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HomeMy WebLinkAbout909 Georgiana St - Building .~ -~- CERTIFIC.A TE.OF,OCCUPANCY City of PortAngeles Building Division This Certification issued pursuant to the requirements of Sectio!} 301 of the Internati01!al Building Code certifjJing that at the time of issuance thi~ structure was in co,lnpliance with the various ordinances of the City regulatini~Building " construction or use. For thefollowing: . Use Classification: Busin'ess BuildingPemut'No.: 06-414 Business Namd Volunteers In Medicine "t.-- .l.", , .."., ,.....'r>;.~,c.-."~':...; .,!..~ . W ; ,,;".:; .',.;.- ':.'~~. "j.':,!,; Type o;co~~~~~.~.;,::!:~'::'::;ii>~~~7~~~r~ ~F Address: 909.Georgiana"StreeL_..""'..;p.o~Pcligeles, W A. 98382 - '.... ." ...,.-' ,.. . -,'~,.""" :.I." "',.-'.."''-_....,. """"'~"...'!~'"~ J.:! ,-~" lr. ,",".r,~;~' ~-;: ~:,t,f,J:.lkis:::r~ylf' f i~~:,N~~::~;~)~(';i'~~i%~;:~ Owner of Business: Patricia A;.iUililiiah ""~~ ~:; Building Address: 909 Gedrgina Street ~~~.,.,: 'I. '" , .. .:~..,. . "J.' J" ""~~""'.llU:<l-'k"""_ '. . ~ f ~ ~~./ . Planilrg Manage/' , Port.Angeles, WA.98362 i .11;' . J~ ,," ".' .\' . une 20 2006 " Date "'''"'~;t,';;" .,,:, Post on tti'e"R~...ml".,,,,,",,"JlUtjiCon.s,picuous place. Shall not be removed.exceptby Building Official. l I '+~- ," DATE ..J J /; / /'.f /1 ::;. J .-.J ...::' r'("7 fc, (/ Address of Proposed Business '/ /i '? & r rY' r: .I ;...,11 .:J Applicant \Jo /<.1 1l"TP'Fi'S III !-fY>C!'r('01c.. Address q /) 7' G("'crr rl f~n d /..--;;y7-./t.f'/ r ;,,' (r S J t?f'3f' ~ Phone: busines; '/51-- q If 3/ home Brief description of proposed business: legal Description: lot Current Use of Property: 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 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.,....""...."...."""..,..."..." . :-.t (")(, ,::~ I c-::{ ROUTING SLIP Certificate of Occupancy $50.00 Certificate/Inspection Fee New Business. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( Transfer of Business location. . . . . . .. . . . . . .. ( Change of Ownership ..................... ( New Building ............................ (' Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( Temporary Business. . . . . . . . . . . . . . . . . . . . . .. ( Change of Use . . . . . . . . . . . . . . . . .'. . . . . . . . .. ( X V,J". f/ 0e Y pI>' I {.I'lel r '/ t::'d r.c- r)l/"", ""(, ~J Ie... ;;1'1 'e... Block YES NO, y' -, -, -, -I -, --.- I -I -, -, -, -, -, -, -I' -, -, --r - \l;I' 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. %/tJ~ Subdivision (!i/ 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 obsiruction 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: l---( i".:. 'I '3, d C; e? " .' -/\ ../ / I Signed:('-.-'''';'~kl'e./'''-L'' (f. np./z,pt F/~' J ,~ DATE -1111/ 3, ;LOc7(P Address of Proposed Business q t/ q Ge~~;;; 11 Cl Applicant Vo 1(..) it e~(~- / tl. H't!'ctClfte.- Address c; tJ q G-e.~J {dll d rpcJrll4-P1...j"(:S. c?cP3b ~ Phone: business t.f 57-'1 '13/ home Brief description of proposed business: legal Description: lot Current Use of Property: 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 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? . . . . . . . . . . . . . . . . . . . . . . . . OOM........................................ "0(0-4l~ ROUTING SLIP Certificate of Occupancy $50,00 Certificate/Inspection Fee New Business, , , , , . . . . . . . , , . , , , . . , , . , , . ., ( Transfer of Business location . , , , . , , , . . , , . " ( Change of Ownership "........",..",." ( New Building .,.""..,..,.....,..""", ( Remodel , . . . . . . , , . . . , , . , , , , , , . . . . . . , . . " ( Temporary Business. . . , , . , . . , , . , , , . . . . . . ., ( Change of Use . , , , . . , , . , , . , . . . . . . . . , , . , " ( "VO/UIl leer- fJf^If'V/dI'Y C;.LV'4!.- I~edt ~I d 11 fC Block YES ~. --j- --- --- --- - -f-- - - '--- - - '--- --- --- --- --- --- --- --- --- --- --- - -\:'- Subdivision 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 :I f'~e,. 'i'f'OFlT -1", (J~o~G'~t ~~1 L~ '=- ~ "'t8L1CWO"':'-~ ) ) ) ) ) ) Xl) I hereby apply for a Certificate of Occupancy and acknowl- H. d-. ~ edge that I have read this application and state that the" Date: Q 3, de' . information I have supplied is correct to the best of my . . ,/-1-" /J -a / knowledge. f... Signed: ~~aJ Vf. . - 'P4t41 ~ :{.PROVED ~EJECTED lj/IJ~~ , Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. f{OD r; -'l/~O& -{).. J Comments / Conditions . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. 'f/cf.s 9 I//;o ;f:</ DATE Site Address: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW ~ FAN/WALL KW ~ o RESIDENTIAL ~ COMMERCIAL b NEW CONSTRUCTION "Gl REMODEL tJ ADD/ALTER CIRCUITS ~ SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER ~ OVERHEAD SERVICE o UNDERGRO~ SERVICE VOLTAGE: 1dfJ, 620J ~1~ D3~ SERVICE SIZE ~/ AMPS FEEDER SIZE AMPS DetailslDescription: ~uft}~~ ~~ d#~ r9-;J 4J- ~ - 4 c9-k;;{: M . 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. 1l'If"$ Rough-in/cover O.K. l\f~ O.K. to connect service o Final O.K. Site Address: Permit/Receipt No. 0f oS? Installer: New Meters .,-- . Notify Port Angeles City Light by Street Address and Permit Numberwhen 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. ..4 ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ,.,. 70 Electrical Inspector Permit Fee , \ ~\ WH ;TE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYL:PIC PRINTERS INC Aug 28 2015 10:20AM Olympic Electric Co,, Inc 3604523498 i CITY O] Building 321 East Ph: (360) Date; * Plan Rel Job Address: 9ullding Squ Description o PORT ANGELES PlEIRmiT APPLICATION Hvision/;Electrical Inspections rifth Stria —P.O. Box 11501 Port Angeles Washington, 98362 4174735 Fax: (360) 417 -4711 Dwner Inf .a Name: 0 Multl-Family or Commercial* page 1 Please Complete Electrical Plan Review Information Sheet Mailing „ddre s: d r �` "7 City State, k- Z�S: Phone 2 Fax; License ! E P. .^ 360--M aU a U. 111 Cam? ServicelFee r20DAmP.: $132.00 Service)Fee er 201.400 Amp, $160.00 Service/Fee er 401 -600 Amp $ 225.00 Service /Fee er 601.100DAmp. $ 288.00 Service/Few er over 1000 Amp. $ 410.00 Branch CiFcu it Wl Senrico Feeder $ 5.00 Branch Circu it W10 Serv'” Feeder $ 74.00 Each Addifio ial Branch 0ircult $ 5,00 Branch Ciro its 14 $ 86.00 Temp. Servi Feeder 2Q0 Amp. $ 102,00 Ternp. Servi WFesder201-400Amp. $121.00 Temp.Servi elFeeder4gl -600 Amp. $164.00 Temp. Servi Feeder 601.1000 Amp $ 185,00 Portal to Poll Hourly 1 96,00 Signl0utline Lighting $ 88.00 Signal 01rcu I Limited Energy — Multi- Family $ 64.00 Signal Gircu t Limited EroNy 1 F1rsl 1500 sf — Commercial $ 96.00 Note: $ .00 for each additional 1600 sf Renewable 1 lectrical Energy - 5KVA System or Less $113.00 Thermostat $ 56.00 Note. 5.00 for each additional T -Slat Contractor Information Name: oLYMPiaECecTAic Mailing Address; 4230 TUPAWA19A Gty: PORTANGELEa State: WA Zip: M387 Phone' N&457 -530 Fax; 360--M aU a Llsense #I Exp. 0LYWiQeso1 Qty Tot,»l Multiplied by Unit ChaMW $ $ $ $ $ $ $ $� Total Owner as flned by RCW.19.28,261; (1) 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. Permit expires after six months of last Inspection. After readi Ile abovo statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the electri I installation or alteration in compliance with the electrical laws, KE.C., RCW, Chapter 19,28, WAC. Chapter 296 -468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: © cash U Check 29 creditcard# ted; 01101012 1 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . , . . 15-- 00001094 Date B/31/15 Application pin number . . . 894830 C ASSESSOR PARC.ELsNUMSER: 06930 -00 -5- 8-0155- 0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Property Us Name . . . . . . to the City of Port Angeles Property Use , Property Zoning . . . . . COMMERCIAL OFFICE (Location Code 0502) Application valuation . . . . 0 Application desc Temp Service Owner Contractor OLYMPIC MEDICAL CENTER OLYMPIC ELECTRIC CO INC AKA CC PUBLIC HEALTH SERV #2 4230 TUMWATER 939 CAROLINE ST PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 457 -5303 -7-------------------------------------------------------------------------- Permit . . . . ELECTRICAL TEMPORARY SERVICE Additional desc COMMCTAL TEMP SERVICE Permit Fee 121,00 Plan. Check Fee 00 issue Date 8/31/15 Valuation . . . . 0 Expiration Date 2/27/16 Qty Unit Charge Per Extension BASE FEE 121,00 Fee summary Charged Paid Credited Due Permit Fee Total 121.00 121.00 .00 ,00 Plan Check Total 00 .00 Grand Total 121.00 121.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE g 8 G ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X G ;IEXCHANGE\B UILDING Date: t ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 16-00000633 Date 5/04/16 Application pin number 415358 Property Address . . . 909 GEORGIANA ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -8 -0155 -0000 - Application type description ELECTRICAL ONLY Subdivision Name 121.00 Property Use . . . . . Fee Property Zoning . . . . . . . COMMERCIAL OFFICE Application valuation 0 Application desc 1 Relocate temp service 10/31/16 O+,,Pn.e.i Ol..,YMPIC MEDICAL CENTER AKA. CC PUBf...,IC REA1,71f SERV #2 939 CAR01,1NI ST PORT ANGE1,ES WA 98362 OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES WA 98363 (360) 457-5303 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 121.00 Plan Check Fee .00 Issue Date 5/04/16 Valuation . . . . 1 Expiration late 10/31/16 Qty Urai , .t Cha.t.ge Per - Ex.ten,,..;ion 1.00 121-0000 ECII EL COMM 201. 400 TEMP SRV/FDR 1.21,00 Fee summary Charged Paid Credited Due Permit Fee Total 121.00 121.00 00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 121.00 121.00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:\FXCHANGE\BUILDfNG 1: ate: May 03 2016 02:08PM HP Fax page 1 CITY OF PORT ANGELES PERMIT APPLICAmN Building Division/E ectsrical Inspections 321 East Fifth Stree t — P.O. Box 11501 Port Angeles Washington, 98362 Pb: (360) 417-473$a,w (360) 417-4711 Date: "" — ✓Q Mufti -Family or Commercial* " y p cal Plan Review Information Sheet J Plan May Be �ulfe, Please Complete Electrical Building Square Footage: - Dwriplion of above - -- c � A4__JC:) t Owner Information Name: Mailing Address: City: License # Iters Service/Feeder 200 Amp. Service/Feeder 201-400 Aml Service/Feeder401-600 Aml ServicelFeeder 601-1000 An Service/Feeder over 1000 Ar Branch Circuit W! Service Fe Branch Circuit W/O Service I Each Additional Branch Circt Branch Circuits 14 Temp. Servicel Feeder 200 Temp. ServicelFeeder 2014 Temp. Service/Feeder 401.6 Temp. Service/Feeder 601-1, Portal to Portal Hourly Sign/Outline Lighting Signal Circuit! Limited Energl Signal Circuit! Limited Energy Note: $5.00 for each ad+ Renewable Electrical Energy Thermostat Note: $5.00 for each ad Owner as defined by to hire an electrical I )S0_6 .19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required icor if above said property is for sale, rent or lease, Permit expires after six months of last inspection. After reading the above $ tement, I hereby certify that I am the owner of the above named property or a licensed electrical Contractor. I am making the electrical installation oi alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port Angeles Municipal Code, k Ind Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, elet rical contractor or electrical.adrninistrator: 0 Cash 11 Check 0 Cwt card # .r _� 0110 9 1201 2 1 W V Contractor Information : OLYU64C ELECTRIC Ci Address:TUMW Zip. State: wA Zip: ��ssa� Phone: 30040," ax; ae 2 �m License #! Fxp..0LVMP6CM501 it Charge Total, It", ,thy 6ttir fled by iMt tt�6rom) $132.00 $ $160.00 $ 725.00 P. $ 288.00 IP $ 410.00 sder $ 5.00 eerier $ 74.00 $ it $ 5.00 $ $ 86.00 $� mp. $102.00 $ 10 Amp. $121.00 _ _._ $ 1 at_ u� )0 Amp. $164.00 $ 100 Amp . $185.00 $ $ 96.00 $ $ 88.00 $ — Mulii-Family $ 64.00 $_ 1 First 1500 sf — Commercial $ 96.00 hiional 1500 sf - 5KVA System or Less $113.00 $ $ 56.00 $ 1' k nal T-Stat $ Total .19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required icor if above said property is for sale, rent or lease, Permit expires after six months of last inspection. After reading the above $ tement, I hereby certify that I am the owner of the above named property or a licensed electrical Contractor. I am making the electrical installation oi alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port Angeles Municipal Code, k Ind Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, elet rical contractor or electrical.adrninistrator: 0 Cash 11 Check 0 Cwt card # .r _� 0110 9 1201 2 1 W V