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HomeMy WebLinkAbout1607 E Front St D - BuildingY 9- CERTIF 4 'E 0C CU Cit ys of ,Port Angeles. Bui�di:rig...lDiuision This certificate is issued p ursuant to the requirements-of Section 111. of the 2009 International Building Code certifying that atithe:timetof issuance this structure was in compliance with the various ordinances of the City re ulatin gbgildin ";:construction :or"fuse. or the otloi wn'"_ f tJ' g g f. f ,g 41- Business name AMusl in °Kempo�Karate: (Owner• =Dou Wilson) Business address. '160t Front' St; :Suite D 4 fi Property owner t Ladd Family L td Lia1?ility Coy Property owner saddress 3620 100 Stl`WU #A,.Lakewood;,, 9 8498 Automatic fire sprinkler system Note Required` Use occupancy elassifcation. Business Building permit number`:.i 11 247 Occupant load. Type of construction. 05/18/11 ages Date Post on the premises in a conspicuous place. 'This<certif cates!alrnot be removed except by the Building Official. CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK Check one. New business in P.A. ?jhange of ownership only? Li Moving location from within P.A.? Zoning P\ BUSINESS NAME_„ s k i v. .K Q,rv\ o n Ka. ci -.1 Business address lleo1 1 =rt)�4- 5u 14 T) Mailing address 1521 1 J A LJci gM;3 Phone number L-15 L S" Opening date 2, -2..4d -I I Days hours of operation M' S., 4 to f h Business owner's name ¶ou i cz� 'Li_ Lill r C h 4 Contact phone Li S Z -1/ 'r Business owner's address 152 V.L. 1i +L t (-}h-,,,ie. /i- RF,16 Brief description of business K ar oCh'2.. S c\, i o Property owner's name jfiR 14 M A YNA a p r., L.,. t' Contact phone Property owner's address /contact POI; c c6'ci 7 la cc, \,Jc c..i 49, BUILDING DEPARTMENT phone 417 4815 Is the business a restaurant or bar that will seat 50 or more people? Yes No NI;4" 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 Changes to a fire sprinkler system or fire alarm system? Yes Work planned PB /A (Parking Business Improvement Area Downtown) phone 417 4623 Square footage of business? 1 000 Is business moving within the PBIA? Yes No C/TY CLERK phone 417 4634 Second -hand dealer /pawnbroker business? Yes No Li' Will there be dancing at this business? Yes No Q- 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 Too FEES Certificate Inspection 0 Parking Business Improvement Area (PBIA) fee charged for Downtown locations Bldg approval by on Fire approval by A- cf on PB /A notified on City Clerk approval by on Permit# 7 COMMUNITY ECONOMIC DEVELOPMENT phone 417 4750 Number of off street parking spaces available for employees and customers? On Kv..■-. Mf j- Q -l to o (A parking plan may be required.). Signs? (wall- mounted freestanding projecting, awning A -frame etc Signs planned: C 7twsa ls, C. J∎wci PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 4812 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 No U- Work planned PUBLIC WORKS WASTEWATER phone 417 4845 T \Forms\Building Division \Certificate of Occupancy Application (2010).doc Page 2 of 2 CED approval by on rvr'E appi Vvai uy PWW approval by on Please sign up for utility services at the cashiers' counter Date Print Name /Chic' 3 �e, c, j Sw Si a 011 Will waste other than domestic household waste, be discharged into the sewer system? Yes No U' 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 1 hereby apply for a Certificate of Occupancy acknowledge that I have read this application and state that the information have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. PREPARED 3/28/11 8 33 37 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/28/11 ADDRESS 1607 E FRONT ST D SUBDIV TENANT NBR MUSHIN KEMPO KARATE CONTRACTOR PHONE OWNER LADD FAMILY LMTD LIABILITY CO PHONE PARCEL 06 30 00 1 0 2740 0000 APPL NUMBER 11 00000247 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 3/28/11 BLDG C/0 FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 03/21/11 TIME 14 48 01 March 21 2011 2 46 37 PM 1pangrle DOUGLAS 452 7265 C OF 0 FINAL MUSHIN KEMPO KARATE AFTERNOON PLEASE CALL HIM 10- MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES r r g 0 nr FIRE DEPARTMENT phone 417 -4653 CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn. Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK n Check one New business in P.A. ?kfhange of ownership only? ii Moving location from within P.A.? Zoning C BUSINESS NAME N sk►v. k 2w\no KGl..r''t 1 Business address I i0O1 t T ..--k- 5o tike. "D Mailing address 1521 '1Q. 114t. 1 A Lift cl $3 6 3 Phone number LI S2 -1 Z‘ S Opening date 2 -LcA-► I Days hours of operation M 5 c k 3. to 'Ph Business owner's name 'Dou .1.21. Li_ (_,.J xI �s 4 rN Contact phone LI S L (9 c Business owner's address 1 S2 V.L. 1 i. 1 1 +1,; 1" ec k fir►- ie.t \n/ P ti Ft 3 6 1 Brief description of business K. e,r o.k'e.. S kL) c\ t o 11 Property owner's nameJK R 14 r- M 4 v v a 0) r. e_v- i Contact phone Property owner's address /contact 'P0 2 ct tt c 2 Z '1a ca nnc, \,Jw of `i1 L4 9 9, BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Yes 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 Changes to a fire sprinkler system or fire alarm system? Yes No Work planned. PB /A (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? 1 000 Is business moving within the PBIA? Yes No C/TY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes No NJ' Will there be dancing at this business? Yes No I- 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 Permit FEES Certificate Inspection $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations Bldg approval by Fire approval by on 1 PBIA notified on City Clerk approval by on on COMMUNITY ECONOMIC DEVELOPMENT phone 417 4750 Number of off street parking spaces available for employees and customers? tln K M o.r ?ar to (A parking plan may be required.) Signs? (wall- mounted, freestanding projecting awning A -frame etc Signs planned: D Lu U iv c l fe.j'k r v O1-' L v C1 o 5 PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 4812 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 No U-' Work planned PUBLIC WORKS WASTEWATER phone 417 4845 CED approval by on Date '1 Pe r 'E apprr'vaiu on No C seill A s PWW approval by on Will waste other than domestic household waste be discharged into the sewer system? Yes No U 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 p 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 in revocation of permit. Print Name )0Qcs, k tn_.) W+ S�v� signature T \Forms\Building Division \Certificate of Occupancy Application (2010).doc Page 2 of 2 CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK Check one New business in P.A. ?hange of ownership only? Moving location from within P.A.? Zoning cp\ BUSINESS NAME_ 51 II v. Kev.n0 K01. ake_ Business address) ((O1_C. fco..+- Su il`e. n Mailing address ISZ I w_j_t4L F, A Li0 GI b 3 6 3 Phone number 4 15 -1 L(0S Opening date '2,-Lch- (,_Days hours of operation NI Sa 4 10 Ph Business owner's name 'o J c.,1 oi') L. C.,)11‘13 r Contact phone LI S L-1 61 Business owner's address 1 52 \,..i k. 1 OA" S Av le, r, LAI Cr R 51 6 1 Brief description of business K As' a;k't. S c\ t u Property owner's name _16,Pt I4 G M A n a Contact phone Property owner's address /contact ?o j2, Q `d'9 2Z 'fw co r -ia BUILDING DEPARTMENT phone 417 -4815 Bldg approval by Is the business a restaurant or bar that will seat 50 or more people? 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 Changes to a fire sprinkler system or fire alarm system? Yes No Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? 1 000 Is business moving within the PBIA? Yes No fg'" CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes No NJ' Will there be dancing at this business? Yes No k' 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 $100 FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for Downtown locations Fire approval by I Yes No Permit on 5- II PBIA notified City Clerk approval by on 4 U ni COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off street parking spaces available for ernployees and customers? lln Kr, .n V �o r; .r ?A(*'.- to4- (A parking plan may be required.) Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned S 1 w, .a 19- \J v-' o iz'i ke r O h o W S Work planned PLEASE NOTE. NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT ENGINEERING 'phone 417 -4812 Is site work planned (new or re- located sewer or water service excavation grading orfillirig 'Work in City right -of -way new driveway openings site drainage, parking lots, downspouts, irrigation system backflow devices; etc) Yes No U" PUBLIC WORKS WASTEWATER phone 417 4845 PWW ap by on Will waste other than domestic household waste be discharged into the sewer system? Yes No [U— 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 have read this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Date '1-'11- 11 Print Name 00Q T'1Forms\Building Division\Certificate of Occupancy Application (2010).doc J 1 1 Page 2 of 2 CED approval by c 7 on —3 .7 0 11 PWE approval, by R Y on 3 -2 1 I -=z`� 0 4 No. 51 CERTIFICATE C)F'OCCUPANCY City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section\301 of the Internation Building Code certify ni g that -at the.time tn` of issuancce was in compliance with the�various ordinances of the- City- r-egulating�Building construction or use. Fnr_the following Use Classification. Business- Building Permit No. Business 1 Name: Labor Ready 1 Type Construction VN g Use Zone: CA Address: 2216 W: 12th Street. Port4aeles. WA. 98362 Port/ aeles, WA. 98362 November 16 .2005 Building Official ggg Date 1 Post on the p r- emises- inn- a -cons- S i cuous place Shall not be removed except by y Building Official Owner of Business: Steven Satz Group: B Building Address 1607 -D E.vFront Street 0 Labor 94-°`ci DATE 1.12=H 05' Address of Proposed Business v-Y■ rvf V' 11 -L EQ.(' 1 Fron* 5' Applicant 6-1-e-vcs r. .dal A Z2L Lv W /21i1 n S j fork 14ne►.eles WY 98343 Phone business /i7' -335(8 home 4S7 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 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 APQR E VE REJECTED ion ie.. ►l -OS 430 ROUTING SLIP Certificate of Occupancy 00 Certificate /Inspection Fee l Q_Yip Gov e✓Icc.. YES Block Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Date Signed H- t 05 5i Comments Conditions Subdivision THE FOLLOWING WILL PERMITS BU 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 BE REQUIRED SINESS 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 CERTIFICATEDF OCCUPANCY citk-ofVortAn Building Division ThisCritherequirements, of Secti°n111°9 of the Unifor V3 Mgttlult at the tinze obs' suance this structure was in c ',Itanck:WAh7;thearLbti„Scordiit_iie_e„sqof th Citf,egtflati.zg uilding .4*-7,consti For thefollowzng Busifiess Build1n Permit No V ii YoIPiIates Studio `A- Xype.tifgrmstruction: N=N;q. Use Zoi CA tz-zr, 0 h. Sher Cappa— Address: 231 Wapiti Way; Port—Aneeles:W,X.-98362 I 1607-D EastTr ont,Street kirekfileteiMA. 98362 9 11TE g 24/ o 1 DATE 2-113/0 3 Address of 1 Business /'t ail Applicant Address 3/ OOP /77 &M Y Phone business S7 —o2 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 APsvf-D REJECTED 3 ►n ItD 3- In -o3- 0) l ROUTING SLIP C) Certificate of Occupancy Awi $47 00 Certificate /Inspection Fee (7. $4 Block YES NO 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 PB I.A. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Date Signed THE FOLLOWING 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 Comments Conditions Subdivision 51..6 L..a'E 7J WILL BE REQUIRED 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 Application Number 05 00000716 Application pin number 408432 Property Address 1607 E FRONT ST D ASSESSOR PARCEL NUMBER 06 30 00 1 0 2740 0000 Application type description SIGNS Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 1000 Owner Contractor LADD FAMILY LMTD LIABILITY CO ADVERTISING SALES MORE 11000 34TH AVE S 1327 E 1ST STREET LAKEWOOD WA 984998727 PORT ANGELES PORT ANGELES WA 98362 (360) 452 7785 Permit SIGN Additional desc NEW WALL SIGN Permit pin number 56713 Permit Fee 85 00 Plan Check Fee 00 Issue Date 8/04/05 Valuation 1000 Expiration Date 1/31/06 Qty Unit Charge Per Extension 1 00 85 0000 PER S- SIGN WALL 25 SF+ 85 00 Fee summary Charged Paid Credited Due Permit Fee Total 85 00 85 00 00 00 Plan Check Total 00 00 00 00 Grand Total 85 00 85 00 00 00 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 I have read 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 autho rite to violate or cancel the provisions of any state or local law regulating construction or the performance of constructio E 4_ of Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Date 8/04/05 e <ri t i t 4 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -1N WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR I INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY[USE RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED I YES 1 NO I ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 1 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 1 T• \Policies \I 102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES NO 417 -4735 ELECTRICAL LIGHT DEPT I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING COMMENTS I I I 1 EXfred I I 4 Applicant or Agent: Pt g 1-ot S S Phone 45 1 7 Owner L"c CTheA cv, LLe-1 i-- A( e. Phone. 1 Address. City Zip Architect/Engineer 3 N R L C. t4 S Phone- Contractor -"J r t. e State License Exp Phone Address City Zip PROJECT ADDRESS r 0) 6 -62 -u-S T S t ZONING LEGAL DESCRIPTION Lot: 2 L Block: Subdivision. S -)Qj 4 2A CLALLAM COUNTY PARCEL NUMBER. ©G3ca at- 0 271 o Credit Card Holder Name. Billing Address: City Credit Card Type VISA MC Exp. Date: TYPE OF WORK. SWF/VALUATION Residential New Constr Re -roof Stove SF 2 t', /SF Multi- family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair 7gn Other OTAL VALUATION i p Q BRIEF DESCRIPTION OF THE PROJECT AS. (1_,-1. Six= L, r e i. Cr „f C4 Ls —car-t COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type: No of Stones: Lot Size: Existing Sq Ft. Proposed Sq Ft. TOTAL Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This 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 mustbe.:submitted at the time the buildmg.pernut apphcation and construction plans are submitted. All other permit fees are due at the time of permit issuance. EJH'IRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the apphcant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. I hereby certify that I have read and examined this applic. 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 w at permits are requir• of the City's, and that t must obtain such permits prior to work. T\Policies\BL 1102_13.wpd Applicant: 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 Date: 8 4. O S FOR OFFICIAL E NLY Date Rec. Z/ 7 Permit 4 11 7° Date Approved 7 Date Issued. �G APPROVALS. PLAN BLDG DPWU FIRE OTHER it 1 1 7 cr Cr 4 lotAC% lt k "Z.: 34:P Is. 0 zsi Lo 9 1.)t) c? Z- c�2J*'►1 i' 3 D $~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000716 Date 10/25/05 408432 1607 E FRONT ST D 06-30-00-1-0-2740-0000- SIGNS COMMERCIAL ARTERIAL 1000 Owner Contractor LADD FAMILY LMTD LIABILITY CO 11000 34TH AVE S LAKE WOOD WA 984998727 ADVERTISING SALES & MORE 1327 E. 1ST STREET PORT ANGELES PORT ANGELES WA 98362 (360) 452-7785 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - -- - - - - -- - - - - - - - - - - - - - -- pe rmi t . . . . . Additional desc . Permit pin number Sub Contractor permi t Fee Issue Date Expiration Date ELECTRICAL SIGN PERMITS ANGELES EL./ SIGN 63313 ANGELES ELECTRIC 36.40 Plan Check Fee 10/25/05 Valuation 4/23/06 .00 1000 ~ \:). 'J Qty 1. 00 Unit Charge Per 36.4000 ECH EL-COMM-IST SIGN Extension 36.40 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 36.40 36.40 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 36.40 36.40 .00 .00 ~ \h t V\ \'\ ~ ~ ~ r ~ ~ ~. ~. ~ .:.. ~..~ ~ c "\. . \) COMMENTSI 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 ACCEPTED COMMENTS YES I NO U 11 \.,.t1. K()\ I(TH-iN I \.,UYbK ~bK Y lCb tJNAI jJ- J-/}-\ ~1) GENERAL COMMENTS: PW.II02.I' (4196] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILD1NG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03 00000241 Date 3/17/03 Property Address ...... 1607 E FRONT ST D A~SESSOR PARCEL NUMBER: 0630001027400000 Application description . . . COMM REMODEL Property Zoning ....... A~plication valuation .... 400 Owner Contractor LADD FAMILY L~4TD LIABILITY CO CHILDER'S BUKOVNIK 11000 34TH AVE S 1466 BLACK DIAMOND RD. LAKEWOOD WA 984998727 PORT ANGELES PORT ANGELES WA 98363 (360) 457-6547 ...... Structure Information INTERIOR REMODEL REMOVE THREE WALLS ..... Construction Type ..... TYPE V NON-RATED Occupancy Type ...... BUSINESS:OFF/PRO/MED/REST Permit ...... BUILDING PERMIT - C0594ERCIAL Additional desc . . Permit Fee .... 47.00 Plan Check Fee , . .00 Issue Date .... 3/17/03 Valuation .... 400 Expiration Date , . 9/13/03 Qty Unit Charge Per Extension BASE FEE 47.00 Fee summary Charged Paid Credited 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 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 I have read and examined this application and know the same to be true and correct. All provisions of aws and ordnances govern ng th s 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 Au o 'zed ge Date Signature of Owner (if owner is builder) Date T:\PLANTN~NG\]FOP~vJ$\[ ]02.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOP / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'si WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PEP-JViIT #'$ SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHOIKELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTKICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENG INEEPdNG FIP~E 417-4653 FIRI~ DEPT. PLANNING DEPT. 417-4750 ~'~.~,'~f ~:~..4j PLANNING DEPT. BUILDING 417-48:5 'Z'-22-o~i'-'~' - ~/ BUILDING T;\PLANNING\FORMS\] 102.15 [4/2002] I BUILDING PERMIT - APPLICATION Date Issued: The Building.Permit Application must be filled out completely. Please type or print in ink. Ifyou have any questions, please call 417-4815 Applic~t or Agent: ~'~ ~ ~??'~ Phone: Owner: ~ ~D ~ IC~ ~C~ Phone: ~chitec~ngineer: X/D~ Phone: Contractor )~6 ~ tO ~ O ~ ~ License g: Exp: Phone: ~ 7 Address: ~ City: ~ ~. Zip: o ss: LEGAL DESC~PTION: Lot: Block: Subdiwsmn: CL~L~ COUNTY P~CEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card g: Exp. Date: VISA MC T~E OF WO~: SIZE~UATION: ~ Residential m New Consm ~ Re-roof ~ Wood-stove SF. ~ $. /SF. =~ m Multi-h~ly u Addition m Move ~ Garage SF. ~ $~/SF. = $. n Commercial ~ Remodel ~emolition n Deck SF. ~ $ ~/ /SF. = $ ~ Repair ~ Sign ~ TOTAL VALUATION $ ~ CO~M~RC~S~D~TI~: Occupancy Group:., Occupant Load: __ Co.s~ction No. o¢Stofi=s: __ Lot S~ze: % Lot Cowra~e: % Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: ~sq. ~. = TOTAL LOT COVE~GE: ~sq. PLANING USE ONLY: APPROVES: PL~ Notes: BLDG. DPW FI~ ES~Wetland(s): ~ Yes ~ No SEPA Checklist required? ~ Yes ~ No O~er: OTHER BUILDING PE~IT APPLICATION SUBMITT~: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you ~th more detailed infomtion on the application and plan sub~Ral requirements. Yo~ completed application, site plan (for additions) and building cons~ction plans are to be submi~ed to &e Building Division. V~UATION OF CONSTRUCTION: In all eases, a valuation amount must be entered by the applicant. This fig~e will be reviewed and may be reviscd by the Building Division to comply wi~ c~ent fee schedules. Contact thc Pc~t Coordinator at 417-4815 for assistance. PL~' CHECK FEE: Y~urp~ancheckfeeisdueatthetime~ebui~dingpe~tapp~ica~nandc~ns~c~np~ansaresub~ed. Allother pemt fees are due at the time ofpemt issuance. EXPIATION OF PL~ ~VIEW: If no pe~t is issued with~ 180 days of the date of application, this application will expire. The Building Official can extend the time for action by ~e applicant up to 180 days upon ~iRen request by the applicant (see Section 107.4 of the Unifo~ Building Code, c~ent edition). No application can be extended more ~an once. I hereby cert~ that 1 have read and examined this a~lication and know the same to be true and correct, and 1 am authorized to apply for this permit. 1 understand it is not the Ci~'s legal responsibility to determine what permits are required; it remains the applicant's res~onsibiliO~ to determine what ~ermils are required and to obtain such. as .........,.... CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION J2\ EAST 5TH STREET. PORT ANGELES. WA 9RJ62 ELECTRICAL PERMIT Issued: 12/28/98 Permit No: 6518 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ ALL STATE INS. 1607 E. FRONT, SUITE C PORT ANGELES, WA 98362 206/584-2420 T: SUITE C S: C 1607 r,.ot: Block: Sub: Pare No: FRONT E SUB LOT 27 Long Legal: ' SUBLOT 27 East CONTRACTOR-----------------------------DESIGNER-~------------------------------- HANSON SIGN CO 1533 SHOREWOOD DR BREMERTON, WA 98312 360/613-9550 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML. MISC. prj Value: $0.00 Occ Type: Cnstr Type: SIGN Occ Grp: Occ Load: Land Use: ACD Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- 1 SIGN PROJECT FEES ASSESSMENT----------------------~-----------~----------------------' Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc SIGN $32.25 TOTAL FEE: Amount Paid: $32.25 $32.25 --------------------------------- --------------------------------- TOTAL FEE: $32.25 cft~ ,'Z8ZW Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPECfION RECORD CALL 4 174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC'IlON TYPE DATE ACCII'TIW COMMENTS YES I NO IH11IC.H_IN I .....v ~E . r r 11/ICrfI f't' I GENERAL COMMENTS: pW-II01.UI4'96] <, . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 Installed By: ELECTRICAL PERMIT :F PERMIT NO. S.;zSS 't hn/~..> . DATE Site Address: D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT D BASEBOARD KW _ D FURNACE KW _ D HEAT PUMP KW_ D FAN/WALL KW _ D RESIDENTIAL D COMMERCIAL D NEW CONSTRUCTION D REMODEL D ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR D RISER D OVERHEAD SERVICE D UNDERGROUND SERVICE VOLTAGE: D116 D316 SERVICE SIZE FEEDER SIZE AMPS AMPS D TEMPORARY SERVICE , DetailslDescription: ;:;)~ . ..,,) .:2.) ~ ~ [) '~ I( /1 -.,. _ ~ J - t~~ ;.,,\~ ~'~~ W.S. No. SERVICE SIZE CAPACITY: D O.K. D NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D OVERHEAD SERVICE APPROVED D CHANGE SERVICE WIRE D OTHER Installer: Permit/Receipt No. Sz...>)" New Meters . 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!'ermil. PHONE 457-0411, EXT. 224, . ~ "" I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT c:r ~ ,-- . $ Electrical Inspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meier Dept., Bottom: City Hall OLYMPIC PAINTERS INC ~ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. soJ> / </ /Z6/P~- DATE Installed By: ..-..- ~ o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Fl. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW o FAN/WALL KW _ o RESIDENTIAL ~ COMMERCIAL b NEW CONSTRUCTION ,M REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1~ D3~ SERVICE SIZE FEEDER SIZE AMPS AMPS Details/Description: ~ ~ I eft. ~ ~ &d-~ 1F~. . 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. '-f(J. Rough-in/cover O.K. vJ ~ o O.K. to connect service ~~ Final O.K. Site Address: /6 IJ (. 12-~ Installer: Permit/Receipt No. ~J?/ New Meters Oat ,- . 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. ~ NO OCCUPANCY OR USEESTABUSHED UNDER THIS PERMIT / ..;so . $ Electricallnspeclor Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meier Dept., Bottom: City Hall OLYMPIC PRINTERS INC to .~ ,- r . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. O? IS- / ,r// Jr7 ELECTRICAL PERMIT DATE Site Address: Installed By: o READY FOR INSPECTION License Number: WI LL CALL FOR INSPECTION Phone: Owner/Business: Phone: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 010' 030 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (iist below) Amps DetailslDescription: Pu0 ;, {l.If /Yd: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 ~~~.K. 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 Installer: ,/ New Mete? Site Address: . ~ ~ Notify the Department of City ght b treet Address and Permit Number when ready for inspection. Work must not be covered or electrically en gized 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. /I~ NO OCCUPANCY OR USE ESTABLISHED UNDEA THIS PERMIT -Jl~or WHITE - file by address YELLOW - file by number Amount paid PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall '" . ? O~YMPIC PRI~TER5. INC. Site Address: /(,0 Installed By: ;~ ~ CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. 1371 II/Ie? ff7 . , DATE o READY FOR XWILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: r~ Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other ~ Commerclalllndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage o 1~ 03.0 Service size o Temporary g( Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps Detai I slDescri ptlon: IIJJ (}u! ft l.eU o~ . 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 1___~ Final O.K. 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 Installer: c. .:f~ c,.., . Permit/Receipt No. Site Address: /.3 7 New Meters o . Notify the Department of City Light by Street Address 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 457.041Jr EXT. 158 or EXT. 224. -r~... NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ I~ ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. /Ofo FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 57~ PERMIT NUMBER . b()~ 1;t..l-EwE &r1M TOTAL FEE :r7", J,I - CONT.lIe. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY elECTRICAL PERMIT ONLY PERMITS WITH WRONG ADD SSES ARE CANCELLED Installation By ,,t}~t:iV ~G FelT ie-,<! Installers Address _0; .-=?,..", / 97th Install~rs Phone ;;~~ ~ - y- &'.. "I C) (2 C'!.p", I "'" Site Address Owner ~L/ ,/ . / Owner's Address t,o CJ CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT c- r ~;e{jW , , 1) [ AJJdl ?n.7_k ~/'lft Day Phone Application Is hereby made for Permit to install Electrical Equipment as follows: Nt;y./ S'U-V1C'L 2A>o 10/ /Z<J/Z/>' A1>bflvi SOML CUL- / / - 2-/tJ~ 'OlJ.uJ.5 /2):W~, Wiring Method It i?'f.- . , . NUMBER AMP 240V. NUMBER AMP 120V 240V USE OF CIRCUIT PER 120V 100A FEE USE OF CIRCUIT PER 100R FEE CIRCUITS 10 CIRCUITS 10 CIR 30 . CIR 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE I,r/f/ - MOTOR APPLIANCE . Lt? ,tP 'MOTOR .. I DISHWASHER "I. 11 (,.'" I' , 11 01)' I FIRE ALARMS . ,0 DISPOSAL Iv 'r"f/"' .,flrY ,-' '" BURGLAR ALARM , ~ - , RANGE V J '11 ';f Lr' MISC. OVEN IJ~ ~v / WATER HEATER / LAUNDRY I Ydf",i DRYER --r"/ fl' I' nvr REINSTALLATION LIGHT FIXTURE # FURNACE . SUB TOTAL FEE GAS - OIL FURNACE , ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT / TOTAL FEE ELECTRIC HEAT It 1 _..~~I_ZEQF,.~E!!I!IS:~ ~_~!TC.H 9'.!~I.RC':!lT !IREAKER A.C. UNIT j/~ A AMP PHASE FEEDER ) 'f' SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE J .z.. ~fr 2SD J\M:n At 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 ;])7~nce 1i: N.E.C. Electrical Code. DateAppllcatlonmade /t 1),o,eJ L .19~ By' U ) {".. ~ / , Y"cOtf RACTOR'pR OWNER (OR AUTHO~D AGENT) . PermIssion is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto,. subject to compliance with the O:ylnanceS.IJ:PrJ~T ~ Date Permit Issued PLANS APPR~ ~ 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 _ WARNING WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS .. . . I~/'ZA r S'i tV/c.t... .. ,. lfA -A .- 4/11/1' {<tt.vJ ~ <-,- D.LM--c.'\. ~i1f . -, - I - 1JF 1-/'1%1 ft, I,K (ylll CA-1I ...uh,vJ ~-V~ - -,-co '7 T I. Nfl J S ~<P . LA-.... rA.. 6A-.r:.l:.u.r ~ OIJf/J S I ,. 2. f}rcd s . -/0 -h-",rt.. ....../~I.....,. "'~ AD! io . , , &,',,?,(.!.rJO "- Il"'D I"'>~ ./)/rCON'kf: , - 3. ,TtLIwl PI P ( A-/\" U, C 11 l,,,,,. . ," 7'D fl UrNr { 1(" fb ffU'r p;'~ '1-, / It / f" I- flhfr..// l...J - rill' c. D "'..,. (. r JAr Jk.<. "'" -/.c...J T 7 i)0.4<vt... L", +-~ lP <A. t .!. ""If( lilZ- 1 -I-I-l-G,v o~L", - . /JKJr "->A..,(.(.(. ~...J I ,. ' " , . .\ .~ - . . , ;. =A4,~ O.K. FOR COVERING 1 7[ W a.....,~.:..:HJUE8lSLn"I,..~ ..4~t> ?1JD l4-1"'f <;;/1, fJ~ f 'f/ A i.1> IH rs;: FINAL O.K. . I . T: z Cl a: <C ::E !!! :t: I- Z W l- . I- o Z o c . ~//.;1/ fa ......- ELECTRICAL WORK PERMIT APPLICATION , Pure a..c:cr"s m~ address ~ ,. ~c.r !&:- -cL~1 C;'y If) -.A. 1/---'-_ 1IU-'''r''T"7~~-8 Telephone number ~ Premises owner~s name LA15iJL Jflad-bd/ AddresS of inspettion r-- ~:7__ Jk77 H!. ~ City ?,A-. 5n-r.J, Inst..l~dC$cription ~ornmercial 0 ResideDtial Job wired by lectrical Contractor 0 Owner Da.te Expires o New Cl Altered/Addition '[;r:- f.n",r "7 ~ ::}/6>> S . Phon\': number (0 :'lcheduJc iU$p Owne,. a.f: defined by RCw'l9,18.2ril:(l) Ow"er' will ()(;t:uPy the stnicflm:j<lI' twO years ajler' t/lis electrical permit is flna{~ed. (2) Own!:', is required ta lIire all elt:ctricul cOII-traclor ~l above liairJ pt'l)perry is for sale. n.:nl ",. /ea'I~!. Afler rCllidiJ\g the above slatement. l hereby certify that I 3001 the owner of the above named property or a Iiccmscd electrical contractor. I an\ making the dectrical instal- l3.tion or alleri\tion in compliance with the electrical laws. N.E.c', JlCW. Chapter 19.28. WAC. Chaptcr 296.4GB. Thc City of POtt r\ngcl~s Municip;'11 Code, and Utility $'Pccificutions. . r, electrh:2 o Cash 0 Check # ~ard Visa Card# ____-~_:B~ -_____ Mastercard Discover x Date: Expiration Date of card ~ electrical Load Addltl9 o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan-Wall ~ J1I o Overhead Service o Temp Service Q Underground Service Service 1nformation Voltage 12,6 Phase ~ Service Siz:e: _.._. Feeder Size: ~ (~ LAR SAME DAY INSPECTION. CALL BEFORE 7;00 AM 360-417-4735 ROUGH-IN THERMOSTAT "\ r SERVICE <J - I D~l\l Approvocl. By Dale ^llpr.:lved Uy '- D..lc Approvcu.8)' ./ / ~AL 1 / DITCH r FEEDER ///;":5 AzO ) 0" )l.rl~r('lved. By 1~1\I~ ^ppMv~d ~y ./ O;tle Apprt>ved By,.../' Inspection Ar~a, Bu\lding or Equipment Inspected Action Taken E1ectrica.1 9ate ( J InSpCCIQr t4v;;/u< 0(... 4( CX-F- r:r~ , I - - ,.'4 4t(CJ 9h if/., ~ - A , ,.z l ",-j C:;Q'7h 7C:;17 l7lQS:- ,..,1\1 T ,., T).ll 'i~-'~ C:::~""'::l['jl\l'rl wn>-!-l W'rlC~: I I C~7_n7_QI