOOD o Owner Contractor MARKLEY, TTE DIANE L PO BOX 2835 PORT ANGELES WA 983620333 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL SIMPSONI 200A/100A SVC 97196 SIMPSON ELECTRIC 128.00 Plan Check Fee 3/22/07 Valuation 9/18/07 .00 o w }.J o Qty Unit Charge Per 2.00 64.0000 ECH EL-COMM ALT- REPAIR METER/MAST Extension 128.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 128.00 128.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 128.00 128.00 .00 .00 l OJ r} l/l -\ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECfIONRECORD 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 ACCItPTED COMMENTS YES I NO . IlIT(:H lUll J{;H_IN / COVER ~hKYICE /""'\ I';' --:i ~ ~ D 71 A-r(, 7 , GENERAL COMMENTS: PW.II02.1.5 (4196) . . 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Q)' 8 e:;:;~ \1 . ~ ;::Sl'l>...-< OQ ;:; ;::s- l:l ~ "" "vi Ct:- U POll Ii- th i 14 ROUTING SLIP .b Certificate of Occupancy (""$47.00 Certificate/Inspection Fee ofl'OAl "'0\- "<-~.~ ii,-.."_<;;. ~~ ....~ =- ~ ~"'-~ J-JJ.-03 DATE Address of Proposed Business f) aD W, ~+h St-: Applicant JecLn i I::LJ J Address 13Lj R \ f2- R.t'od " Pod- A1~~s C19;~ltP~ Phone: business 5lf5 -1ri..l 0 home 4'5CJ. -'7L'136 Brief description of proposed business: legal Description: lot ~ Block Current Use of Property: Vo C lA\A. t Zoning Classification of Property: C rJ 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 ot filling ot 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO -L_ ~- ~- ~- 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 80~ 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. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) z..~ 6 Subdivision .,:p A 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: rJ-/ a..-()3 " 11 Luli t,. ituJJ Signed: COjj,.:'n / Conditions ~/ea.I\L~-4- ~e.d. ~~1~!::! p~j hA- 11 Tkll(t Upc.1) AChdd ROUTING SLIP "" ',1") Certificate of Occupancy \ ~$47.00 Certificate/Inspection Fee ~ l'ORT "'-\' $o~Q~~ u~.. . L. -=..lr --- ~ "'tt8L'C~'" DATE J- J ~ -03 Address of Proposed Business /J .')(1 W, R-Ih 9f- Applicant Jefl/\ i H I II Address I '34 K \ ff' ~t1t'1C1 P(~r+ A-rw Ir's {iJ~~{P~ Phone: business Slr'i-t',:} I 0 home L~'5J'~b3S Brief description of proposed business: New Business ............................ ( V) Transfer of Business location. . . . . . . . . . . . . . .. ( ) Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( ) New Building ............................. ( ) Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Temporary Business ....................... ( ) Change of Use.. ............ .............. ( ) Subdivision -r? A legal Description: lot c;- Block z.~ 6 Current Use of Property: V,., ~ 0- '^' 1- Zoning Classification of Property: . C. f\,L Q..3::. b 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-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? . . . . . . . . . . . . . . . . . . . . . Is there curb and gutter? ........................ Other........................................ . YES NO ~- 1-_ -L_ ~- 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 "~k~ Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. 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: J-/O--{)3 " l(/rJ7 i /'}. IJLLP Signed: , Ilvi ce- LJ POll A-th i Id :tr 10 1<(0) ROUTING SLIP "? ...0 Certificate of Occupancy \ 1,.>-$47.00 Certificate/Inspection Fee ~'OAr A1~ iJ~O~Q~~ ~:;;. . L -=-.1J =- ~ """"',.,.... DATE J- J a -03 Address of Proposed Business fl aD WI ~+h S1-: Applicant Jean i '=LJ J Address l.3ll R \ fe.. R-OOd . Pr:rt- A1~k:s C1Y;,~{P"3 Phone: business S lPS -"1'ri.1 D home 46J. -'7&3S Brief description of proposed business: legal Description: lot S- Block Current Use of Property: \Ir"} c c>-'.A':\- Zoning Classification of Property: C N 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-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? . . . . . . . . . . . . . . . . . . . . . Is there curb and gutter? ........................ Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO --L_ ~- -1L_ ~- 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. APP~~D 3~ze-~ REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. _kh\) New Business ............................ ( V) Transfer of Business location. . . . . . . . . . . . . . .. ( ) Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( ) New Building . . . . . . . . . . , . . . . . . . . . . . . . . . . .. ( ) Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Temporary Business ....................... ( ) Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) z.~~ Subdivision ',? A 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 1 0) Other Date: rJ-/ f}..-{)3 '" it kni ~. IJcLp Signed: Comments / Conditions , ~I' ~ '''f' I T ~l Y' ,~ ~, -,--- 1 \zJ...~IOL lJo LDI\l~, ROUTING SLIP 1f'"OAr....... $'O~Q~t\' I N 1!>>~ \ ~ESS - ~ Certificate of Occupancy o ~:Jis . L~ -=-:or =- i'... $47.00 Certificate/Inspection Fee ~ .ou8l.ICW!fi".(J:> DATE //- /?- .,.,;; ..-:>0 .:::z-. New Business ........................... . ( ~) ~ Address of Proposed Business Transfer of Business Location. , . , . . . . . . . . . . . . ( ) .,;'J:J/? u/. .R#. '<- .-r:~. , Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) , Applicant /7 K...!)/ ~ ('7 ,. II /9 ,e Jt:l New Building .................. 0........... ( ) Address /ij~ W. Iln sf. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) 'f:;-.,A- j' 19,1//: /; ~:5 PI)/). t/..?J ~;l.. Temporary Business ...................... . ( ) ./ home:3to '/57 Y6</i Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ) Phone: business ( Brief description of proposed business: Ad>z...L AC?A/,~ Legal Description: Lot S Block 2b~ Subdivision TPA Current Use of Property: ...4f!.-, 'n~.,&; c.../V r ,I Zoning Classification of Property: Will THERE'BE ANY OF THE FOllOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . _ -----1L PERMITS BUSINESS LICENSE Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . ./ 2) Plumbing 2) Peddlers Plumbing changes ............................. _ V 3) Electrical 3) 2nd Hand Dealer New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . . -LV 4) Mechanical 4) Pawn Broker New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5) Sewer 5) Dance New sewer service ............................. _ -1L... 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. . . . . . . . . . . . . . . . . . . . - -J.L- 7) Driveway installation 7) Fireworks Is this a home occupation? ..................... . -~ 8) Curb installation 8) Ambulance , Excavation of filling of lots ....................... V 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . . . . . . . . . . . . . . . . . . . -V 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. . . . . . . . . . . . . . . . . . . -~ 13) Sign (parking lots, downspouts, etc.) ................. . -- 14) Shoreline Are the existing streets paved? ....... . . . . . . . . . . . . ~- 15) Home occupation .' Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . L.-_ 16) .. Conditional use r' Is there curb and gutter? ....................... . L.._ 17) Other . Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- , . I hereby apply for a Certificate of Occupancy and acknowl- -:f~' U /9 .:J(!)C) :2- edge that I have read this application and state that-the Date: ,~- , ~ t information I have supplied is correct to the best of my ~_~ d!: ;:;'.d~ knowledge. Signed: ,. - APPROVED REJECTED Comments / Conditions Id"'/Dv - ~"- I.c...~ Building Section ~A~. Sk ~~ ''<1l.\.S ~&S Wl\.~ of<'" Public Works Department ~ Do'\\i ,>. ~ ~~ u"d Ht,.. c/Dr~J Planning Department ~r ~ or"lA . R. Fire Department City Clerk P.B.I.A. ROUTING SLIP ~~ORr ~I\' ~O~G~tl' Certificate of Occupancy o h.-. . .....~ =- $47.00 Certificate/Inspection Fee '-' "'tt8'ICwrfi"'4-'" DATE , .- ~ - ",-'-' - - New Business ( V ) , , ........ .................... Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( ) Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant - - /." ; New Building ( ) - ..................0.0........ . Address '" J I I. // , -', Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) I ,. Temporary Business ( ) ..- ".. ...................... . Phone: business home ( ,( I Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: I- f .. legal Description: lot Block Subdivision Current Use of Property: " C~N Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes _ . . . . . . . . . . . . . . . . . . . . . . . . . . -~ PERMITS BUSINESS LICENSE Electrical changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ V 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . ". 2) Plumbing 2) Peddlers -- Plumbing changes /J" 3) Electrical 3) 2nd Hand Dealer ............................ . -- New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . ~ 4) Mechanical 4) Pawn Broker New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ t-/ 5) Sewer 5) Dance New sewer service ............................ . -~ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. . . . . . . . . . . . . . . . . . . . '" 7) Driveway installation 7) Fireworks - ---r::-- Is this a home occupation? ..................... . _-L 8) Curb installation 8) Ambulance v ... Excavation of filling of lots ....................... -- 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . . . . . . . . . . . . . . . . . . . V 10) Water meter installation 10) Other -- Is there sufficient off-street parking? . . . . . . . . . . . . . . . I . 11 ) Fire -~ New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . ,;' 12) Occupancy -- A grading plan for site drainage. . . . . . . . . . . . . . . . . . . -~ 13) Sign (parking lots, downspouts, etc.) ................. . -- 14) Shoreline Are the existing streets paved? ................... ~- 15) Home occupation Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . ~ 16) Conditional use -- Is there curb and gutter? ....................... . /' 17) Other -- Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: ...- ( information I have supplied is correct to the best of my knowledge. Signed: ,. .." ....... - APPROVED REJECTED Comments / Conditions ~ -r A.: ~ ~ J>.-<'I . Building Section ~ ~AY\:-TTI~. ~ ~\)_ cJI ///18/('/1.- \It. Public Works Department ~~ ~fi-~ ~~~~ ~~kQ Planning Department oct \~ tf'. ~ ,--:sooP Fire Department ~ ~ L\'\\ ~ n.-- City Clerk - 0 P.B.I.A. ROUTING SLIP . ~ Certificate of Occupancy '{~ $47.00 Certificate/Inspection Fee DATE>' R - d C)O ;;;- , Address of Proposed Business r.:?~ t"J tt/' g# ST- Applicant .r?-~/) 0 ,// J9;e 19 Address /4tJ W. II n sl-. f?:...ef IJ A/b.- E" ~ S k}/9, '9 P.5 ~,1- ./ U/ Phone: business homa36'.o 15"7 /b'/Y LJ..-r ~ '/ Brief description of proposed business: ~-4::l__ legal Description: lot ~ Current Use of Property: ~4 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 01 filling of lots ........... . . . . . . . . . . . . Work done in City right-aI-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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A2.4~ New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . Block 2 b~ GIV YES NO v' ==4 _ --;7 -Lv _-L - -tL- _-L v - v ==~ -~ _v v_ 5-== 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 Subdivision T ? A THE FOllOWING Will BE REQUIRED: PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddler~ 3) Electrical ~and Dea~ 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 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Date: ,.~J, /P,. .2.CJo:2- Signed: q;,~ c2:- t::J~ V) ) ) ) ) ) ) Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. I~O-W V#J "1 ~ ROUTING SLIP ) Certificate of Occupancy 1v; $47.00 Certificate/Inspection Fee DATE,~r- / R - ~ 00.::2- , Address of Proposed Business r:2~rJ y/, g#- ST- Applicant rJ-;ej)/r 0 ,// J9/?19 Address /--sltJ kJ. 117Z S.;-. ~"e.r- /:3 A/t:.. E A.E S p,}/?, -9 Jl c1 ~;l... Phone: business./ homa36'o tj5? Y6f/t.j Brief description of proposed business: ~ ...CJ~ New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building ...................... _ . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . V") ) ) ) ) ) ) Block 2 b cd legal Description: lot S Current Use of Property:~4 Zoning Classification of Property: Gtv Will THERE BE ANY OF THE FOllOWING? YES NO Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . _ ~ Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . 'K' .. - 4 Mechanical (heating, cooling, stoves) . . . . . . . . . .. ":--- ) Plumbing changes ..................~.......... _ New or relocated signs. . . . . . . . . . . . . .. ..... O. . New septic tanks. . . . . . . . . . . . . . . . . . . .. . . ..... New sewer service .................... ....~. . ~ Admission charged to patrons. . . . . . . . . . . . . . . .... . ~ Is this a home occupation? .............. 0" .' _-L Excavation ot tilling ot lots ............... ..... _ V Work done in City right-ot-way . . . . . . . . . . .. .. .... ---S Is there sufficient off-street parking? . . . . . . . . . . . . . . . ~ ~ New driveway openings ......................... _ ~ A grading plan tor site drainage. . . . . . . . . . . . . . . . . . . _ V (parking lots, downspouts, etc.) .................. __ Are the existing streets paved? ................... V_ 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. APPROVED REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Subdivision T ? A THE FOllOWING Will BE REQUIRED: \'J N () ITS ~ uilding . umbing EI ctrical M hanical S wer Sidewal . s all 7) Drivew i allation 8) ifr . stallation 9\ . ewalk obstruction 10)\ Wa er meter installation r;~1) Fire 7 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 E \J) 7-- .5 Date: ,,~, /.9" .200:2- Signed: r0~ ~ c:J~ Comments / Conditions .~ t~ ~ . . CITY OF'PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number .. Property Address . . .. ASSESSOR PARCEL NUMBER; Tenant nbr. name . . . Application description Property Zoning . ; . . Application valuation . .' 03-00000228 nate 220 W 8TH ST 0630000266320000 TWICE APON A CHILD 3/06/03 SIGNS 100 owner Contractor MARKLEY. TTE DIANE L PO BOX 2835 PORT ANGELES WA 983620333 OWNER --------------------------------------.------------- permit . . . . SIGN ---------------------- Additional desc Permit Fee . . Issue Date Expiration Date 30.00 3/06/03 9/02/03 Plan Check Fee Valuation . . ~oo 100 Qty Unit Charge Per 1.00 30.0000 PER S- SIGN LES THAN 25 SF Extension 30.00 qJ ~ C) Fee summary Charsed Paid Credited Due ~---------------- -----...........-, ---------- -------....- .--------- Permit Fee Total 30.00 30.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 30.00 .00 .00 8 ~ .1 .~ Separate Permits are required for electrical work, SEPA, ShOreline, ESA, utilities, private .and public Improvements. This permitbecomes null and void If work or construction authorized is riot 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 examined this application and knowthe 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 perrriit does hot presume to give authority to violate or canceLthe provisions of any state or local law regulating ponstruction or the performance of construction. . Signature of Contractor or Authorized Agent Date T:\PLANNING\FOIWS\I 102.15 [412002] ![ I' i I BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I I YES NO FOUNDATION:, FOOTINGS WALLS , '. FOUNDATION DRAINAGE ' . ELECTRICAL (LIGHT DEPl) SEPARATE PERMIT: # . ROUGH-IN I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN . " WATER LINE GAS LINE BACK FLOW I WATER AIR SEAL WALLS. I CEILING I I . FRAMING , JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-BAR INSULATION SLAB WALL I FLOOR! CEILING I I MECHANICAL ,. REA T PUMP , WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5: W ATERLlNE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKlNGlLIGHTING ESA: LANDSCAPING SHORELINE: ,. , FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE. .' RESIDENTIAL DATE YES NO. COMMERCIAL DATE ACCEPTED .., YES NO ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CO~STRUCTION R- W.I PWI CONSTRUCTION. R- W. EN lNEERlNG 417-4807 . PW I ENGINEERING FIRE 417-4653 FIRE DEPT. .. PLANNING DEPT. 417-4750 15:'- J PLANNING DEPT. . BUILDING 417-4815 I_ItU_ I{).~ ~IJ BUILDING l T:\PLANNING\FORMS\1 102.15 [412002} '1 BUILDING PERMIT.; APPLICATION FOR OFFICIAL USE ONLY: DateRec.:g-~-o ~ Permit #: Z Z.~ Date Approved: Date" Issued: -Ie. The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent-=r wire LJ pO n Owner: ~ nl ~.~ H,' 1\ Address: '34 R; Fe. f<Dt\ d A- Ch,'ld Phone: 5(05 -(d-\O Lft; d - '1l.t'36 Zip: q% 3(03 Phone: City: P6 r+- ~e.\c.S Architect/Engineer: Contractor Phone: License #: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: ;)J..D L,O, ~+~ S+-. FOr+- ~!~5 WNING:CAI LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: 131..\ g.i fe. Rd . City: PC'r-\- 1\n9L Ice:; Credit Card #: Exp. Date: VISA MC TYPE OF WORK: o Residential 0 New Constr. o Multi-family 0 Addition IIil" Commercial 0 Remodel o Repair ORe-roof o Move o Demolition VSign o Wood-stove QtGarage . b Deck o SIZEN ALUATION: SF. @ $ /SF. =.$ SF. @ $ /SF. =$ SF. @ $ /SF. = $' TOTAL VALUATION $ 70& O~ BRIEF DESCRIPTION OF THE PROJECT: P{a.~ 7;i3't"\ ( 8' X~' ') lo on bOi \eH Nj 1TIrn+ (J4' )(14'> I 'f:g~ ~ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: ~ Lot Size: % Lot Coverage: %. . Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. = TOTAL LOT COVERAGE: ~ /sq. ft. PLANNIN9 ~E'pNLY: < ... ~ ~J'.. LAPPROVALS: PL~)_/t1~ Notes: /t:hO ~~. ~ ~ ffn ,3,=$2." ~AA~. ~ +JLJJ (' AI BLDG. r-- ... . :~ ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMII'TAL: Your application and site plan must he filled out completely to be accepted/or review. The Building Division can provide you.with more detailed information on the application and.plan submittal requirements. Your completed application, site plan (for additions) and building constructionplans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Divisionto comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other penmt fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, this application will expire. The . Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certifY that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to deierm{ne what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. Applicant:~'~. ~ Date: [;1-/3-0.3 T:\FORMS\APPS\Buildingpennit I .~~ -.r ,j ~i '0-- j '-tJ~ c..:J '" 0 ~ ]~ i9=. d \[) - Vl --- -l '-~-11,'i CC. L~ [)o1'/ /~ ~.i-/t Jdj ROUTING SLIP ~., :ertificate of Occupancy ~ ;47 l0 Certificate/Inspection Fee DATE ~)-J ~ -(~ New Business ............................ Address of Proposed Business Transfer of Business Location ................ ,~,~D ~/, ~ '/'~ ~'m Change of Ownership ...................... Applicant ~C-"'Li'~i HI Jl New Building ............................. Address I~bl ~Tc'd~ J'~'~"¢~:J Remodel ................................. PC~.F+ ~'¥q~_J~ ~'l,~.:~:~, Temporary Business ....................... Phone: business ~ home Lt~'-~//_,-'3~_~ Change of Use ............................ Brief description of proposed business: Legal Description: Lot ~ Block ~.~'~ Subdivision Current Use of Property: ~-~ (' ~-.-~ Zoning Classification of Property: ~ WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes ........................... PERMITS BUSINESS LICENSE Electrical changes .............................. 1) Building 1) Taxi Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers Plumbing changes ............................. 3) Electrical 3) 2nd Hand Dealer New or relocated signs .......................... V/ 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? ...................... 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 ................... 13) Sign (parking lots, downspouts, etc.) .................. 14) Shoreline Are the existing streets paved? ................... v/ 15) Home occupation Are there existing sidewalks? ..................... I,./' 16) Conditional use Is there curb and gutter? ........................ V/ 17) Other Other ......................................... I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: '~-/~-~')~ information I have supplied is correct to the best of my knowledge. Signed: ~_~/~//'/~/~' ~. ~ APP.)iV/ED REJECTED Comments / Conditions ~5'z ~ -~-r '~' Building Section Public Works Department Planning Department Fire Department City Clerk RB.I.A. 12/25/2007 13:45 3604523498 OLYMPIC ELECTRIC PAGE 01 . ...... I ~:1 . . .1, ..::- ,I 07-1Z;2~ . ELECTRICAL WORKPERMJT APPLICATION' Job wired by glewl...l Co~It8CIOr a Owner Installation deloription o-:tommerdlll C RuldeDtlaJ Eleccrieal contrlctOr nllme Ol...m"',~ &....." 1";;L. ~t:,(raa.ilinalddreaIJ f.j 2.J.? /C/"#f",,,,/'9 rh'1 CUb Stale ZIP /b,--r ~~?/ U7- 7"rJ,5'z Telepbone number FAX number - -..? F. U~"P'C number Dele Ekptres OLYft'lPE-CU')" PI o No.. 0 A1t.redlAddlll.. ~1l"/"7 #/'//7/ r ., Premise!, o)'nerls D~t! _ G/W';rc?L./t?4? r Addr..' .r 1..pteU.. 8. ;;z.~ V ,I' CIt~,.-r d".-;;',., PbOlt a~ruber ~o';i~edille 1I11peclloD' ts: ~~t?7. ~ Ormu as dqlntd by RCw'/9.Z4.16/:{J) Owlle'r wfl/ <<,cellpy IJa~ J'Mlcturr I'" fWo yam 4fW Ilia flJrcln"OGl pmllit Is jlMJiztd. (2) Owner u nqlJlrtd to Jairt an cfet:trlCDl cotlJrGClor 1/ Gbo~ wi pt'Opelty u I'" .ale. "If' or 11aSe. After ttadm, the .boYe .t&temcna- I iRon:b)' certllY !hI.' I am the owner or the abo....e DllDcd pn3peny or a lIecpled elo"rili:B1 ~ntractot. I am matt", the eleCtrical m.tllla laCioQ or _Ueration In compllaDce wilh the electrical law., N.E.C.. acW. Chapter 19.28. WAC. Cup". 29~6B. Th. Cily or ,... An..I.. ManJelp.1 Code. and Ulllll)' Sp..Ir,"Ii.... Sica-duro!!! of owtln. eleurlul eontr.lclor or electrlul adml-plltrator X ~ 'Date:i 167 Cl~h OCheclttl afrcdil Card VIsa MllSlereard Discover CordI! . . . -------------'--- " Expiration D81e of card Sfllrvlce Informllllltlan o NO LOAD CHANGES IJ Baseboard ~ If(N o I'UmllC8 _1f(N o He.1 PumP _ Ton _ LAR o Fan-Well _1f(N o Ov.....ac1 Service o Tomp Servleo o Und.rground Sorvk:e VallaQo Ph.....alOS S.rvlce Slzo: _ F88dor sao: SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735 . , ROOGH-IN TBERMOS1'A1' r SERVICE D... Ap,""",tO By D... -....,. D.. App1'01'III6) f1l: in ~AL ~ DITOI , FEEDER '2S '7 D-IE " Du. !!1.../ .... ~,clIlty ..,.,.YaJ 8)' In.pcclion As~ enildingarEqllipmentlnapectod Action Ta.tetl Etsctrical Dale Jnspcclor ~ /~ V ("" ~ ::>. '~r ........ .../ '/ )) .....:::::..,/ '. FROM DIRMOND COMMUNICRTIONS FRX NO. 425 413 3904 . Nov. 27 2007 05:31PM P2 ()7~ 389 ~~~. tj ....- ;/.JEleetrical Contractor ELECTRICAL WORK PERMlTAPPUCATION Job "'ired by (J OWDer lrJ"llation dcscriptlOl\ ","ColDlnerdat 0 Residential Elcctrh:al COnlr.llctor name l aNew a AUe.edJAddllloD C n Purchllscr's mailing Address PO I?:>iW Cl( " City \-\-oin 0..\ '\- Stare ZIP K."I.l..~\r.. ..LV'\ Ol\l'j 0 +: c.OlY\YY'\ux\[Cll..+iO/I eQ\)~ S- \OCGL-t-iclV'\S. '7 25[:;C) ~ +0 Telephone number '-\'2 -:;'-"1 '3d -Vi OlD g- WA. qto;;,::,- FAX-n\&mhlrr L{'ZS- '-(r"5- 'D90 ccu...PCl.vVl - fA IJ.)o..r& ;:r D<\e. S Addres5 of in5pecltou ;;lC1-Dt.l 'b..-l-..!:- f4Je... City "'P'o,,\- An <te..k ~ -- r\ PremIse! Owner's name "... '^' 'A- q<;(3~L\ ..),,'-'It:. L.I"'~ ~ ~u,s.r. PIlortt nllmber fo ub~duJe iD.,;pedJon: '1Z.S--YbO> - OW.ll~I' as defillM by RCw'J9.28.26J:(J) Owm::r will occUPJ' (he ~lructureJo' two years aftu this electrit:a1 permjl l." ji'lulin-J. (2) Owt.er ;.i; rt.(jl4ircd 10 hire an c/cclrical ,""On/facto/' if abUl'l! :JU;d prVpf'rty ".f for ,SQle, rent or ICQSC, After reading the abovc stalcment, r hereby certify that I am the owner ar thC above nilmcd property or II licensed electrical contractor. I am making thc electrical instal- lation or alteration in compli3nce wilh tne eJecfti&.l:l1 Jaws. N.f.C" RCW, CniJprer 19,28. WAC. ChaplcT 296-46B, The City of Pan A.ngcles Munioipal Code. and Uliliry Specifications. Slgftflr e ! owaer, clettrieal clint actor or elettTicDl admlllb:lralor X. ~1iY2 - Date: 11!z7JJ7 Electrical LQild Additions and or subtractions IJ NO LOAD CHANGES o Baseboard KW a Fumace _ KW a Heat Pump _ Ton _ LAR a Fan~WalJ KW :Z~~ "t39 ~'fO a Cash a <"'heck # ~CreditCard @ Card Expirdtion Dale of card ()~ Service Information a Overhead Service C Temp Service o Underground Service Voltage Phaso IJ 1 a s Service Size: _ Feeder Sizo: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 . ROUCH-lN llIERMOSTAT SERVICE '~WIJ] ::'~y I Pnlc Af'Il'Ovcdtly D~lC "'/lPI'OVW By /' FINAL DlTClJ FEEDER ~~ O~I" ApplDVe4 By O~t~ App~Dy Inspection Area. Building or Equipmeot fnspecled Electrical Dal~ Aelion Taken Inspector .- . - Look Up a Contractor, Electrician or Plumber License Detail Topic Index I Contact Info Safety Claims & Insurance Workplace Rights Trades & licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendly Version Electrical Contractor A business licensed by L&I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time supervisory employee. License Information License DIAMOCl9880J Licensee Name DIAMOND COMMUNICATIONS INC Licensee Type ELECTRICAL CONTRACTOR UBI 602085026 Verify Workers CQ.m-!L~remium Status Ind. Ins. Account 98384101 Id Business Type CORPORATION Address 1 PO BOX 96 Address 2 City HOBART County KING State WA Zip 98025 I Phone 4254326068 Status ACTIVE Specialty 1 TELECOMMUNICATIONS Specialty 2 UNUSED Effective Date 9/11/2002 Expiration Date 9/11/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated GOWDEWLOO6N2 I License I https:llfortress. wa. g 0 vii nilb bi p/Dctail. aspx ?Li cense= D lAM OC 198 8 0 J Page I of 3 11/28/2007 Look Up a Contractor, Electrician or Plumber License Detail Page 2 of 3 '.' i Electrical Administrator Information .,' License GOWDEWL006NZ Name GOWDEY, W LAMAR Status ACTIVE Business Owner Information Name GOWDEY, JODI A . GOWDEY, : WILLIAM L Role Effective Date 09/11/200Z Expiration Date PRESIDENT VICE PRESIDENT 09/11/2002 r..0....~_-_.- Bond Information Bond Company , Bond Name OLD REPUBLIC SURETY CO Bond Account Number Effective Expiration Cancel Impaired Date Date Date Date Bond Amount Received Date #1 Until YLlZ41160 01/11/2001 Cancelled $4,000.00 09/11/2002 i Savings I~f~r;;~ti~~.... .~~ .....-.---.-j ...._ __.__.~~~c:hing Information.._......~..~.~J -.'~-'---- --_._..._._~-_.~.__._---- "-~ Insurance Information Company Policy Effective Expiration Cancel Impaired Received . Insurance Name Number Date Date Date Date Amount Date OHIO CAS BHO #7 INS CO 52422535 03/01/2007 03/01/2008 $1,000,000.00 03/01/2007 OHIO CAS BHO #6 INS CO 52422535 03/01/2006 03/01/2007 $170,000.00 02121/2006 OHIO CAS BHO #5 INS CO 52422535 02101/2006 02/01/2007 $170,000.00 02121/2006 OHIO CAS BHO #4 INS CO 52422535 03/01/2005 03/01/2006 $170,000.00 02/14/2005 OHIO CAS BHO #3 INS CO 52422535 03/01/2004 03/01/2005 $170,000.00 01/27/2004 OHIO CA5 BHO #2 IN5 CO 52422535 03/01/2003 03/01/2004 $1,000,000.00 02/18/2003 OH 10 CAS BHO #1 INS CO 52422535 03/01/2002 03/01/2003 09/11/2002 ~..._~_..._..._._.,."" _~".__",.~_ _~'.~""W ,- .._."_.,-~..~-,.,~., ".~-- S.tacLa.N.e.w5e.accb Printer Friendly~jQO ~E1,.,q'!'r'11l~";;~~.'.O:': 1,fl./';"7""~iI:j"~)51 11_"ll!loj'I1,~,'t-<~~~ About Lal I Find a job at Lal I Informacion en espanol I Site Feedback I 1-800.547.8367 ;(') Washington State DepL state of Washington. ~ of Labor and Indu"tries. Use of this site is subject to the laws of the ~waSl'llnQ1on https:llfortrcss. wa. gOY II n ilb bi p/Detai I. aspx? L i cense= D lAM OC 19 8 80 J 11/28/2007 ------ ---'- -~.... ~' ELECTRICAL WORK PERMIT APPLICATION, '" Job wired by )(Electrical Contractor 0 Owner Installation description )( Commercial 0 Residential ,-' Electrical contractor name License number Date Expires ;.27.0j DNew o Altered/Addition p, J(//llJ/A/4 HEe Purchaser's mailing address /0'1 NJ -r4 Pi City 1-1J.1/IJWPVO lJRiDD/3. ~(JbIB7 &W V4 Telephone number 08 6/'/<; State ZIP C)f~g/ FAX number 2S" - I '-f 2 - 578'1 Premises owner's name F))wMl.D JO;JES :J.tJVUrJ11Efv''Tf Ad!I.~S;f i"Wectif -t# f. City tORr J/lEw 121Fe-l!:,:J-rAcll:!J , lw/rCHt;J t F:LECTIlIC l-h:~'/I=l2f l/GH-rf' , ~ 10 (!(rc~,-tJ ,4,vq fLIES Phone number to schedule inspection: Owner as defined by RCW.19.28.261:(I) Owner will occupy the structure for two years after this electrical permit 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 certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468 The City of Port Angeles Municipal Code, and Utility S ca iO Si o Cash o Check # o Credit Card Card # Visa Mastercard Discover ctor or electrical administrator Electr ad Additions and or subtractions D NO LOAD CHANGES :;a Baseboard D:.. KW o Furnace KW o Heat Pump Ton D Fan-Wail KW Date: 11'13: ")-t5in ~(2.., 2.0b . - t-t I -z.-b"'f1~ Expiration Date of card Inspection fee $ Service Information LAR Q Overhead Service o Temp Service o Underground Service Voltage PhaseD1D3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 J.,J.A.4b 11/2.1107 ROUGH-IN J'J/IJrp ~BY THERMOSTAT SERVICE Dale Approved By Date Approved By DITCH FEEDER --l1ItL Approved By Dale Approved By Date Approved By Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector "'. .~ .---:" ~ ~ORT..."" ....-l.O~&~ i:S'~-. ~ ~ 1iSiI !~~m ~/,,~-<,.s 4-0RKSe.\l' ELECTRICAL INSPECTION WIRING REPORT 417-4735 I P'""1T#07-13"31- I~ \ , ADDRESS 226 w B-s APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 O. . . . . . . . . . .. . . . . ROUGH IN/COVER.. . . . .. . . . . . .. . 0 O. . . . . . . .. . . . . . . . . ... SERVICE. . . . .. . . . . .. . . . . .. . 0 0..................... FINAL...................)l\ CORRECTIONS NEEDED: ~X'LPc..Gt7: ubl-l~ IIN 'tSPXK ~M ~lJ\~eb~L-'; ~l\ Ut-H-,T~ - - _Cn\J~~ ,<L-17~<s rEON:L ~ '32.'$t-A Jo(~ LfX--V& +OR t-!:rz.FiT <_ ~ lZU)~ - - '"&...AN 1<. I-DE. bl J) ~Gl \ .....L :P:,~-H \2t6M NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS, INC. (360) 452-1381 ~z;;;' ELECTRICAL INSPECTION <~~: WIRING REPORT c::. .... w '1--V4-0RKS.;,<-$ 417-4735 . . " l.~ .f:>r APPROVED NOT APPROVED o ..,...,....""..... DITCH . . . . . . . . . . . . . . . . . . . . 0 ~ '~~'n~. . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 0, . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 0, . . , . . . . . . . .. . . . . . . . . FINAL. .. . . . . ... . . . ... . . . . 0 CORRECTIONS NEEDED: $1~~N Lt'iZ.c~ ~r:ot/~_ -J>rI.1 1Kl<~~~\/ ~~ ~fG) ?TZ0\1lU.T ~'1- ~"T1-') +- ~ )T- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 03/13/2007 22:32 'fY ,y (~/A< .~ \ "- Cy ( ipl 4579270 SIMPSON ELECTRIC PAGE 01 . i ~~:''''.~" ~~;. 't'~;r.'" ELECTRICAl" WORK PERMIT APPLICATION · . ., , .,/ }~[;f~~' i;.....;.'.. :.inb wired by )i1JElectrie.J Contr.ctor 0 Owner F.sta1 conS~ ~r~,'c strnn~$~lr 9'73D~jrC~ Pu'C""r;:t,'i"n~ ""d'C~' ~ W ~3o.3j:>_._ . JOI City fC#-f ~-i-r~$ s'WIJ_ 9831:>3 Telephone lluml)cr FAX number -+ 57-'7~70 ~~ Prcmtl)t~Rmtvt~ Addres~ of inSpeCtionW,....u , ::J.2C . l'5:'U'J c-t City () I ----1:0 12-:1'"- Ins:tall:'ltion dc~t::rirtion Q Commerdal )f! Residential Cl New , Altered/Addition ~ Z S~I'c..a % ~.~ > 2GO :::;: > I r<. ~~)~ Wit Pbnne nllmhel' to ~chedulc hupedlnn: 4-5 -. 7 O'llJ7fcr as (/(:(I,,('d "'.1' RCW 19.28.26I:(l) OW"t'f' ....'if! f)C(:"{/I' lh"I'frrtr:rurp. In/' rwn years afier this clec".;cal perm;! r.\"ji"olizccl. (2) Own~',. is rf.'(jNlrc/J II) ;'Il'e t1.fJ df!r:lrlr.al C(}}/IJ'(JCfl;ir !I" IJJ:mVIJ ,rl1in 1"'I'P!?!'~I' j~ .Ii)!' soJr'!. f'f!J/f (H' It!a.~l!. Ar\er rc<.u.ling lhe above SlRlemL'111, J hereby certiry \ht\\ J rtm the: OWPcr ofthc above n;ll'l"lc(l propcrt)' or ,'I Iiccn~e(l clCctr'iC;l1 contractor, I ::1m n1::1kin~ the electrical inlrtlJ1~ latinn nT alteratinn in compliance with thc electrical law:;, N,n.C. RCW. Chrtl'lC'r 19.28, W^C. Ch""lcr 296-46D. The CilY or Port ^ngclc~ Mllni('ipal Code. and Utility Spceifical:iollS. o Cash 0 Chock# o Credit Card @ M$stcrcard Discover CaTd# ___~_~____.____ actor or electrical .lfdminj~lrJUDr , Date: 3}J'I )07 Expiration Date of card 'll:;pC~'Lion reo. $ 28.o.,Q J>.<\OIJ!"eJnioJ.Illi!.t]Qn !;te_cjrJ!'_l!!.~~~d Ad!lltlons and or s .. .!1:,!c!!ons IJ NO LOAD CHANGES o Baseboard KW o Furnace KW ~ Ove(head Service o Heat Pump _ Ton _ I.AR 0 Temp Service o Fan-Wall KW 0 Underground ServiGe SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN VOIta.~Q Phase IJ , IJ 3 <1-DO ".h<l> Service S;te: 100 1l"1' ' f Feeder Size: ____ DAIr. ^1'!"',Wet1 Ay / THERMOSTAT \. "~It; AflflTtlved By / DITCH ~;~ ^!'!,,!'(Iv~d >iy / SERVrGl \. n~lo: ^flflTtlved 8y / FEEDER D.,.. - ^p~I'l'''<'t' f.ly FINAL 1./7 ~ lnspccti,)f'l 1)::IIC Area. T3uilding: or Equipment Inspected Ac\ion Tnken Electricol Inspector , ;;; -1'5-~'1 PT. / . Warnings SUHClARD'"NHlIC SEem.!/: HTeN:w~> VOK )( E'" , c.ncet Location ID: Propertyadd,es8: ASSESSOR PARCB. NUMBER: 147492 210WBTHSTA O&JO.Oo-o.2.6632.000o- location CriticaVSpecial NO~8S and Information C$) 5 1& 'l? :s:!l 07-00001525- 07-00001389 07-00001331 07-00001266 07-00001116 ()7-00000913 07-00000263 03-00000218 03-00000140 ELECTRICAL allLY - ,tatus C OL-~Mfl<- '[UCllUCAL aNn - ~tetu,. C Dt ALMo N 0 ELECTRICAL OlfLY - Stat\l.5 C RIDPu-t-b PUBLIC VOlll'9 UTILlTES - 3t3tl13 PI COm! PEmlPlL - Statw'l CO SIVIlS - Sta~ C ELECTRICAL omy - Ste:tus C SIGNS - Status C 1:0- CHAllQ: or OeCp./WE - Statwf PR ~""f'$or,j ~ ~It'i:lll, 'I "~NlUI.bet,lCode _ _ *~;;: DellCtlptH,n ," 0' ~ '" -" D",te S , Open Appl P Open App! P OV'!:n Appl P Open Appl P OpMl Ioppl P Open Allpl P Open Ioppl P Open Appl P Open Ioppl If \....-i.c~~ (CI~Y\(\"\ I i.~~L.. lZjZ7/Z007 HnS/Z007 11/1412007 1013112.007 09/2612007 08/0312007 L i.-d.-c..::rJL-t C-_ 03/1412007 03/06/Z003 0211212003 , Warnings $UNQAREn'U$lIC SECTOR H'H; NlIVilJnll' "OK y"" ( Cancel . ~ e ~ 'i? >-::J ~ locationlD: Property addrns: ASSE55ORPAACEl. NUtUJER: lAB220 220 W BTH STB 06-30-00-0-2-6632-0000. Location Crlth:al/Speclal Noles and Informatlon It~1I Nuiibe~lCode DoaS'cnpt.1Qn [l'tte ~ r Open Appl DutOLmOJl - 5U~ C 09/26/2007 07-0000111'3 ,