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HomeMy WebLinkAbout528 W 8th St - Building J -~ .- I) '1 <:, "..- DATE 7' . ..) ( Address of Proposed Business '\ " l ~. '\ ;::. II _. I Applicant Address J I ..... .\ C ,I;" r, J (, J <~ c' I H " .\ t' r\ Phone: business '-I <; I 'I) (' ( home LI<, / Brief description of proposed business: I Q.., v ... legal Description: lot Current Use of Property: Zoning Classification of Property: ~,'~ C:t ..Zt;.....l ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee lll.... i /--. ( /- ~ New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building ............................. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . c ) ; II .".. . c " , I. r- \ \ ...... Cl... ('~~ Block ;;) 63 ~~ I c.. e.. Subdivision Tr~ 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........................................ , ..I YES NO y"" -- ...' - ---;::- ".. -- . ~- J,. 7== --- ~- / 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. 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 ..--r ) ) ) ) ) ) r, r I I ~/ v Date: q -J S Signed:-. '.11 11.,1 c"'/ /'" (/rj...? Comments / Conditions8D LA? \/10 ), ~ l' . I h Mu v-LR ~ fl--LQ .e-t~_(7) p.J () oJ ~ f) \/u;'YLL'L1A. ~ ~ bl~ L.<:J .., O/l'loJ 11.~~ ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE q;J 3-0 I Address of Proposed Business SC}<t L0.~""~ f'1'4 Applicant ~ ~ to.. 0 It k<s Address J &, I 'S ~ I A- R. A L IV PA Phone: business '-I S 7-7C}.oO home45)-d9'7<)""" New Business ............................ ( Transfer of Business location. . . . . . . . . . . . . . .. ( Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( Temporary Business ....................... ( Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ~,2.S"-4( ~f'ORT -4-\1 $o~Q~1t' o h.. . .... -==-.10 =- ~ ~LIC~~ Y""'") ) ) ) ) ) ) Brief description of proposed business: O~ p Pr- .\.. ... ..-A- <!..-)\. Z' Yh Ie ~ [ c1J7: ,.o~ IVcO~,1.;C ( legal Description: lot / Block ~ b3 Subdivision T P t4 Current Use of Property: C-o u" s~ \ ~ .......~ ~i c.e..- Zoning Classification of Property: (~ tV 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 ./ -/ - V -- ,/ ---;7' - -- ../ -- ,r- - -.;;r -- ./ -- V -/ ~~ -~ -- _ v V 7- -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. Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. ....-. j AP D REJECTED ~g Vk:::-,0" t I v ~'2Y-o~SR 1-?)rrOJ- pJ 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: q -~ -c> I Signed~ ! CJ~ Comments / Conditions ".ORT"" t~ r..a L -=-- ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appl~cation Number Application p~n number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appl~cation type descript~on Subdiv~sion Name Property Use Property Zoning . . . Appl~cat~on valuat~on 06-00000795 Date 7/27/06 403680 525 W 8TH ST 06-30-00-0-2-3660-0000- LIVING WELL Lasered CEO SIGNS Owner Contractor ~ ! ~ ~ COMMERCIAL NEIGHBORHOOD 100 RICK & TERRY HOCH 4201 TUM WATER TRUCK ROUTE PORT ANGELES WA 98363 ( 36) 452-5381 OWNER Perm~t Add~t~onal desc . Perm~t pin number Perm~t Fee Issue Date Expiration Date SIGN 83501 47.00 7/27/06 1/23/07 Plan Check Fee Valuation .00 100 Qty Unit Charge Per 1.00 47.0000 PER S- SIGN LES THAN 25 SF Extension 47.00 Fee summary Charged Paid Cred~ted 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 ~ / "'1' ~ ~~ Oy ~ ~ ~& <: ,t ~ \~ ~ ':K Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last - inspection. I hereby-certify that -1l1ave r€ad-and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date 7__ :P? 7-iJ& Date T \Pollcles\ 11 02_15 bUlldmg permlllllspecllon record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE 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 B/I Aloe, ..J L.L 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) GAS LINE FINAL DATE ACCEPTED BY; BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 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 SKJRTING - PLANNING DEPT SEPARATE PERMIT #"s SEPA P ARKlNG/LIGHTING ESA. LANDSCAPING SHORELINE; FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W 1 PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING 10 !~Ill,_... --'l~ , I .....::J ~ CI) ~ tJ-I t ~ ~ Q;t '"\ " T IPohclesl1 102 15 bUlldmj( permIt inspectIOn record05.wpd [1/4/2005] 0\ ,t1~: ""-\_ ~~ l~~. t~7 Lasered CED BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Architect/Engineer: \ Phone: 3 b6- Lf/57- t17/'i J, Phone: '-5"0- Lf-5';''''' .5"~3 2/ . .lht.1f'/e.> Zip: 9%'365 Phone: A ppllcan t or A gent: ::r 0 h VI IJ, S en s en) J) I (!., Owner: 1<' i c K l.J.oc.h d R r/:f N-o c.l-1. Address: Lj ;20/ r;j n? w/J_fer '[;.i/<f#yfi-'lbrl- Contractor State License #: Exp: Phone: City: Zip: fl.;. .f~ 5t./f}J,f .4nq~k.<; / 11/# q7,p~.?-ZONING: Block: Subdivision: (!J) Address: PROJECT ADDRESS: ,7 ::?tJ LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA _ MC _ # TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage '16 Commercial ~ Remodel 0 Demohtion I' 0 RepalT )( Sign 0 Other BRIEF DESCRfp'TION OF THE PROJECT: Occupant Load: & Proposed Sq. Ft. Construction Type: ~ COMMERCIALIRESIDENTIAL: Occupancy Group: No. of Stories: L Lot SIze: Existing Sq. Ft. Total lot coverage % =-TOTAL Sq. Ft. ESAfWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPR}tfh~ PLAN:~ . BLDG: DPWU: FIRE: OTHER:_ V ALUA TION OF CONSTRUCTION: Inall cases, II valuation IImount must be entered by the applicant. TIllS figure will be reviewed and may be revised by the Building DiviSIOn to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued WIthin 180 days of the date of applicatIOn, the Ilpplication will expire. The Building Official can extend the time for action by the applicant up to 180 dllYs upon wntten request by the applicant (see Section RI05.3.2 of the International BuildinglResidential Code, 2003). 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. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required .not the City's. and that I must obtain such permits prior to work. /, ~ APPIiCan1~) ;f: Ut$4L---- Dale: ?-~ / -- t::J6 PREPARED 10/04/07, 11:34 25 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 3 10/04/07 ADDRESS TENANT, NBR. CONTRACTOR OWNER PARCEL APPL NUMBER 525 W 8TH ST LIVING WELL SUBDIV RICK & TERRY HOCH 06-30-00-0-2-3660-0000- 06-00000795 SIGNS PHONE PHONE ( 36) 452-5381 PERMIT: SIGN 00 SIGN REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS BL1 01 8/18/06 JLL BLDG FOUNDATION FOOTING TIME: 13, 00 8/18/06 AP DONNA 417-9094 08/17/2006 11:48 AM DYASUMUR --------------------------- 08/18/2006 04:40 PM DYASUMUR --------------------------- BL99 01 10/04/07 -Jf BLDG FINAL V\ October 4, 2007 8 29.53 AM Ipangrle LINDA 417-4815 (TO FINALIZE THIS OLD PERMIT) BLDG FINAL - SIGN (LIVING WELL 10 SQ. FT FREESTANDING SIGN) -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 8/18/06, 13:02.52 CITY OF PORT ANGELES ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL . APPL NUMBER 525 W 8TH ST LIVING WELL RICK & TERRY HOCH 06-30-00-0-2-3660-0000- 06-00000795 SIGNS PERMIT: SIGN 00 SIGN REQUESTED INSP TYP/SQ COMPLETED RESULT BL1 01 8/18/06 ~ INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 8 8/18/06 SUEDIV: PHONE PHONE ( 36) 452-5381 DESCRIPTION RESULTS/COMMENTS BUILDING FOUNDATION FOOTING TIME: 13:00 DONNA 417-9094 08/17/2006 11 48 AM DYASUMUR --------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- 1- : L! + Ji_+ ! -1-1-)-:-;--,--', : ; I r .1 / I_'_IT j~:';_LlJ.~i- U-!--~q-!_.i-f-L_!-LL!-;_I--L~i -'I-u+~~I-.JH'I-L1-r I' - j-..--... : H-H-,-.----,---~.-L--I-.--I-I-I-LJ-.--,_'_LI_, I I I _._-'_1_' '_1_,__,_1_1_1_,_1_1__, __1_1_____ III ~~'-:-i-!--!-:-r-:--'- _~--:=-..:.,_=_~ ,.=__-r--J::. ,_, ,_,,=,,_' I-U-~--I-U-I=:-I-:---:-I-U--I.J-I- U_I~-l:,-II-I-- _ _ I II: H-:+~,-I-:-l t_,__,_,_ _'_ .'_~ '__'_." 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I..... " I . " ; = . ~~ ~ A ./ I "I N -.~,.,~ .--f- I -i- i- 1-- ....-..... ., \--:\1 ::' _I;, I' :,1 II, IJ \ , .~ ,~ I, ..J " ..., l" ' \, ~-!il- 0" 41 I" '- JJ \ ;;l \ o \ 1"\ " U'I t'" I " \ , '\ ... i ! i " " " "\ ..... " ~ -r - -c, F~ 11'" NK I-ft j--J''"-:::r :- - -'- '- .J li.;::..~' Dts~ "'-4l:,.,oN;tt' CITY OF PORT ANGELES PUBLIC WORKS - ELECTRlCAL DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ELECTRICAL PERMIT Issued: 6/20/97 Permit No: 5961 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ VICKIE & LARRY SUTTON 528 8TH ST W 528 W.8TH ST Lot: 7 Port Angeles, WA 98362 Block: 263 Long Legal: 360/452-2443 Sub: TPA T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 , 000/000-0000 PROJECT INFO----------------------~--------------------------------------------- prj Type: RES.REMODEL ~ I"\~ ~:Jt~o_<:,~ prj Value: $0.00 . Occ Type: CUWl-. v~r-~ - Cnstr Type: ADD HEAT Occ Grp: Occ Load: Land Use: CN Electrical Heat X Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: 4 o o o Service Type Riser X Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-l -3 200 AMPS o AMPS PROJECT NOTES-----------------------------------------------------------~------- ADDING 4KW BASEBOARD PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $55.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $55.00 $55.00 ================================= TOTAL FEE: $55.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRlCAL 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 lNSPECTION TYPE DATF. ACCEPTED COMMENTS IYESINO vnCH ROUGH-IN / CUVt.K "FRVIf'P 7/.:>t1 qi ~ ?/Olil/t/7 7Pm PThT A T I <inN, 7(71."1.. I GENERAL COMMENTS, PW.ll02.1~[4I961 (/0/ FEE RECEIPT NUMBER . . . CITY OF PORT ANGELES .; DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A ~~1 PERMIT NUMBER . TOTAL FEE ~al{roV CONT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY Site Address S:z. S1' \...l.J CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH ~AON~A.A1'DRESSES ARE CANCELLED i-I _. . Owner' r;:..1r..~u<; 'S.~)A''';J:OJ'\,l Installation By VV\.\...l"'oN'tV'S '" '5 C- ..<{l(le Owner's Address -=l "It \.-.-? 'is T ~. .. Installers Address ~:3".......... 'it" I '" Day Phone 'i~'7 .5'':2.0'"2. Installers Phone '-\..s-7 Sl,.. yq Application is hereby made for Permitto install Electrical Equipment as follows: :r::- "" $ I .. II ....... I ( T4.. ~.-.. ~ F>< IsT,:""7 h~"'I-r",q,~ ELECTRICAL PERMIT ONLY 'irT2.. - NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Wiring Method tel<... . NUMBER AMP 24QV NUMBER AMP 120V 24DV USE OFCIACUIT PER .120V FEE USE OF CIRCUIT PER 100R FEE CIRCUITS 100R CIRCUITS '0 CIR '0 30 CIJ:! 30 LIGHT.,. SIG~_ ~ \ ", ~. , , '. -. , . ., . . " " ... ;". " '. y .,-:: . 50 VOLTS , LIGHT OR LESS ,. . " . '. .- CONVENIENCE MOTOR CONVENIENCE . MOTOR APPLIANCE MOTOR DISHWASHER . FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE "C' MISC. OVEN - WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # . FURNACE SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER .. A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS - - SERVICE A.W.G. I SUB-TOTAL . - 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 .;1;-, :2' '-I ,19 ,?i By ~~~) CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Perm!ssion is h~rebygiven to d9.t~e ~bove desc;:ribed wprk, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ord!nances ,qf the City of Port Angeles. '-~TOR F I By PLANS A " . . Date Permit Issued WARNING 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 Ex!. 158. . PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD . Inspector's Report DATE OF vtSIT 7,;lz~f/- I 7 . r . TfuTiZ I J MADE BY " . .. AJI~ A. I/)dr I ,. REPORT OF INSPECTOR REMARKS ... ", ,. \ ' \ ., ~- INsTfHlfd AlII..J ~rr ",.J ,,,,p,.u.. 1) ,t'CAoI/L 5r", ri .., IV 8. 3. 1+ \A.-r1 A .S' -, ~'JE~I"... _ o.~. Tn ,.-tn.Eel .k".Jl"'~ ANALO.K. . z C; II: C ::E II) i: I- ! w l- . I- o Z o Q . '~ w CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 98:162 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00001019 Date 10/lg/05 639917 528 W 8TH ST 06-30-00-0-2-6326-0000- ELECTRICAL ONLY COMMERCIAL NEIGHBORHOOD o Owner Contractor SUTTON LARRY R/VICKIEL 528 W 8TH ST PORT ANGELES WA 983625810 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL ANGELES/ MAST REPAIR 62554 ANGELES ELECTRIC 66.90 Plan Check Fee 10/19/05 Valuation 4/17/06 .00 o Qty 1. 00 Unit Charge Per 66.9000 ECH EL-COMM ALT- REPAIR METER/MAST Extension 66.90 V, \'J Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.90 66.90 .00 .00 ~ (~ l;~ fi '"' V1, "\ COMMENTS! ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 4174735 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 COMMENTS NO GENERAL COMMENTS: PW-lI02.1~ 141961 10-13-205 1, 43PM FROM ANGELES ELECTRIC INC 360 452 9265 P.1 " 5...... ,........ -- ~:1 "l_.._ ELECTRICAL WORK PERMIT APPLICATION' Job wired by o Electric.1 Contractor 0 Owner Installation description o Commercial D Residential electrical contraclor name License number Date hpires A-Nr~E!FIt-fr-'O RS o New IJ A IInedl Addllioll Purch..M~~h~b~rJHC. INC. 4 AST FIRST City PORT I,N(J(L(3. 'fiA ~8:'l6l State ZIP . . r- .('P-0 i r A.M'./.?.r.,1,1 a5r+-- ~ Telephone: number 3&0 45;;2.. lIlliP Premises owner's name _VIUt-1 Xl-l.-tf1Yl Address of inspection . I?U W..gm ~:~wJt" .oM WFf Phone l'luml)er to ~~utc inspcetioa: q g,:sto'L Owner Q.~ dt:;'-ined by RCJY.19.28.26/:(1) Own...' will occupy (h~ structure: fur tKiO YC.'Ur.i (ifIu thi~ (~lt!ctriCQil)ermit i~ finalized. (2) Owm:r is I'l~uired to hire an elitclrical contractor if abnve said prop('I'ly is jr" '''/lIe, ,.,~nt 0" JI!Q!U!' Aitct tcading the 1bove 5tatemenL I hcn:by certify' that I am the owner of tbe abuve rumcd property or a licensed e1ectric31 contractor. I am malcing tbe elecuic..l instal- lation or alteration i1\ compliance with the elecLrical laws. N ,f.C., RCW. Chapter 19.2ti, WAC, Chapter 296-468. The City of Port Anseles Municipal Code, and Utility Specifications. Sign.aturc of OWDcr, electrical contractor or elutric:al sdminlstrarOf (A{)1f, iO!i3jfJ<" ,'(,wi) o Cash 0 Check It \l'Credil Card Visa Mastercard Discover Card# ____()N1jLh___~-_____ x Date: C- Expiration Date of card Electrical Load Addition~.l!1.I.l!. or subtractions IJ NO LOAD CHANG ES o Baseboard KW o -Fumace KW o Heal pump Ton LAR IJ Fan-Wall _ tWJ ~~~ Information Cl Overf1ead Service CI Tamp Service o UnctergrounCl Service Voltago _.m'__ Pha.. 0 , IJ 3 Service Size:_ Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE D'It~ "rp""~"'l fly DlI!t AW"\,..~~.R) OJ.tc AIl'P""'I;\ll3y - FlNAL DITCH FEEDER jOh.:s/6< Ac:D '- D&le / D~lc AC'\>ro)~cd By ./ 'D:lle Apll'l'\I~~ By / Appl'OVcd By Inspec1ion Area, Building or Equipment Inspected Ac.:tiun Tllhn Elcctnc;\! D31e Inspector - ._. _.. --&/) /t7 /171n.,.- , ,