HomeMy WebLinkAbout1940 E 1st St 170 - Building 05113/2013 10 : 04 FAX 001/001
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CITY OF PORT ANGELES PERMIT APPLICATION UVRICAL �•
wilding Division/Electrical InS fections �--
321 East Fifth Street—P.O,Box 11501 Port Angeles Washington,98362 -�
Ph: (360) 417•-4735 Fax: (360) 417-4711
Gate. �� - Multi-Family or Commercial*
' Plan Review y Re ed ale ColrpJe triCel Ian Review nfor, anon Sh et
Job Address !'
building Square Foota
t7eeaription of ebove_ '✓ '
Owner nformatl n Contract n� rm , C'
Name I �il C �Ij NameMani Address: Mailin ress;
C'dy Stale; Zlp, C�Iy Stale:' Zip•
Phone, Fax: Phone- Fa . r"
License 4I Exp _� License 4!Exp. �
Item Unit Charge_ V Total(Qty Multiplied 4y Unit Charge
ServlcelFeeder 200 Amp. $132 00
Service/Feeder 201400 Amp $160,00 S
ServlcelFeeder 401600 Amp $225,00
S
ServlcelFeeder 601 1000 Amp. S288,00 §
Service(Feader over 1000 amp. $410.00 $-
Branch Circuit W)Service Feeder $ 5,00 $
Branch CucultVYIO Service Felder S 74.00
Each Additional Branch Circuit $ 6100 $
Branch Circuits 1-4 $ 66.00 �� S
Temp Service/Feeder 200 Amp. $102.00 $
Temp 5ervicelFeeder 201-400 Amp $121.00 $
Temp ServicelFeeder 401-600 Amp $164,00 $
Temp.5ervicelFeeder 601-1000 Amp. $ 185.00 $
Portal to Portal Hourly $ 96.00 $
SignlOutlfne lighting $ BB,00 $
Signal Clrcuii!Limited Energy—Multi-Family S 64.00 _
Signal Circuwll limited Energy I First 1500 sf—Commercial $ 96,00 $
Note; $5,00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less Q 11300 $
Thermoslat $ 56,00 $ �
Nom $6,00 for each additional T-Slat
$ Total
Owner as defined by RCW.19.28.261:(1)Ownerwill occupy the structure for two years after this eleotrloal 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 k used electrical contractor, I am making
the electrical i tailation or alteration in oomplianos with the electric, ;avys •.;". RCW,Chapter 19,28,WAC, Chapter 296-468,The My of Port
Angeles Muni Ip i Code,and Utillt Specifioatio n MC 14.05-0.5'•:regarding Electrical Permit Applications.
Sign tune of ner,electrical ont etor or iectrica administrator; CQ caah ❑ chKij
} i 4radll Card L/
x adt4d; f
ELECTRICAL PERMIT
CITY OF FORT ANGELES
360-417-4735
Application Number , , . . . 13-00000514 Date 5/14/13
Application pin number . . . 56B504
Property Address 1940 E JET ST 170 REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-12--5-0-7000-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name , , , . to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning . , , . . , , UNKNOWN
Application valuation . . . . 0
Application desc
1-4 circuits fire alarm panel
Owner Contractor
----------------------- ------------------------- rl
PORT ANGELES PLAZA SHAW? ELECTRICAL CONTRACTING
ASSOCIATES LLC PO BOX 383
650 S ORCAS ST, STE 210 PORT ANGELES WA 98362
SEATTLE WA 98108 (360} 452-168.9
206
658-3104
----�---------:--------------------�----------°_- ---------__-___----------- �!
Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee 86.00 Plan Check Fee 00
Issue Date . . . . 5/14/13 Valuation 0
Expiration Date . . 11/10/13
Qty Unit. Charge Per Extension
SASE FEE 86,00
Fee summary Charged Paid Credited Due
--- Y
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 DO .00
Grand Total 86,00 86..00 00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN � E
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
0:1EXCHANGEIBUILDING
nUIVED
tit �41+tr�,�r/
MAR 2 6 2013,
CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL
Building Division/Electrical inspcctians NSPFCTIONS >
321 East Fifth Street -- P -O. Box 1154 / Port Angeles Washington, 98362 \ .
Ph: (360) 417 -4735 Fax: (360) 4174711 VV
Date: 12812 Q Mufti - Family or Commercial'
*
Plan Review May Be Required, Please C m 1 to Electrical Plan Rpi9w Information Sheet
Job Address: a•o - sww a sue• s+r
Building Square Footage:
DW6ption of 9baVe dim tavome�+ x xat f ftM In A=M mac:carne snt„a
owner as defined by RCW.19.28.261: (1) Owner Oil occupy tine structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor 4 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 l am the owner of the above named property or a licensed electrical oontraotor. t am making
the electrical installation or alteration in compliance with the electrical laws, KE,C., RCW. Chapter 19.28, WAC. Chapter' 296 -46 B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatures of owner, electrfCal contractor or electrical administrator: 0 cast, ❑ Check
Q Credh (aid N Fio
x Mike Shirley 1 Gary P�litika Wed:
01linr2612
Contractor Information
Owner Information
Name. 141wh s.Wn+r. �-
Name Pcr'Am*m �
Mailing Address: 723 Ellt Fml St
Maihng Address: 650 s n—sT, s� r o
6eo ra N108 State: WA Zip: ,oe
Crty. �OM1P'09 5taie: w^ 7iPsz
city
3t0a Fax.
Phone: MGM
Phone �o- asza�' --Fax: �o,s2.a�co
License k ! Exp.erses
License 0 1 Exp
Unit Charge
Q_yt Total Multiplied by Unit Charge)
Item
SeryicdFeedorr 200 Arne.
$ 132.00
$
$�--"-
Service/FeWer201 -400 Amp.
$190.00
$----
5emedFeeder 401.600 Amp
$ 225,00
$
ServicefFeeder 601 -1000 Amp.
$ 288.00
5---
9ervioerFeeder over 1000 Amp.
$ 410.00
— - —
5
Branch Circuit W1 Service Feeder
$ 5.00
5
Branch Circuit W/O Swvice Feeder
$ 74.00
$
Each Additionar Branch Circuit
$ 5.00
$
Branch Circuits 1.4
$ 86.00
$
Temp, Service! Feeder 200 Amp.
$102.00
$
Temp. ServicelFeeder 201400 Amp.
$121.00
$
Temp. Service/Fesder 401 -600 Amp.
$164.00
5----
Temp. service/Feeder 601-1094 Amp,
$185.00
$
Portal to PoTW Hourly
$ 96.00
$
Sign/outline Lighting
$ 88.00
$
Signed Cln:uill Limited Energy -- Mull- Famlly
$ 64.09
$ es.co
Signal Circuit! Limited E=nergy I First 1504 sf - Commercial $ 96.00
--
Nate: $5,00 for each additions 1500 sf
$
Renewable Electrical Energy - 5NVA System or Less
$113.00
$
Thermostat
$ 56.09
Note: $5.00 for each additional T-Stat
ea oo Total
owner as defined by RCW.19.28.261: (1) Owner Oil occupy tine structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor 4 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 l am the owner of the above named property or a licensed electrical oontraotor. t am making
the electrical installation or alteration in compliance with the electrical laws, KE,C., RCW. Chapter 19.28, WAC. Chapter' 296 -46 B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatures of owner, electrfCal contractor or electrical administrator: 0 cast, ❑ Check
Q Credh (aid N Fio
x Mike Shirley 1 Gary P�litika Wed:
01linr2612
ELECTRICAL INSPECTION
WIRING REPORT
Q-W
,- RKS 01 ", 417-4735
PER!gINSPECTOR
OWNER
CONTRAC' OR
- .�41 t,
ADORES 14 L4
APPROVED NOT APPROVED
13 ..,. .......DITCH .... ........... -, D
ROUGH IN/COVER .............. .O
0 .................... SERVICE ..............
Ll .......... ...... FINAL .................... [I
CORRECTIONS NEEDED: )v
L
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
� STOs 11 riall 9 0014 k7irelvi 40
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . .
13- 00000283 Date
3/27/13
Application pin number . , .
'112083
DITCH
Property Address . . . . . .
1940 E I S T ST
ASSESSOR PARCEL NUMBER;
Ob -30 12 -5 0- 7000 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
✓
Property Use
FINAL
Property Zoning . . . . . . .
COMMERCIAL ARTERIAL
Application valuation . . . ,
0
COMMENTS:
Application desc
Fire alarm control.
Owner
Contractor
PORT ANGELES PLAZA
HT TECH SECURITY INC
ASSOCIATES LLC
723 E FRONT ST
650 S ORCAS ST, STE 210
PORT ANGELES
WA 96362
SEATTLE WA 90108
(360) 452 -2727
`206) 658 -3104
_ - -- __ ---------------------------------------
----- - - - - -- ��z
_ vs_�p _ --
Permit . . . , . . ELECTRICAL
ALTER COMMERCIAL
Additional deac , .
Permit Fee . . . 96.00
Plan Check Fee
00
Issue Date .3/27/13
Valuation . . . .
0
Expiration Date 9/23/13
Qty Unit Cbarge 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
DO
Plan Check Total .00
.00 .00
.00
Grand Total 96,00
96.00 00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
✓
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical. Contractor .X Date:
QTXCHANGEBUILDING
1
tae
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . , , , .
15- 00000309
Pate 3/30/15
Application pin number , , .
237109
DITCH
Property Address . . . ,
1940 E 15T ST 170
ASSESSOR PARCEL NUMBER:
06-30-12-5-0- 7000 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . , . , . .
Property U9E . . . , . , . .
FINAL
COMMENTS:
Property Zoning , . . . . . .
UNKNOWN
Application valuation . . , .
0
Application desc
Remodel
Owner
Contractor
PORT ANGELES PLAZA
SHAMP ELECTRICAL
CONTRACTING
ASSOCIATES LLC
PO SOX 383
650 S ORCAS ST, STE 210
PORT ANGELES
WA 98362
SEATTLE WA 98108
(360) 452 -1689
(206) 658 -3104
Permit , , . ELECTRICAL
ALTER COMMERCIAL
Additional desc , .
Permit Fee 672,00
Plan Checic Fee
.00
Issue Date 3/30/15
Valuation . .
, . 0
Expiration Date 9/26/15
Qty Unit Charge Per -
Extension
64.00 5.0000 ECH EL- $RANCH CIRCUIT W /FEEDER
•320.00
2,00 132,0000 ECH EL -COM
0 -200 SRV FEEDER
264.00
1.00 286.000.0 ECH EL -COM 601 -1000 SRV FEEDER
288.00
Fee summary Charged
Paid Credited
Due
Permit. Fee Total 872.00
872.00 .00
.00
Plan Check Total 0o
,00 00
.00
Grand Total 872.00
872,00 00
.00
REPORT SALES TAX
on your excise tax farm
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X Date:
GAEXCHANGMBUILDING
U
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . , , . 15- 00000309 Date 4/24/15
Application pin number , , . 237109
Property Address . . , , . . 1940 E 137 ST 170
ASSESSOR PARCEL NUMBER: 06--30-12-5-0- 7000 -00c0-
Application type deec.ription ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning , , . , . . , UNKNOWN
Application valuation , . , , 0
----------------------------------------------------------------------------
Application desc
Remodel,
Owner Contractor
PORT ANGELES PLAZA SHAM? ELECTRICAL, CONTRACTING
ASSOCIATES LLC PO BOX 383
650 S ORCAS ST, STE 210 PORT ANGELES WA 98362
SEATTLE WA 98108 (360) 452 -1669
(206) 658 -3104
Permit . , , . . , ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Pee 1084,00 Plan Check Fee .00
Issue Date 3/30/15 Valuation , , , . o
Expiration Date 10/20/15
Qty Unit Charge Per Extension
64.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 320.00
1100 96,0000 ECH ET,- LIMITED 1ST 1500 SQ FT 96,00
9,00 $,0000 ECH EL -ADDNT LIMITED•1.500 SQ FT 4.5.00
2,00 132.0000 ECH EL -COM 0 -200 SRV FEEDER 264,00
1,00 288,0000 ECH EL -COM 601 -1000 SRV FEEDER 288.00
1,D0 56.0000 ECH EL- LVT- THERMOSTAT 56.00
3,00 5.0000 ECH EL- L,VT- ADDTTIONL THERMOSTAT 15,00
Fee summary Charged ?aid Credited Due
Permit Fee Total 1084,00 1084,00 00 00
Plan Check Total .00 .00 .00 OD
Grand Total 1084;00 1084,00 .00 00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
r�
FINAL.
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ; E
Signature of owner or EIectrical Contractor X Date:
G:1EXCi11NGBBUILDWG
RECEIVED',
WR 2 7 Q
WURICAL �t
lrj
MT,
CATY CWPOR]" ANGF,"ISS PEMUT
321 Ast
h .. : P (360) 4,17- 4:136 Fax (3 6 0:) 417-4 7 It
Ift It 1-Famil
Wks
' An Rev
,A�,Addros�,
R'Adm,J �,qln
DOWN f
----------- - . .. .. .....
Ownor 10 �1118TOP 11formatiod 3F
t A,
W -j"2
pho
caud;P PAT"
H gn jq1W fgHN lut Id b
.-"7 �
qa
D i l i ,40C, An i� ...... >, it
SwWudw 10 1 SOD Am
000 ,�rnp
. .. .........
Both AdAm Anch AM
810 COW 14, 80 Ap
" vmp. S�,,Mpj; N�A�[ 20C kn 110200 5 . ........ . ................ ....
wnp, ivw�eir,��edc.a D) �'W Afnp s Bn 10
PWN MPMN Hady 1: ua W 13
me: ummd Enomy . Puts, 64 00
.Rpa, La : iiil:tyl Encm, 0)0,28f - CWMWAI S ROW
$5 01 NY 0A Mb5d 1530 Sf
8K wry mom a Ws I Q 0(i
.................. . ..
on,
Wv $TM ff emb mdkrW TW IPA,
541:1.11- Total
dofinp(j r „y FCC CIAL191,28,n)l , �1) Owner WN ODMpy Me sVwWm kr Mo Mam OW phis ele, I pprmA q finali?aid ,2) Ovme,0,,i q.0od
W tie wR de&14 cankadon Kabove mad pmpOrly 4 DF ON; r or Wo, °�fttar,six mcntks of lost
After readm the'ahow” owner cA Te abovo u[i�.-k pro; pej,tI� Gra 1bf)n','o(j 1",14DOA01 COIMCtOr. I W11 fffflk'Oj
si '&,ijlwj or M-1060061 11 ,.coriyl lap& v�,i th th c) kl,,,ojcN ',,wn, N. F, G, , ROLA Ch npier 1919, WAD, Chap%i 2964E, The Cily of Pwl
,JjLjy �ti 14,05.050 roprdlii� EWuhtal A= AppluAhns.
sigilours of own r f tri qaF co
ritnl n$mjnistralor: 0 cuh. L!
edit Cstd Ak
ponPgNC� ELECTRICAL INSPECTION
ci �N
WIRING REPORT
i
{��`�`"F 417 -4735
®
APPROVED NOT APPROVED
.................... DITCH. . .... ,.............
....... 4 ...... BOUGH IN /COVER
® ............... .....SERVICE...................
0 ... .................. FI$VAL ................
.
CORRECTIONS NEEDED: V 1,,I �
R
Tap
v
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
F
gnAr�k ELECTRICAL INSPECTION
WIRING DEPORT
417-4735
ARKS &
�
APPROVED NOT APPROVED
C7 .................... DITCH . n
Jai Irt_ROUGH IN /COVER ...............
® ............... .....SERVICE...................
®......
CORRECTIONS NEEDED: _L.,3 tb L,(C 12A42--.. „
�A- 9'5t4
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
a
® � ELECTRICAL INSPECTION
WIRING REPORT
417-4735
0 ................ ROUGH IN/COVER ............... [I
El .... ........ SERVICE ......... ......... [I
13 ..................... FINAL ....... ............ 0
)� CORRECTIONS NEEDED: -ML 2nAe-W-WIN 1>
--n
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
Application Number . . . . . 22-00001476 Date 11/29/22
Application pin number . . . 145024
Property Address . . . . . . 1940 E 1ST ST 170
ASSESSOR PARCEL NUMBER: 06-30-12-5-0-7000-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Fire alarm Com.
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PORT ANGELES PLAZA ADT COMMERCIAL LLC
ASSOCIATES LLC PO BOX 310702
650 S ORCAS ST, STE 210 BOCA RATON FL 33431
SEATTLE WA 98108 (561) 322-4878
(206) 658-3104
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 96.00 Plan Check Fee . . .00
Issue Date . . . . 11/29/22 Valuation . . . . 0
Expiration Date . . 5/28/23
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
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _
OWNER INFORMATION
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRICAL CONTRACTOR INFORMATION
Name: License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
llim!
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ 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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
PREPARED 11/23/22, 7:50:10 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001476 1940 E 1ST ST 170
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 96.00
TOTAL DUE 96.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Fire Alarm Cell
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
2/7/2023 22-1476 TAP
OWNER
CONTRACTOR
ADT
PROJECT ADDRESS
1940 E 1st St #170
Application Number . . . . . 22-00001476 Date 11/29/22
Application pin number . . . 145024
Property Address . . . . . . 1940 E 1ST ST 170
ASSESSOR PARCEL NUMBER: 06-30-12-5-0-7000-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Fire alarm Com.
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PORT ANGELES PLAZA ADT COMMERCIAL LLC
ASSOCIATES LLC PO BOX 310702
650 S ORCAS ST, STE 210 BOCA RATON FL 33431
SEATTLE WA 98108 (561) 322-4878
(206) 658-3104
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 96.00 Plan Check Fee . . .00
Issue Date . . . . 11/29/22 Valuation . . . . 0
Expiration Date . . 5/28/23
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
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _
OWNER INFORMATION
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRICAL CONTRACTOR INFORMATION
Name: License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
llim!
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ 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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
PREPARED 11/23/22, 7:50:10 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001476 1940 E 1ST ST 170
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 96.00
TOTAL DUE 96.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Fire Alarm Cell
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
2/7/2023 22-1476 TAP
OWNER
CONTRACTOR
ADT
PROJECT ADDRESS
1940 E 1st St #170