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Home My WebLink About114 N Laurel St - BuildingCERTIFItcATE.--"-OF O:CCUPANCV CRYO 1Port Angeles' Building D vision This certificate is issuedpursuant to the requirements'of Section 171 bf the 2009 International Building Code certifying that at�-thediR6e,of iss Cance this structure was in compliance with the various ordinances of the City regcilatmg�bdildtng const�ruetton or use for the followang s� W ! Business name: No'rthvue°st TobaCCo Emporium t s i� s `Ni ,14, North Laurel Streets t " hT `s Business address. Property owner: =Darlene Turco c. Property owner's -,address `'PO Box 87 Joyce; 1NA 98343 : Not�Requirecl` °-''° N,° Automatic fire sprinkl&K systemfa 11 Use & occupancy classafication: Business ...:, Building permit number: s Occupant load: Per 2009` C!1iT5151FIND 111 f ` r� t� Type of construction: V B{ 4-11-12 Sue; Robe'rdsA lann; ►n bNlanager Date Post on the premises in a conspicuous"place..RThis certificate shall not be removed except by the Building Official. ` CERTIFICATE OF OCCUPANCY APPLICATION Permit# CITY OF PORT ANGELES Attn: Permit Technician $50 Certifi 321 E. Fifth St., Port Angeles, WA 98362 $100 Porkinc (360) 417-4815 fax (360) 417-,4711 fee-6hc FEES Inspection Business Improvement Area (PBIA) ,qed for Downtown locations PI -EASE PRINT IN INK hange of ownership only? D MovinZ� g location from within P.A.? D Zoning Check one: New business in P.A.YC BUSINESS NAME tJ OlzXA WS"S'r -T_C)V�Ac�cc.:) 6 KVPOR, I L_�V ITS Business address I I L4 0, L,A,,kp_ -,z (_ Mailing address _5A A-) f5 Phone number Opening date t)i=L, Days & hours of operation 9 gn Tn -I 2/n Business owner's name PF_RF.C_r A Q: I C_r, Contact, phone Business owner's address iEA_<,—L RVAc-k QA. Re, Ck PLPA, Ld Brief description of business F'% i\.);:, 1-1-1 1�4AC_c t-, C.V\ CA V�f SI-e(SIA, * Property owner's name Roar dSot,) - 1 4,r�3 q. -L Contact phone 3 b o - 4S Zi — 3 ;11. Property owner's address/contact 1__C)Q_Q��O'V(Y�, WAr- ew_X24"� BUILDING DEPARTMENT phone 417-4815 Bldg approval by_3 L11 on VzF> I r� Is the business a restaurant or bar that will seat 50 or more people? Yes D 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 VAX on W Changes to a fire sprinkler system or fire alarm system? Yes El No A Work planned: PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 VVL4 .4 Square footage of business? 00 PBIA nodfied k Is business moving within the PBIA? Yes M No 1-1 CITY CLERK phone 417-4634 City Clerk approval by dA=-- onq_IZ-17 Second-hand dealer/pawn broker business? Yes El No Will there be dancing at this business? Yes El 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 1 of 2 COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 Number of off-street parking spaces available for employees and customers? I ,(A parking plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) 9ZMF1-= CED approval b�" PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. Wk PUBLIC WORKS DEPARTMENT— ENGINEERING phone 417-4812 PWE approval b� Y -W -CM 511-171 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 11 No Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 I PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? - Yes 0 No If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417-4815 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 result inrevocationof permit. Date -OS 1AIPrint NameRE3.�C_,-_A Rj L Signature _Qaj�� .. qLC-z0_/ TTormsNEluilding Divmbn\Cerlificate of Occupancy Application (2010).doc Page 2 of 2 Clallam County Assessor & Treasurer - Property Details - 55917 DARLENE RAE TURC... Page 1 of 1 Clallarn County Assessor & Treasurer Property Search Results > 55917 DARLENE RAE TURCO for Year 2010 - 2011 JOYCE, WA 98343 Exemptions: Taxes and Assessment Details Values L_..____�� _ _. .._._! Taxing Jurisdiction improvement/ Building j ! Sketch ' i Property Image I71and Roll Value History s Deed and Sales History j Payout Agreement Website version: 9.0.32.2200 Database last updated on: 12/14/2011 3:49 © 2011 True Automation, Inc. All Rights AM Reserved. Privacy Notice http://websrv8-clallam.net/propertyaccess/Property.aspx?cid=0&year=2010&prop—id=5 5... 12/14/2011 Account Property ID: 55917 Legal Description: LOT 1 BL 15 UND 1/3 INTEREST EACH Geographic ID: 0630000015000000 Agent Code: Type: Real Tax Area: 0010 - PA 121 PORT ST CNTY H2 L WMP Land Use Code 58 Open Space: N DFL N Historic Property: N Remodel Property: N Multi -Family Redevelopment: N Township: Section: Range: Location Address: 114 N LAUREL ST -118 Mapsco: PORT ANGELES, WA Neighborhood: Cycle 5 Comm Map ID: 2 Neighborhood CD: 20953140 Owner Name: DARLENE RAE TURCO Owner ID: 56921 Mailing Address: PO BOX 87 % Ownership: 100.0000000000% JOYCE, WA 98343 Exemptions: Taxes and Assessment Details Values L_..____�� _ _. .._._! Taxing Jurisdiction improvement/ Building j ! Sketch ' i Property Image I71and Roll Value History s Deed and Sales History j Payout Agreement Website version: 9.0.32.2200 Database last updated on: 12/14/2011 3:49 © 2011 True Automation, Inc. All Rights AM Reserved. Privacy Notice http://websrv8-clallam.net/propertyaccess/Property.aspx?cid=0&year=2010&prop—id=5 5... 12/14/2011 PREPARED 1/23/12, 11:10:27 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/23/12 ------------------------------------------------------------------------------------------------ ADDRESS - : 114 N LAUREL ST SUBDIV: CONTRACTOR : ' PHONE : OWNER TURCO DARLENE RAE PHONE ( 36) 417-2220 PARCEL 06-30-00-0-0-1500-0000- APPL NUMBER: 11-D0001377 CO- CHANGE OF OCCP/USE ------------------------------------------------------------------------------------------------ PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------- — ------------------------------------------------ — ------- — -- — --------------------- 0099 01 1/23/12 JL BLDG C/O FINAL �( * OVERRIDE TAKEN BY PBARTHOL DATE: 01/23/12 TIME: 09:08:03 L January 23, 2012 9:06:50 AM pbarthol. Rebecca 808-0897 -------------------------------------- COMMENTS AND NOTES -------------------------------------- 0/l0 Heather Catuzo From: Ken Dubuc Sent: Friday, March 23, 2012 1:46 PM To: Heather Catuzo Subject: RE: Certificates of Occupancy Routings Good afternoon heather — The following C of O's are completed: Northwest Tobacco — inspected 1.30.12 Elliotts Antiques — 3.23.12 Bike Garage — 3.23.12 Bev's Biz — 3.23.12 McMillans — 3.23.12 Rebecca Wanagel — 3.23.12 Thanks, Ken From: Heather Catuzo Sent: Friday, March 23, 2012 10:04 AM To: Janessa Hurd; Ken Dubuc; Roger Vess; Sue Roberds Subject: Certificates of Occupancy Routings Importance: High Comments Due: March 30, 2012 Please email any comments directly to me so that I can process. Thank you, Heather Catuzo Building Permit Technician City of Port Angeles --Building Division 321 East 5th Street Port Angeles, WA 98362 (360) 417-4817 hcatuzo@citvofpa.us 1 Heather Catuzo From: Sue Roberds Sent: Wednesday, April 11, 2012 1:32 PM To: Heather Catuzo Subject: C of O Regarding HTE 1 1-1 377 for a certificate of occupancy - the tobacco shop use is a retail use that is permitted in the CBD in which the site is located. The area is within the PBIA and the use must be a member of the PBIA. No land use issues anticipated. Sue Roberds Planning Alunuger City of Port . inLeles P.O. Ro.x II io Part lingeles. IVA 93362 sroberds(4)citvofna.LIS .360-417-4750 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000184 Date 2/22/12 Application pin number . . . 859984 Property Address . . . . . . 114 N LAUREL ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -1500 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Alarm system ---------------------------------------------------------------------------- Owner Contractor TURCO DARLENE RAE ADT SECURITY SERVICES INC. PO BOX 87 11824 NORTH CREEK PKWY JOYCE WA 98343 BOTHELL WA 98011 ( 36) 417-2220 (425) 489-3668 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc o Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 2/22/12 Valuation 0 Expiration Date . . 8/20/12 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL -LIMITED 1ST 1500 SQ FT 96.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ---------- ---------- ---------- Due ----------------- ---------- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS: DATE RESULTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Ilivision/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 911362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: 02/22/2012 _21. Multi -Family or Commercial' ' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 114 N Laurel Building Square Footage 2500 Description of above INSTALLING LOW VOLTAGE BURGLAR ALARM SYSTEM - - - - - - - - - - ---------------------- ��e. pC>1,x SUP/ tflmii�� FEB 2�� 1InM'1 ELECTRICCt INSPECTIONS Print Form Owner Information Contractor Information Name Northwest Tobacco Emporium Name ADT Security Services _ Mailing Address: 114 N Laurel — Mailing Address: 11 824 N CREEK PKWY N, SUITE #1W City Port Angeles ____State: WA --- Zip 98362-------- City. BOTHELL ------ State: WA ___ Zip 98011------- Phone 3604528000 Fax: ---------- Phone: 206-774-9499 Fax: 86600-0383 -------------- ---------------------- License #/ Exp --------------------------------------- License #/ Exp .-------------------- -- Item Unit Charge gty Total (Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $ 132.00 ______ $________ Service/Feeder 201-400 Amp. $ 160.00 ______ $____—_-- _Service/Feeder401-600 Service/Feeder 401-600Amp $ 225.00 ______ $____—___ Service/Feeder 601-1000 Amp. $ 288.00 __--_- $____—___ Service/Feeder over 1000 Amp. $ 410.00 _—_-__ $____—___ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $_ Branch Circuits 1-4 $ 86.00 $ Temp. Service/ Feeder 200 Amp. $ 102.00 -_____ $____—___ Temp Service/Feeder 201-400 Amp. $ 121.00 ______ $____—_-_ Temp. Service/Feeder 401.600 Amp. $ 164.00 $_____—__ Temp Service/Feeder 601-1000 Amp . $ 185.00 ______ $_-_-___- Portal to Portal Hourly $ 96.00 ______ $____—___ Sign/Outline Lighting $ 88.00 $_______ Signal Circuit/ Limited Energy -Multi-Family $ 64.00 Signal Circuit/ Limited Energy / First 1500 sf- Commercial $ 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $ 11300 $_ Thermostat $ 5600 $ Note. $5.00 for each additional T-Stat Total Owner as defined 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 reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical Installation or alteration in compliance with the electrical laws, N E C., RCW. Chapter 19.28, WAC. Chapter 296-466, The City of Port Angeles Municipal Code, and Utility Specifications and PAM 14 05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Check Jennifer o9"��y igne°'Bur9n ,o-NOe DN =JenniterBurgess,o=NORTHWEST � Credit 1 1 ry �+�+ PERMIT,—NORTHWEST PERMIT, Bur o�� emadmjenmteram permits ,c=US X y G Date 2012.02 22 08 30,3d -00 00' Dated: 02/22/2012 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 11-00001420 Date 12/20/11 Application pin number . . . 729260 Property Address . . . . . . 114 N LAUREL ST ASSESSOR PARCEL NUMBER: 66 -30 -00 -0 -0 -1500 -0000 - Application type description ELECTRICAL ONLY 'Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6 circuits. Equipment smoke shop ---------------------------------------------------------------------------- Owner Contractor TURCO DARLENE RAE APS ELECTRIC ~546 PO BOX 87 BENSON RD. JOYCE WA 98343 PORT ANGELES WA 98363 ( 36) 417-2220 (360) 452-6753 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 89.10 Plan Check Fee .00 .Issue Date . . . . 12/20/11 Valuation . . . . 0 Expiration Date 6/17/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL -BRANCH CIRCUIT WO/FEEDER 73.50 6.00 2.6000 ECH EL-ECH ADDNT BRANCH CIRCUIT 15.60 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 89.10 89.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 89.10 89.10 .00 .00 4 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL ! l Ill COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING RESULTS REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: Date: After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-4613, 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: 0 cash ❑ Check kCredit Card # U " L P6 X P Q6 "— Dated: I w ` �� 1 t 0110 112 01 0 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, Ph: (360) 417-4735 Fax: (360) 417-4711 98362 'ZiRCeRi q _, Date:)a — I R 'Q 011 �IIVSPf4'TI0NaS __ 1 & 2 Single Family Dwelling Multi -Family or Commercial ✓ Commercial Addition Alteration / Remodel / Repair* * Plan Review May Be Required Plea e Complete Electrical Plan Review Information Sheet Job Address: I l q n o r+k 2C! a t6) Building Square Footage: Descri t nofabpve�a9rl m I .r ' C ri �' N ,g, M I b ()t w �mke 5 ". (Z C r P C,u i t S �.yY v1e uJ +> 6t vt1+B rtr i' Owner Information � 1% ContractHr I ormation D. RbeCGA R/,'G\, •• ( �Name: Name. e"t Mailing Address: `� QCi g 0 Mailing Address: J City: State. Zip. 7 City: State:. L f)�'t_ Zip: Phone: Fax: Phone: Fax: License # / Exp. License # / Exp Item Unit Charae QtV Total (Qtv Multiplied by Unit Charae) ServicelFeeder 200 Amp. $119.90 _ $ Service/Feeder 201400 Amp. $145.50 $ Service/Feeder 401-600 Amp $ 204.60 _ $ Service/Feeder 601-1000 Amp. $ 262.20 $ Service/Feeder over 1000 Amp. $ 372.50 _ $ Branch Circuit W/ Service Feeder $ 2.60 _ $ Branch Circuit W/O Service Feeder $ 73.50 �$'7- . C•L Each Additional Branch Circuit $ 2.60 42____ Temp. Service! Feeder 200 Amp. $ 92.70 $ Temp. Service/Feeder 201-400 Amp. $110.30 $ Temp. Service/Feeder 401-600 Amp. $148.70 $ Temp. Service/Feeder 601-1000 Amp . $167.90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/ Limited Energy / First 1500 sf– Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 63.90 $ Signal Circuit/ Limited Energy - Mufti -Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy - 5KVA System or Less $102.30 $ Thermostat $ 56.00 _ $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110.30 $ Each Additional 500 Square Ft. or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ 99 10 Total Owner as defined by RCW.19.28161: (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 reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-4613, 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: 0 cash ❑ Check kCredit Card # U " L P6 X P Q6 "— Dated: I w ` �� 1 t 0110 112 01 0 ELECTRICAL PERMIT OWNER/APPLICANT kupler bldg 114 N LAUREL Port Angeles, WA 98362 360/000-0000 T: CONTRACTOR STRAITS ELECTRIC P.O. BOX 2914 PORT ANGELES, WA 98362 360/452-9104 PROJECTINFO Project Type: COML Occupancy Type: Occupancy Group: Electrical Heat: ❑ Baseboard ❑ Furnace ❑ Heat Pump ❑ Fan Wall PROJECT NOTES 3 60 a. altered feeders CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET, PORT ANGELES. WA 99362 ISSUED: 3/01/2002 PERMIT NO 7558 PROPERTY LOCATION 114 LAUREL N Lot: 1 Block: 15 ® Long Legal Subdivision: NR SMITH S: Parcel No: ARCHITECT N/A , 98360-0000 360/000-0000 FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: feeders 3@74.30 $222.90 TOTAL FEE: $222.90 AMOUNT PAID: $222.90 BALANCE DUE $0.00 CONINILN"I S/ACTION NEEDED Project Value: $0.00 Construction Type: FEEDER Zoning Use: CBD -� 0 KW ❑ Riser ❑ Underground Service 0 KW ® Overhead Service Voltage: 0 0 KWPhase: ❑ Temp Service L]1 ❑ 3 0 KW Service Size: 0 O Feeder Size: 60 FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: feeders 3@74.30 $222.90 TOTAL FEE: $222.90 AMOUNT PAID: $222.90 BALANCE DUE $0.00 CONINILN"I S/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417A735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COI R, INSULATE OR CONCEAL AN}' WORK BEFORE ITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPEI DATE I ACCEPTED COMMENTS I YES I NO DITCH ROUGH -IN / COVER SERVICE FINAL Vo. 1 94— 1 GENERAL COMMENTS: PW -110215[41961 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Dat- f- - Time Received by _ moi (phon�, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. / 3 96 Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other��,4J' , //Qzp— INSPECTION NOTES: - Inspected: Date z— Z )— b Z Time By V Remarks: RESTORATION REQUIRED ...... YES NO 1 , SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved []Gravel ❑ Asphalt ❑ PCC ❑ Repaired by City Work Order # ❑ Repaired by Permittee ❑ COMPLETE [I No Damage Found ❑ INCOMPLETE ❑ Other (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. ❑ Q.K. to connect service Final O.K. Sit Address Permit/Receipt No. � //li fl • ��2�� '�`l� Installer:N w New Meters Date: /— a'r"! Not y Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered bef¢re inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or 0n the Building Permit. PHONE 457-0411, EXT. 224. �d NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;yf 1 $ TT Electrical Inspector N Permit Fee WHITE — File by address PINK — Top: Eng, Bottom, Customer GREEN —Top, Meter Dept, Bottom City Hall OLYMPIC PRINTERS INC OF PORT NC i�=m�N CITY OF PORT ANGELES LIGHT DEPARTMENT 1� 321 E. Fifth Street Port Angeles, WA 98362 457-0411 "D T< (206) PERMIT NO. DATE '//(O;( ELECTRICAL PERMIT Si(e Address:// �� ElREADY FOR ❑ WILL CALL FOR INSPECTION INSPECTION Installed By.� ` License Number: Phone: Owner/Business: // //� Phone: _�/% C/721571/I�'IolciCt-tCF �/i1p ��1 Owner/Business Address: Tl Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ ,BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE ❑FURNACE KW 1-1NEW CONSTRUCTION 11UNDERGROUND SERVICE ❑ HEAT PUMP KW ❑ REMODEL VOLTAGE: ❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS 1-1 1 El 3 El SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ TEMPORARY SERVICE FEEDER SIZE AMPS DeiIs/ Description W. . No. SERVICE SIZE DATF ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. ❑ Q.K. to connect service Final O.K. Sit Address Permit/Receipt No. � //li fl • ��2�� '�`l� Installer:N w New Meters Date: /— a'r"! Not y Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered bef¢re inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or 0n the Building Permit. PHONE 457-0411, EXT. 224. �d NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;yf 1 $ TT Electrical Inspector N Permit Fee WHITE — File by address PINK — Top: Eng, Bottom, Customer GREEN —Top, Meter Dept, Bottom City Hall OLYMPIC PRINTERS INC UZ/Z6/ZUUZ, IU: 4U YAX 3604574598 I C STRAITS ELECTRIC ' ELECTRICAL PERMIT APPLICATION rs , FOR OMCIAL USE ONLY De�dRac. Ptmm •' mf, 1, p _ The Electrical Permit Application must be Wiled cull Oomoletely. I ml� 6r,wr Plea" typo or repNnt In Ink h you hove any Questions, please call (980.4174795 Fax number: (3150) 4174711 REQUEST INSPECTION ❑ Owneror Elec. Untraetor Agen, Straits Electric Phon"- 452-9104 Fe.- 457-4698 rl Properly Ourner"` `w r ` � r't✓"' Ze_ Phone��Address' '. ��'+'TPElectrical con DyerStraits Electric IICane9A[ STRAIt4J0J�DS 9/03 ohone'452-9104 Addre— Pi,, Box 2914 ,, Port Angles, WA 71 98362 INSTALLATIOis V�� IRED BY: D OWNER It ELECTRICAL CONTRACTOR creditCerdH�lderliame• Straits Electric BillingAddtiry,I,. P.O. '+ox 2914 City, ZIP: Angeles, WA �p,98362 III Credit Card4mber Frp Datr- PROJECT ADLIRI SS• r`'W��`•� �/` I TYPE OF WO R ; Check all that apply: ❑ New XANeration/Addition r Residental ❑ Muni -family ❑ Commercial ❑ Mobile Home Sq, Ft VISA: X MC:_ &0� ❑ Remote tar ❑ Detached garage O Hot Tub ❑ Swim Pool 0 Septic Pump ❑ Low Voltage ❑ Telecom. ❑ Sign Number of Ci ul is added or altered: r L f 1 txL4 � DESCRIPTIO F THE ELECTRICAL PROJECT: ✓ lil 754 3o E.4. -3 = aal. 9c IJ I �zaa.ctG Electrical HieIII Load Additions IJ Service Information ❑ Baseboard _KIN Voltage; ❑ Fumace _KW O Overhead Service Phase: ❑ 1 D 3 ❑ Heat Pump _KW ❑Temp Service Service Size: O Fan -Wall _KW ❑ Underground Service Feeder Size: PAMC 14.05.Lb"): For industrial, commercial, & residential projects larger than a duplex, a one - line drawing of the Electrical Service & Feeders, build nIiI size (sq- fL). load calculations, and the type & of conductors and/or raceway is required and shall accompany the Electrical Pernil pplication. I hereby certh I, that / have read and examined this application and know that same to be true and correct and I.am authorized to'I Wply for this permit I understand it is not the's gal responsibility to determine what permits are requires,; � remains the applicants responsibility to 009s ink n tatArmits are required and to obtain such. Credit Card Holder's Christie Tucker Date: PW -9019 Owner or Elec. ConL Slgnature:\\/ �� Date: