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Home My WebLink About928 Caroline St - BuildingCERT (i This certificate is issue certing that at the t regulating building -c Business name Business address Property owner Property owner s Automatic fire spri Use occupancy c Building permit num Type of construction. Occupant load. yf Port Ang pursuant to the requirements of Section 110 of the 201 e of zssuance;this sti ucture was in compliance with the v J� o`undation� /lark�ti 8 Caroline St._ Clallam C ubl c Hospital ®iVstrriet 939 Carolinoe t Port AngeIes„,`\ I -stem. Per IBC oration. Busi les P Post on the premises in a conspicuous place. This ager UPANCY sion International Building Code ious ordinances of the City cal Center) 909 05 -05 -08 Date a I not be removed except by the Building Official. co /e_ Cof o 4 4\e \,oSr4.1 Mc./c e Sco-\--\ Qo L1/4fek- 65 -05 -0g P 5 1 Rem BUSINESS NAME On Frxw A +1%, vt r- kc+--i° h 4 BUSINESS ADDRESS 9,2 g C Vl Si— fl,i j P,,c —t ,4nq e`1'�S Business mailing address Opening date Days hours of operation Brief description of proposed business o ff; ce bP,A Business owner's name (OMC.) Business owner's home address ACTION New business Transfer of business location from a PBIA location Transfer of busi location fr non -PBI O Change ownership U a location Tfmporary business Change of use Date 4f51 Print Name For City use only Department .7 II IlnitiaApl� oved datge IV1i1 1 Z 1 _o U V 1 $d1 Building Fire PBIA Planning City Clerk Public Works T'Forms /nudding Division /Certificate of Occupancy Applicatiol CERTIFICATE OF OCCUPANCY APPLICATION Permit# d 519 CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Existing streets paved Existing sidewalks Curb and gutter Rejected Initials date FEES 50 00) Certificate Inspection $10000 Parking Business Improvement Area (PBIA) fee charged for downtown locations ci 83 (02 Zoning Phone# 1110 CJallarn (n Pub HoSp 1 i s+ Z Phone 34y6"r7 4' a n, 41Nro 11y, S--e.; Pori- An 3 Q-1 es d g R 3 2 -3 909 J PLEASE NOTE. A Business License is also required for the following businesses. Taxi, Peddlers Second -hand dealer Pawn broker Dance Hotel Motel Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information WILL THERE BE ANY OF THE FOLLOWING? I NO/ Electrical changes New or relocated signs Construction changes Mechanical changes (heating, cooling, stoves) Plumbing changes Fire sprinkler system changes Fire alarm system changes Is this a home occupation? Second -hand dealer or pawn broker? New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Off street parking Type of construction Signature Automatic fire sprinkler system required no YES/ Comments Conditions Occupant Load IF YES, CONTACT Electrical Dept. at 417 -4735 Building Division at 417 -4815 Planning Division at 417 -4750 City Clerk at 417 -4634 Public Works at 417 -4807 Water Dept. at 417 -4886 Please sign up for utility services at the cashier counter yes Call for Certificate of Occupancy inspections before opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read this app ation -nd state at the information I have supplied is correct to the best of my knowledge . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 5"11 Z. ~ - 30- <=75" DATE ELECTRICAL PERMIT Site Address: &:)1-8 CAeo L IF-lf., t-ha,.1Pe.I~? SA"""- o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: 1~7-~U Phone: Installed By: J Go Owner/Business: Owner/Business Addre5~ Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW o FAN/WALL KW o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION %-REMODEL ~ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: 1'Z.OlzA-O )e119\ 03'9\ SERVICE SIZE ?I'"Y'? FEEDER SIZE AMPS AMPS DetailslDescription: ~114& l~ H-AN.DlcAf'1'~P AaE55 I B~ f..-xAM. "Vb~. , M.~/o-l~ 15 to. IHecoM . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. -V- Rough-in/cover O.K. o O.K. to connect service ~ 'P Final O.K. ~~. T ~ Site Address: qU CA:eo f-j F..lb ~1'J.D/2.lc.t.S O"-'/J&fC... Permit/Receipt No. '5 Jr "Z- Installer: ~& New Meters Date: - 5-30 -.,:;- . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 3o~ ~ Electrical Inspector Permit Fee WHITE - File by address PINK - Top: Eng, Soltorn, Customer GREEN - Top: MeIer Dept., Bottom: City Hall OlYMPICPRINTERSINC . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. /f'l3 DATE ~/~~7 Installed o READY FOR INSPECTION license Number: ..../ . I>.)S* ,C,i ... )S..WILL CALL FOR INSPECTION PhoneQ 7-.... 13' z.. Phone: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load 0 Add/alter circuits Total Connected load 0 Auxiliary power (attach breakdown) (list beiow) Total Motor load ~ Special equipment (attach breakdown) .. '(list below) Details/Description: A-t..-AR.Ai\. ~V$,-r7- -^'\ I '- o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01.0 03.0 Service size o Temporary Amps /.2 1/ l::t:?-- . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service AJI-~inal OX Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Install . fJL-/JJS bNIJJSiAL!t S-LvlR.l7'\: Permit/Receipt No. Site Address: 9 Z 3 . Notify the Department of City Light by Street A dress and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. ~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / b rOO / <. ..If ~pector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall -' [J Electrical Contraetor [J Owner. ELECTRICAL WORK PERMIT APPLICATION [J Request Inspection o A.oo.al Permit 0 Alarm 0 Carnival 0 Commercial 0 Residential 0 Reslde.dal Malat. 0 Sign. 0 '{bumvst.t ;i(ThI<<<lm. ..... Installation description Job wired by Jll. Electrical COlltraetor [J Owller E~t contracto' .,ma License number lIo'U .,... j) A-rlr c:. A-tI.LJ p t'__ t;,.€L ~ ca"'.... V~j c...fTIO";S /$t~' (i:ng 'dd'hlRcIIl'-.P Vr. A,~~j~.r - City~ ;9"'~E5 State ZIP 9 Q , WA- i 5' < ~0m ' je.'" Ttlepbone Dumbet . FAX number 3"0- Y5"7- '/J.7.r /fS7-(}O/.:J.. prCDJ.I{iJo-wner'" name ~ ~ Iv,.,"c- 1J,(!A-'- "',ElL . Addre'lII 0' hupectlon 9;1.6 C,4-KOLIP~ 92.g City A /1-, 11. r t</G-€7..E-S CI Cash [J Check # I hereby certify th3t I am the owner of the above: named property (;If a licensed a Credit Card V... @SW?,d\ Discover electrical contractor (or the firrr) 's authorized agent) and 8m making the electrical installation Of alteration ill compliance w:ith the electril;:lJ.1 hLw, Chapter 19.28 RCW. Card# ~ -.E..'-~ - . -- ---~~------- Slgna.are of owner, electrical contrattor or el~ctdcal lldmlnishator "' Expiration Date, ( ~nspection fee () (J1 f WJ\.LLS Jnsulatlott Only D~' AppTov~d By COvet DlIl'l' AJIPTOVro By r CEILING Insulation Only 011.. AppM~ By Cover D~lt" APJ;rI'<lwod By I)lte AWOVi'dB)' f SERVICE 1 I D.t~ ....PPl'OV~8y / r /!EIDER D~. ",ppn;we4 &y ~ ~ ~ THERMosrAT DlTCIJ DilIl~ Approved By Electrical Load Additions and or subtractlona o NO LOAD CHANGES o BasebOatd KW o FumacQ KW Q Heat Pump Ton LAR I:] Fan-Wall tfJN Service Information lnspection Area, Building or Equipment Inspectc:d Action Taken Electrical Date Inspector d--> I ,CJ \ (V' Al' 1 [7T # /~ / '-v D Overhead Service o Tamp Service o Underground S&rv~ Voltago PhasoOl03 Service Size: Feeder Size: :lQ Electrical Contractor Installation description Job wired by DOwner ~EMOPE L I oPF/rE Electrical contractor name License number OII{I>1p/( E/edn'c Co PurciYascr's mailing address '1-7-.30 7iimll/~ City PdY!- finJe1eJS State ZIP /tfIA 1f%3 Telephone number FAX number' 4S,- S"}o 3 45"2 - 3'1'18 . Premises owner's name . ONe . Address of inspection < 92,j (!ayr; J, n e.- 9.J.h ~~ , A..JE City POYt frnge/eS . .. o Cash o Check # " I hereby certify '-that.i:am.'the owner,ot' the above named property or a licensed o Credit Card Visa Mastercard Discover electrical contractor (or-the firm's a~thorizcd agent) and am making the electrical installation o(alteration in compliance with the electrical law, Chapter 19.28 RCW. Card # , . - - ---------------- Signature of owner. eleetri,c'al contractor or electrical administrator Expiration Date X ~ ?o/. ,EtzrW>v of card Gns?~r. qtJ I.., ~.,,~ .. ...... ~! ".-. DOwner "'iii:i...,,;t o Carnival)( Commercial ELECTRICAL WORK PERMIT APPLICATION )( Electrical Contractor o Annual Permit 0 Alarm D Request Inspection . o Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. ,',.. WALLS " Insulation Only :1 .;; ,,, .- . Dale Approved By ( Cover Dale Approved By " < CEILING Insulation Only , '.' Dale Approved By Cover Dale Approved By / TIlERMOSTAT " Dale Approved By / DITCH Dale Approved By SERVICE Dale Approved By FEEDER " Date Approved By Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage PhaseD 1 03 Service Size: Feeder Size: Inspection Date Area, Building or Equipment Inspected Action. Taken Electrical Inspector ~ ;NY , . , ~, b P:::' ;.f - .~/,o 440 ;, \ - . - .~ \ ELECTRICAL INSPECTION WIRING REPORT. 417-4735 ~I.AN<-- NOT APPROVED ..................0 VER...............O E...................O ~L.................... 0 TN' 6< ~ Uc.A77t;.;5 .5.#.1> ~/N'b . c V. c::.... .IN' w/~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS, INC. (360) 452-1381