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HomeMy WebLinkAbout930 Caroline St - BuildingO -0 Business name ®.MP (omen s Clinic (ONvner Olym is Med ca Business address 'aroline' k Property owner F E Ullstro.mc /.o J ame Property owner addreissF 50 PalisadesS St owe Automatic fire spnkkre, stem Per I3B Use occupancy classication. Business, Building permit number` x Type of construction F 1B Occupant load <.4e ana er CERTIF This certificate is issued Code certing that a of the City regulatin Cit opo'rt Ang UPANCY v ision ursuant to the requirements of Section 17 fe 70 6 International Building h ofiss:uance this structure was in compliance wh the various ordinances ,Kirue'tzon ©rrss fir the fokelli g enter) a son JT 05/05/08. Re -issue date Post on the premises in a conspicuous place. ktitu,sagia iF be removed except by the Building Official. z J3 0 / f2Q/1 ----r=EERECEIPT NUMBER CITY OF PORT ANGELES, DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A ,-SCJ..Z PERMIT NUMBER . 50 '2E. , TOTAL FEE CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY If .If Site Address Owner j) R Owner's Address a:2 ELECTRICAL PERMIT ONLY /..sJO CA-12...a t.-ltVl2 CORRECT ADDRESS IS AESPONSIBILlTY OF APPLICANT C{) 4'rS 0 "J ~; .4-N or- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT PERMITS WITH WRONG ADDRESSES ARE S.A~C1LLED Installation By et/d1ZGi!Bfd:lV f(J...I:::ZT72.-I C- Installers Address 7J &? i,if/53 J .,- Installers Phone .d 3- :.3 ,.: Day Phone A plication is hereby made for Permit to install Electrical Equipment as follows: 'c.. ',~ Co> - Rcw//2e Ro vSe Wiring Method CO"vOV/V e: NUMBER AMP 120V ~R NUMBER AMP 120V 24QV USE OF CIRCUIT PER FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT - 50 VOLTS OR LESS CONVENIENCE - ' MOTOR CONVENIENCE MOTOR APPLIANCE .' MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT " TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRC~REAKER A.C. UNIT ;? 0 CJ AMP / PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS /..sa'J:!'f SERVICE , 20() AW.G. I SUB-TOTAL 1""0'::::- SIZE OF GROUND SIZE OF ENTRANCE SWITCH 40",,,. '. , 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 :2 b )) EC t!JI'1 B ~7C , 19 rrs- By CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) ~ermission i~. hereby given to do the abov.e described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances 0 e City of Port Angeles. . '" DIR :rOR~OF CITY.'LIGHT , ~ . By PLANS APPROVED \ate Permit Issued \ WARNING :20 )Jerzw IS EJe " " Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard, A,. Permits Phone: 457,0411 Ext. 158, PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report fMPIC PRINTERS, INC, " REPORT OF INSPECTOR !/,c.... DATE OF VISIT M~DE BY REMARKS , , .. , , . _. , - - , - - .' ~ - , . "- ,. , , '-' .. . . , \ : . . - - . - . - . , , . , , " - , , , , , , - , , /, /0 /..11/ O.K. FOR COVERING . I~lo ...-1V; .. ~ h O.K. TO CONNECT SERVICE , ~ .\ ~ ~ , FINAL O.K. , - '. z Cl rr: < :li! ~ J: I- Z W I- iIt l- e z e o q j . ~,_.!'\.. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. /" s ? (:J d? /0<3 ./y</ / / / . DATE Site Address: '.30 0t~,,^ &d [:6 /-!fz;.. ,f) /. {"c./ a.i!a /t-, o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Qwner/Business: Phone: Owner/Business Address: 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 o REMODEL ~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: 019\ 039\ SERVICE SIZE FEEDER SIZE AMPS AMPS Details/Description: (;iZ, , (Il;;:/~~ . 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. J1........ ~ Rough-in/cover O.K. J "'. '0 O.K. to connect service f Final O.K. ~ Site Address: Installer: J{) & New Meters . Notify Port Angeles C y Light by Street Address and Permit Numberwhen ready for inspection. Work mus 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 $ EleclricJ Inspector ~<:) 31);'- Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OI.~;MPIC PRINTERS INC PROJECT Olympic Memorial Hospital 2 Main /Surgery Remodel SUBJECT TO' FROM cc. ENCL Linda M E M O R A N D U M PROJECT NO DATE 96160.00 October 2, 1997 City of Port Angeles Review FILE NO /BY E024.DCJ Linda Childers, City of Port Angeles Dan Jardine Mike Glenn, Olympic Memorial Hospital Letter to Susan Roberds dated October 2, 1997 regarding parking SEPA Environmental Checklist Memo from N T.I. stating that project is more than 200' from shoreline Please forward the parking revisions letter and SEPA Environmental Checklist to Planning. The Environmentally Sensitive Areas Application is currently being reviewed by Joe Donisi at Northwest Territories, Inc. and will be forwarded in the next few days. I believe that Joe Donisi has already submitted the memo regarding the project being more than 200' from the shoreline to Planning. M A H L U M N O R D F O R S M K I N L E Y GORDON A h t PC 2505 Th rd Av S t 219 S ttl WA 98121 206 441 4151 206 441 0478 F