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Home My WebLink About232 W 8th St - Building r � amu: - C E RTI KATE F' ,O C, 7 U PA N CY AV, City of'Port Angeles Buildngtlj®ivision This certificate is issuef gzursuant=sto.Zhe requirements of Section 111 of the 2009 International Building Code certifying that at the tine of issuance thi :; fracture was in compliance with the various ordinances of the City regulating building con ' gu g g strucZzon'or.use or,:tie"ollown Business name StraitsHealth &Wealing Centerµ-(Ow`ner JodlHall) Business address '�3Z GW 8th St. Property owner -c-1� Alan W Gustafson, w ' Property owner s address PO Box 13°144,,�Por.:k 9 iesy MY' 9;8°362a 4t Automatic fire sprinkler`.syFtem. Not Required_ >� Use & occupancy clhssiflcation. Business , , r Building permit nuniYe litilil i ii AM Occupant load. Pe Type of construction. VBA . T 04-14-11 Manager Date Post on the premises in a conspicuous place. This certrt"lcate'sliall not be removed except by the Building Official. 1 l o �o er ` p(0)RT.,j�, CERTIFICATE OF OCCUPANCY APPLICATION Permit# FEES CITY OF PORT ANGELES $ Certificate /Inspection Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 $100 Parking Business Improvement Area (PBIA) (360)417-4815 fax (360) 417-4711 fee charged for.Downtown'locations PLEASE PRINT IN INK Check one: New business in P.A.?[Chang`e,of ownership only' Moving location from within P.A.? Zoning BUSINESS NAME Y O � �C I - Q-C(- I 1 yl C 41y-144-y— Business address aa3a tO g 4A-- ?)q ksA4-9 310 ! ng addre 6 13 1= 1 �� pg kJ J�_ Phone number y 1 —1— 10 0- Opening date op Days & hours of operation Tine S -5z:� ./ Business owner's name —U-6 i l�-C4 < < —�Contact phone_ [ i- 0 C/ S y 6 car Business owner's address � A 3 A` .i D-4-1- /— ILSI s 3(0 ,nclv A,A Brief description of business 2 .Y ✓ t C . Property owner's name RC n6 Contact phone Property owner's address/contact l 3 A L4 Mor E �, f 45 BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Construction changes planned (moving walls adding/enlarging windows or doors roofing siding foundation work, adding/altering stairways, ramps, bathrooms electrical heating/cooling/ventilation systems etc) Work planned FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No Work planned PBIA (Parking Business Improvement Area Downtown) phone 417-4623 Square footage of business? PBIA notified on Is business moving within the PBIA? Yes ❑ No.p. CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes ❑ N6 , Will there be dancing at this business?Yes ❑ No 4 A City of Port Angeles Business License is required for Taxi, Peddlers, Second-Hand Dealer Pawnbroker Dance Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2' A, . COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on 4 Number of off-street parking spaces available for employees and customers? Ci o Il L- (A parking-plan may be required.) Signs? (wall-mounted freestanding projecting awning A-frame etc?) Signs planned: D Lve�l-DC-11 % 1 II__M-S Wy% an exi�si n 4 i iIt,Y►-,inced ari Q�V - - - OT PLEASE NOTE: NO flashing intermittent,or chasing signs are permitted in the City of Port Angeles. rr. ....y PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812 Is site work planned (new or re-located sewer or water service, excavation grading or filling work in City right-of-way new driveway openings site drainage parking lots downspouts, irrigation system backflow devices, etc.) Yes ❑ No Work planned PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste other than domestic household waste be discharged into the sewer system? Yes ❑ No If yes what will be an / 1 Call for Certificate of Occupancy inspections BEFORE opening business -Building Department Inspection-41-7-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy I acknowledge that I have read .this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may re It in revocation of permit. Dat j Print Name J Signatur T'IFormsMuilding DivisionlCertificate of Occupancy Application(2d10).doc Page 2 of 2 OAPV,� �1Ko�sou7,��f CERTIFICATE OF 0 CCUPA NC Y A PPLICA TION Permit# ANN— FEES CITY OF PORT ANGELES $� Certificate / Inspection Attn. Permit Technician 321 E. Fifth St. Port Angeles WA 98362 $100 Parking Business Improvement Area (PBIA) (360) 417-4815 fax (360)417-4711 fee charged for Downtown Ibcations PLEASE PRINT IN INK Check one New busmess in P.A.?Change of ownership only' Moving location from within P.A.? Zoning C Iq BUSINESS NAME Y-O.I + �C e--Ck eja 1 Y1 C qln l— Business address aa3a LO P6 U4-q UsIuznq addre 5 17S )- 1 D-'--' P9- 'w 1�l 9 93- Phone number Ll 1 --7— 100-0- Opening date c� :) Days & hours of operation Tine S -Sam iC " Business owner's name -7J-6 C.t l ( �Contact phone l Le 1- © 9 S<-/ Business owner's address &3 Brief description of business S r C S !L �e-�C i S e- C� Property owner's name C- 14544 Contact phone Property owner's address/contact JC4 `for e/�ts 3 a BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Construction changes planned (moving walls adding/enlarging windows or doors roofing siding foundation work, adding/altering stairways, ramps, bathrooms, electrical heating/cooling/ventilation systems etc) Work planned FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes.to a fire sprinkler system or fire alarm system? Yes ❑ No (� Work planned. PBIA (Parking Business Improvement Area Downtown) phone 417-4623 Square footage of business? PBIA notified on Is business moving within the PBIA? Yes .❑ No.P CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pa.wnbroker business? Yes O' No Will there be dancing at this business?Yes ❑ No A City of Port Angeles Business License is required for Taxi, Peddlers, Second-Hand Dealer Pawnbroker Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page Iof2' 4 COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CED.approval b on Number of off-street parking spaces available for employees and customers? Ci O n e-- (A parking.plan may be required.)_ 0 AL Signs? (wall-mounted freestanding projecting, awning A-frame etc?) �r Signs planned: _ manner +`n si ode. 4i uji te)LU h Q 0 PLEASE NOTE: NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. otnic .r ti., PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812 Is site work planned (new or re-located sewer or water service, excavation grading or filling work in City right-of-way new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.) Yes ❑ No Work planned PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste other than domestic household waste be discharged into the sewer system? Yes ❑ No f If yes, what.will be discharged. / Call for Certificate of Occupancy inspections BEFORE opening business Building-Department-Inspection 417-481-5 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy I acknowledge that I have read .this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may re It in revocation of permit. J Dat �1 Print Name \ (�� 1 "� Signatur T'Worms\Building DivisionlCertificate of Occupancy Application(2010).doc Page 2 of 2 PREPARED 2/17/11 6 50 49 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/17/11 ADDRESS 232 W 8TH ST SUBDIV CONTRACTOR PHONE OWNER GUSTAFSON ALAN W PHONE PARCEL 06 30 00 0 2 6644 0000 APPL NUMBER 11 00000155 CO- CHANGE OF OCCP/USE PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 2/17/11 J BLDG C/O FINAL --L� OVERRIDE TAKEN BY PBARTHOL DATE 02/17/11 TIME 08 42 59 February 17 2011 8 42 09 AM pbarthol Jodi 461 0954 - COMMENTS AND NOTES o<VORTq�. CERTIFICATE OF OCCUPA NC Y A PPLICA TION Permit# c � s CITY OF PORT ANGELES FEES �_. Attn Permit Technician t)certif icate/Inspection 321 E. Fifth St. Port Angeles WA 98362 $100 Parking Business Improvement Area (PBIA) (360)417-4815 fax (360)417-4711 fee charged for.Downtown locations PLEASE PRINT M INK Check one" New business in P.A.?9 Change of ownership only' Moving location from within P.A.? Zoning BUSINESS NAME `t-a I QA I }'1 C Business address 2,3a LAD � '�- PA k)0-et 3lVgQng address--J61 3 F= 1 D 4 ' p,4_ k),4 Phone number 14 1 -1- 100-6- Opening date oPM Days & hours of operation Tut S -S�� Business owner's name "3ocl 1 4C4 l l T Contact phone_ -Rt I- 0 S<-/ ev Business owner's address �S )3 F ► A-rn Its WW s3 a- `1CIv A t, Brief description of business S r C �-SC i CA Property owner's name Li ncl is G ks Contact phone Property owner's address/contact 13 i(4 tori (, e&S, S i BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Construction changes planned (moving walls adding/enlarging windows or doors roofing siding foundation work, adding/altering stairways ramps, bathrooms, electrical heating/cooling/ventilation systems, etc) Work planned FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No l Work planned PBIA (Parking Business Improvement Area Downtown) phone 417-4623 Square footage of business? FPBIA notified Aw Is business moving within the PBIA? Yes ❑ No CITY CLERK phone 417-4634 r--U City Clerk approval by on 3 �� Second-hand dealer/pawnbroker business? Yes ❑ No Will there be dancing at this business? Yes ❑ No 9 A City of Port Angeles Business License is required for Taxi, Peddlers, Second-Hand Dealer Pawnbroker Dance Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 A COMMUNITY&ECONOMIC DEVELOPMENT ,phone 417-4750 CED approval by=on -Z�� Number of off-street parking spaces available for employees and customers? Ci D 4 2— arks (A p . 'ng,plan may 6e required.), Signs? (wall-mounted freestanding projecting,,awning A-frame, etc?) Signs planned: manner 15- C v c.l - e e i I stQn 'r Ca�� , ! PLEASE NOTE: NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. l!. _ PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812 ME approval byRV on z,"Z —I't H Is site work planned (new or re-located sewer orwater service excavation grading or filling work in City right-of-way new driveway openings site drainage parking lots downspouts, irrigation system backflow devices, etc.) Yes ❑ No "I Work planned PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste other than domestic household wastes be discharged into the sewer syste Yes ElNo If yes what will be an Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 y. Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy f acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may re It in revocation of permit. Dat /IG I Print Name ' Signatur (__ T\FormsMuilding DivisionTertificate of Occupancy Application(2010).doc _71 Page 2 of.2 4, V .i t 237 302 "227 vnn- 238 V Ar 811 0" 0 " 230 ,*, t - 224 220 220 238 � ,t+., 0 .228 0 t .224 P -' ' h 218 235 220 Clallam County Assessor& Treasurer - Property Details - 58428 ALAN W GUSTAFSO Page 1 of 3 Clallam County Assessor&Treasurer Property Search Results>58428 ALAN W GUSTAFSON for Year 2011 2012 Property Account Property ID: 58428 Legal Description: N2&W15'S2 LT7<8 BL 266 Geographic ID 0630000266440000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 56 Open Space: N DFL N Historic Property N Remodel Property N Multi-Family Redevelopment:N Township: Section: Range: Location Address: 230 W EIGHTH ST-232 Mapsco: PORT ANGELES,WA 98362 Neighborhood: Cycle 5 Comm Map ID2 p Neighborhood CD' 20953140 Owner Name: ALAN W GUSTAFSON Owner ID 28181 Mailing Address: P 0 BOX 1314 %Ownership: 100.0000000000% PORT ANGELES,WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 02/22/2011 Amount Due if Paid on:_71. NOTE.If you plan to submit payment on a future date,make sure you enter the date and click RECALCULATE to obtain the correct total amount due. First Second Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due 2011 153086 ST SCH STATE SCHOOL $269.88 $269.88 $0.00 $0.00 $0.00 $53976 2011 153086 CC-GEN COUNTY CLALLAM $149.00 $148.97 $0.00 $0.00 $0.00 $297.97 2011 153086 SD#121 SCHOOL DISTRICT#121 $352.79 $352.77 $0.00 $0.00 $0.00 $705.56 2011 153086 CITY PORT ANG CITY OF PORT ANGELES $343.95 $343.93 $0.00 $0.00 $0.00 $687.88 2011 153086 PORT PORT OF PORT ANGELES 1 $20.97 $20.97 $0.00 $0.00 $0.00 $41.94 2011 153086 NTH OLY LIB NORTH OLYMPIC LIBRARY $62.48 $62.48 $0.00 $0.00 $0.00 $124.96 2011 153086 HOSP#2 HOSPITAL#2 $61 16 $61 16 $0.00 $0.00 $000 $122.32 2011 153086 WSMET PK DIST WILLIAM SHORE MET PARK DIST $18.59 $18.59 $0.00 $0.00 $000 $37 18 2011 153086 CITY-STORMWATER CITY STORMWATER $82.65 $82.64 $0.00 $0.00 $0.00 $165.29 2011 153086 WEED-CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.00 $1.63 2011 155086 TOTAL. $1362.29 $1362.20 $0.00 $0.00 $0.00 $2724.49 2010 41376 ST SCH STATE SCHOOL $274.69 $274.69 $0.00 $0.00 $549.38 $0.00 2010 41376 CC-GEN COUNTY CLALLAM $146.18 $146.18 $000 $0.00 $292.36 $0.00 2010 41376 SD#121 SCHOOL DISTRICT#121 $355.80 $355.80 $0.00 $0.00 $711.60 $0.00 2010 41376 CITY PORT ANG CITY OF PORT ANGELES $33846 $338.46 $0.00 $0.00 $676.92 $0.00 2010 41376 PORT PORT OF PORT ANGELES $20.54 $20.55 $0.00 $0.00 $41.09 $0.00 2010 41376 NTH OLY LIB NORTH OLYMPIC LIBRARY $42.48 $42.47 $0.00 $0.00 $84.95 $0.00 2010 41376 HOSP#2 HOSPITAL#2 $59.97 $59.97 $0.00 $0.00 $119.94 $0.00 2010 41376 WSMET PK DIST WILLIAM SHORE MET PARK DIST $19.08 $19.08 $0.00 $0.00 $38.16 $0.00 2010 41376 CITY STORMWATER CITY STORMWATER $82.64 $82.65 $0.00 $0.00 $165.29 $0.00 2010 41376 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 t 2010 41376 TOTAL. $1340.66 $1340.66 $0.00 $0.00 $2681.32 $0.00 Values (+)Improvement Homesite Value: N/A (+)Improvement Non-Homesite Value: N/A (+)Land Homesite Value: + N/A (+)Land Non-Homesite Value: + N/A Ag/Timber Use Value (+)Curr Use(HS): N/A N/A (+)Curr Use(NHS): + N/A N/A (-)Market Value: N/A (-)Productivity Loss: - N/A http.//websrv8 clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=58428 2/22/2011 c J PA N CY CERTIFboTE- geleCi rtAn RUM, ision This certificate is issue ursuant to the requiremen S,0 Section 110 ofThe 706 International Building Code certifying that ahe�zmef issuance this structure was in compliance w the various ordinances a .. of the City regulatin Ul allruc"I.IUM110r,use for thefyhowing ff 151 Business ame .. °.. F•,°, ; Tel Nails (Owne;r -Cirlst� Kna:p,p). thl § u Business address >232W 8 St g �. Property owner Alan W _r, � Gustafson Property owner aa'a'(ress:� PO Box 1314„Po'rtAn(�eles.¢'W49;8r3:62 .Y 4 ';�7 Automatic fare sp s.-,,' tem _ tem sPer Use & occupancy ass:afcation. Busdess� , ., I Building permit nu ,bei - Type of construction. Per Occupant load. r` F 07/30/09 Sac a nnrngctna r Date Post on the premises in a conspicuous place. fic ill t be removed except by the Building Official. 1 kl 04 s PREPARED 4/15/09 12 46 06 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/15/09 ADDRESS 232 W 8TH ST SUBDIV TENANT NBR PAMPERED NAILS CONTRACTOR PHONE OWNER ALAN W GUSTAFSON PHONE PARCEL 06 30 00 0 2 6644 0000 APPL NUMBER 09 00000324 CO- CHANGE OF OCCP/USE PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS CO99 01 4/15/09 L BLDG C/O FINAL OVERRIDE TAKEN BY PBARTHOL DATE 04/15/09 TIME 08 40 47 April 14 2009 3 06 23 PM 1pangrle CHRISTI 808 3777 —11T C OF 0 FINAL PAMPERED NAILS CHRISTI SAID THAT YESTERDAY PAT AGREED TO COME BY TODAY TO DO HER C OF 0 FINAL INSPECTION April 15 2009 8 40 41 AM pbarthol COMMENTS AND NOTES ��.VORIt�. CERTIFICATE OF JCCUPANC Y APPLICA TION Permit# ��``�" CITY OF PORT ANGELES I FEES Attn Building Permit Technician $50 Certif cote /Inspection 321 E. Fifth St. Port Angeles WA 98362 5 (360)417-4815 fax (360) 417-4711 $10000 Parking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations BUSINESS NAME G�rn CI'f V G 1 BUSINESS ADDRESS � I�• Zoning Business mailing address Phone# Opening date Das & hours of operation jM — F d Washington State Tax I D # / .` n If known list the name of the previous (v o� 4'9 0 1 -7311 business at this location ai on Brief description of proposed businessIv Business owner's name Phone# Business owner's home address PLEASE NOTE. A'Business License is also required for the following businesses.Taxi, Peddlers Second-hand dealer Pawnbroker. Dance ,Hotel- Motel Fireworks, Ambulance tattoo shop Contact the City Clerk at 417-4634 for additional information ACTION ✓ WILL THERE BE ANY OF THE FOLLOWING? N ✓ YES✓ IF YES CONTACT Electrical changes i I Electrical Dept.at 417-4735 New business New or relocated signs e515' d 'i 1 V1y"% BuildingDiv at 417-4815 Construction changes Transfer of business Mechanical changes(ventilation,heating,cooling,etc.) r location from a Plumbing changes PBIA location Firesprinkler system changes Fire alarms stem changes New or relocated sewer or water service Public Works at 417-4807 Transfer of business Excavation or filling of lots location from a Work done in the City right-of-way non-PBIA location New driveway openings Change of ownership Grading site drainage(Parkin lots,downspouts,etc. Landscape irrigation system(backflow devices) Water Dept.at 417-4886 Is this.a home occupation? PlanningDiv at 417-4750 Remodel Is this a second-hand dealer or pawnbroker business? Citv Clerk at 417-4634 Temporary business Is there off-street parking for this business? How many spaces? Is the street in front of this business sued? Change of use Is there a sidewalk in front of this business? Is there a curb&gutter in front of this business. Call for Certificate of Occupancy inspections before opening business. Please sign up for utility services Building Department Inspection 417-4815 &- Fire Department Inspection 417-4653 at the cashier counter Please provide a minimum 24-hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state t t thEli supplied is c ct o the best of my knowledge Date �- D Print Name n�/ ,Signature �s dife cetr For Cit use only: Approved Rejected np lJs Comments/Condition Department Initials&date Initials&date 0— t 1 �C Building Type of construction c1Ct)Ylw ccu Load Fire Automatic fire sprinkler system required no yes PBIA Planning City Clerk Public Works T:Forms/Buildi�g Di ion/Certificate of Occupancy Application n CERTIFICATE OF OCCUPANC`�APPLICATION Permit# D ! 3a - '`� CITY OF PORT ANGELES FEES �--M Attn Building Permit Tech•iician �$50Certi cote/Inspection 321 E. Fifth St. Port Angeles WA 98367 {360) 417-4815 fax (360) 417-4711 $10000 Parking Business Improvement Area (PBIA) I Print in ink '1 fee charged for downtown locations BUSINESS NAME AM art C G I BUSINESS ADDRESSd� f� Zoning L Business mailing address Phone# O enin date Das & hours of operation — — Washington State Tax I D # U O I —j 2 y If known list the name of the previous 1 J B business at this location ai an Brief description of proposed business fx Spiv Business owner's name Phone# Business owner's home address 3 PLEASE NOTE. A Business License is also required for the following businesses Taxi Peddlers, Second-hand dealer Pawnbroker Dance Hotel- Motel, Fireworks Ambulance Tattoo shop Contact the City Clerk at 417-4634 for additional information ACTION ✓ WILL THERE BE ANY OF THE FOLLOWING? N ✓ YES✓ IF YES CONTACT Electrical changes LElectrical Dept. at 417-4735 New business New or relocated signs R_SK� a i 1 VA BuildingDiv at 417-4815 Construction changes a It F1 Transfer of business Mechanical changes(ventilation, heating,cooling,etc.) location from a Plumbing changes PBIA location Firesprinkler system changes Fire alarms stem changes Transfer of business New or relocated sewer or water service Public Works at 417-4807 location from a Excavation or filling of lots non-PBIA location Work done in the City right-of-way New driveway openings Change of ownership Grading site drainage(parking lots,downspouts,etc.) Landscape irrigation system(backflow devices) Water Dept.at 417-4886 Remodel Is this a home occupation? Planning Div at 417-4750 Is this a second-hand dealer or pawnbroker business? City Clerk at 417-4634 Temporary business Is there off-street parking for this business? How many spaces? Is the street in front of this businesspaved? Change of use Is there a sidewalk in front of this business? Is there a curb& utter in front of this business? Call for Certificate Of Occupancy inspections before Opening business. Please sign up for utility services Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 at the cashier counter Please provide a minimum 24-hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state t t theinf, rmation I have supplied is c ct o the best of my knowledge Date ID�Print Name Signature ! f For City use onl . Departmelf Approved Rejected A7 /Condition Init'als&date Initials&date Building O Type of construction Occu Load Fire Automatic fire sprinkler system required no yes PBIA ^--� Planning 5R -7—,23-01 City Clerk 5L) 4—I�- Public Works v .) T.Forms/Building Division/Certificate of Occupancy Application I7 � e �. d: m 302 .� � �^ '� 'NCSs-•y* �. $n AR .° 236 "; 4°e ``.•a>..1 q >„` � L '3��• '� he 'c, °w” �'"""5�a `l�1 Q0.;• 230 220 4k r ff 224' i 220, d , as + 239 a � rci: �✓, r,p±��'a ' 226, 218 220 229 ' xp '227 a, All ~ .. ^21 y �e • � �" •� � ^( ' �� '219' a �;a: ,� �� 3 e-K CIA,! Aid L 041, at� 3A" Al. i A i i e"w'e� PORT 4 CITY OF PORT ANGELES uLIGHT DEPARTMENT PERMIT NO. ELECTRICAL PERMIT DATE Site Address: ) ❑ READY FOR b;, ILLCALL FOR 7j, � �� INSPECTION INSPECTION Installed By: },�c•en a umber: Ph ne: K4Yr (_7'f Pfro- Z Own / u P /�R'•NC1'7YJ�16 �,n�j / I �� l�- Phone: Owner/ usiness Address � >C� Sq. Ft. ❑ Residential ❑ New Construction ❑ Overhead Heat KW ❑ Remodel ❑ Underground ❑ Baseboard ❑ Furnace/Boiler ❑ Service update/alter/repair Voltage t� ❑ Heatpump ❑ Other 1>4A0 ❑ 30 ❑ Commercial/Industrial load ❑ Add/alter circuits Service size r—,6— Amps Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load Special equipment (attach breakdown) (list below) 11 r r Details/Description: 1�r� -77� v- W.S. No. Service Size Date Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter ❑ Rough-in/cover O.K. ❑ Meter Department notified for installation O.K. to connect service El Fire Department notified of inspection F ial O.K: ❑ Plan Review approved/pending U Site Address: No. , I Q,,d t Permit/Receipt Z 52- Nl . L� � So �O�ZI Instal111New Id 0 D�: � g 11,51, � tp�J� 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. i�r�//Y , NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / r6/ Insp or Amount paid WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN—Top:Inspector,Bottom:City Hall OLYMPIC PRINTERS. INC.