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1912 W 18th St - Building
mow' CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 FAST 5TH STREET PORT ANGELES.WA 99.362 L� Application Number 06 00000614 Date 6/26/06 Application pin number 765014 Property Address 1912 W 18TH ST ASSESSOR PARCEL NUMBER 06 30 00 1 1 1900 1000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS& PARKS Application valuation 0 Owner Contractor PORT OF PORT ANGELES SPOKANE SECURITY SYSTEMS PO BOX 1350 1420 N PINES RD PORT ANGELES WA 983620251 SPOKANE WA 99206 (509) 535 4123 Permit ELECTRICAL NEW COMMERICAL Additional desc SPOKANE SECURITY/ ACCESS CONTR Permit pin number 79962 Sub Contractor SPOKANE SECURITY SYSTEMS Permit Fee 42 20 Plan Check Fee 00 Issue Date 6/26/06 Valuation 0 Expiration Date 12/23/06 \ Qty Unit Charge Per Extension 1 00 42 2000 EL LOW VOLT SYS <=2500 SQFT 42 20 Fee summary Charged Paid Credited Due Permit Fee Total 42 20 42 20 00 00 Plan Check Total 00 00 00 00 Grand Total 42 20 42 20 00 00 t� vy\ COMMENTS/ACTION NEEDED .n ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M]NNUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PIANS AT JOB SITE INSPECTION TYPE DATE ACCEPT® COMMENTS YES NO DITCFF- SERVFCE FINAL �d GENERAL COMMENTS: PW-1102.1514" r ELECTRICAL WORK PERMIT APPLICATION Installation description Job wired by ❑Electrical Contractor ❑Owner Z,115o_mmercial ❑ Residential Electrical contractor name / License number Date Expires ��® -�C e�+Sd(o�07 ❑New ❑Altered/Addition Purchaser's mailing ad'Aress r City State ZIP 5Pok,;"-4,_ AWOL Telephone number FAX number ,5'0,7-9Zz //i CO- F qz Z- 2.7q Z PremiseeJ� owner's name (�i'iun,i� Address of inspection Z_ k/ -s/. city k,04 A�Jes Ab4 9,�2,?4 3 Phone number toedu pection• � s Q 1 _ 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. ❑ Cash ❑ Check# 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 instal- ACredit Card Vsa Mastercard Discover lation 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 Service Information ❑ NO LOAD CHANGES �y,y ❑ Baseboard _KW tC —image 68 ❑ Furnace _KW ❑ Overhead Service Phase❑ 1 ❑ 3 ❑ Heat Pump _Ton LAR ❑ Temp Service Service Size: ❑ Fan-Wall _KW ❑ Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360-417-4735 ROUGH-IN TIIERMOSTAT SERVICE Date Approved By Date Appr ed By Date Appr ed By / FINAL DITCH FE®ER (o b _ D e Appr ed Date Appr ved By Date Appr ed By Inspection Area,Building or Equipment Inspected Action Taken Electrical Date Inspector 6 b Q pORT,k, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 'v 321 EAST 5TH STREET PORT ANGELES,WA 98362 i+ Application Number 04 00000456 Date 6/03/04 Pin number 957592 Property Address 1912 W 18TH ST ASSESSOR PARCEL NUMBER 06 30 00 1 1 1900 1000 Application description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 0 Owner Contractor PORT OF PORT ANGELES ANGELES ELECTRIC PO BOX 1350 524 E 1ST ST PORT ANGELES WA 983620251 PORT ANGELES WA 98362 (360) 452 9264 Permit ELECTRICAL ALTER COMMERCIAL Additional desc 2 CIRCUITS NIGHT LIGHTS Sub Contractor ANGELES ELECTRIC \ Permit Fee 59 40 Plan Check Fee 00 Issue Date 6/03/04 Valuation 0 Expiration Date 11/30/04 Qty Unit Charge Per Extension 1 00 59 4000 ECH EL-COMM ALT <5 CIRCUITS 59 40 Fee summary Charged Paid Credited Due Permit Fee Total 59 40 59 40 00 00 Plan Check Total 00 00 00 00 Grand Total 59 40 59 40 00 00 v\ 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 authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T•\PLANNING\F0RMS\1102.15[11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. it PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH-IN 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 INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 J ELECTRICAL (p LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 4174653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T-\PLANNING\FORMS\1102.15[11/14/2003] 5-26-204 8 07AM FROM ANGELES ELECTRIC INC 360 452 9265 P 2 ELEL,1141CAL PERMIT APPLICATION !)a Lara•__, Thr,F1RCbicaf PCutiil AprtliC:Ition must be tilled out ComDICICIV. -' 1tW `' Please type or reprint In ink, It you have an Jed p Y y questions,please call(3GU.417-4735 r, Fax number (360)41%-0711 REQUEST INSPECTION D ()Wnter Or Oec.ContrAc.tot Agent. S`iELES-E , "C'7�d?R i C' T NC` Phone-A521-�92fiA— Fax; Q_5,L 9 F S Property Owner Address: City ...`Zip: EtechricalCoritraclot ANGELES rLF,.Cl.'RI,C INCA ANGFLrJ460RS .1.icnnse 0 Exp:-Phone- 4.52-976A Address 524 EAST riR.` r City P013T ANGI ,I?S idA INSTALLATION WIRE()SY 1.1 OWNER JW-LECTRICAL CONTRAC70A Credit Card Holder Name. 'r,-fl Billing Address. City: Zip Credit Card Number: Exp. Dai&" C -I VISA, `MC,— PROJECT ADDRESS, TYPE OF WORK. Check all that apply 0 New f_l AlterationlAddition D Residental O Multi-family 0 Commercial D Mobile Home Sq. Ft. O Remote Meter ❑ Detached garage M, Hot Tub O Swim Pool C3 Septic Pump O Low Voltage O Telecom O Sign Number of Circuits added or altered- ; � DESCRIPTION OF THE ELECTRICAL PROJECT. ! - A D 16 61 b CcvvSu 01 4f Elecirical Heat Load Additions Service Information 11 Baseboard —KW Voltage: D Furnace _KW Ll Overhead Service Phase: ❑1 O 3 Heat Pump —KW 0 Temp Service Service Size: Fan-Wall `KW LJ Underground Service Feeder Size: 'AMC 14 05 060(B): For industrial, commercial, &residential projects larger than a duplex, a one line drawing of the Electrical Service& -eeders, building size(sq. ft,) load calcilations,and the type&of conductors and/or raceway Is required and shall accompany the -lectrical Permit application. hereby certify that t have read and examined this application and know that same to be true and correct, and If am authorized to apply for this peri nit. l understand it is not the City's legal responsibility to determine what permits are required, it remains the appl►cants responsibility to determine what permits are required and to obtain such. Credit Card Flolder's Signature: Date: �Za A Owner or Eltac.Cont. Signature: .W 9018 Date: /� � 0(00 CITY OF PORT ANGELES DEPARTMENT OF COMMUNrlY DEVELOPMENT BUILDING DI SION ` 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . 44-00000046 Date 1/26/04 ` Pr©perry Address 1912 N IBM OT ASSBSSOF PAPjG 06-30-00-1-1-1900-1000- Application description . . . ELECTRICAL c ,Y �,Subdivision Name , Property tTAe' >:+rc kty zollino 6 PAiR Application valuation .� - 0 owner Contractor PORT.CSP PORT AMLE3 OWNER PO WX,`1350 PORT ANGELES WA 9536202SI Permit' .. . . . TICAL ALTER **9=CIALL Additional desc . . TELEPHONE/DATA Sub Contractor . . ANGELES COMMUNICATION$ 'INC. Permit Fee 96.40 Plan Check Fee .00_ v Issue Date 1/26/04 Valuation 4 8xpiration"Date+ 7/24/04 city Unit Charge Per Extension 1.00 40.9000 RL-IM VOLT SYS c=2500 50" 40.90, S.OQ 11,1000 ESO-LOW VOLT SYS >2500 SQFT 55.50 Pee summary Gbarged paid Credited Due 4armit 'Fee Total 96.40 --96.40 .00 .00 Phri_Check-Total .00 .00 100 .00 Gran&Total 96.40 96.40 .QO .Oo AM f Separate Permits are required forefectrical wank,SEFA,Shoreline,ESA;utilti�ss,private anti public improvements.This pit i�ecornes nut)and void i#v rk or construction authorized is not commenced within 180 days,if constructkirt or Work is auspertd t.er aba►don d' far a period of 980 days after the work as commenced,or if requin3d inspections have not been requested within 180-days from the fast' irtspection.r l hereby certify that I have read and examined this application and know the same to be true and coo t Ail prod"s of laws and ordinances governing this type of work will tie complied with whether specified herein or"no# The granting of a pe, floes trot presume- give autNonty to violate or cancel the provisions of any,state or local iaw regulating construction or the performance of con u4*n. Signature of Cont1°actor"or Authorized Agent Date Slgnature of Gamer(if owner der) Date TAPLL`ANIS JWWORWI 102,15(11Cr?UM) BUILDING PERMIT INSPECTION RECORD CALL 417.4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKB1sFOXE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATIONS FOOTINGS • WALLS FOUNDATION DRAI AAOEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:t# ROUGH-IN PLUMBING UNDERFLOOR/SLAB - ROUGH-1N ' WATER LINE(METER TO BLDG) GAS LINE + ` BA2f,FLOW;WATER ts;.1 t hLLS �;-, "C131LEVG e FRAIMIINO ; F JOISTS/GIRDERS SHEAR WALL/HOLD DOWNS -WALLS/ROOF I CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-EAR { - .!NS LATION s;. . '" WALL/FLOOR/CEILING 14*CHANICAL �.' HEAT PUMP GAS LINE WOOD STOVE i PELLET I CHIMNEY HOOD/DUCTS PW UTtLI'M/SITE WORX (BnSineorina Division) SEPARATE PERMIT#'s: 5 WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT V. SEPA PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/IISE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ° ELECTRICAL-LIGHT DEPT. 417-4735 GHT DEELECTRICAL LIPT CONSTRUCTION R.W.I PWI CONSTRU ON-R.W. ENOINIMP&W3 417-4807 PW/ENOG FIRE 4174653 FIRE DEPT. PLANNING DEPT. 417.4750 PLANNING DEPT. { BUILDING 417-4815 1 BUILDING T.1PLANNINGIFORMS1110215 f U/14/2003j Dec-04-03 O9 : 45A 360-457-0212 P . 01 c1j ELECTRICAL PERMIT APPLICATION - The Elecir cal Pwmdt AGVIreGOn fain he 011ea out➢srlrals0ifr. Plasma"of raprire in Ink. N you have any quesihms,plw aY(160)1174713 •Fek nuabw:(3W)4174711 p� ��,.y, -1}� /� �/ REQUEST INSPECTION ❑ O' UT or 0l ,CanhutorA//gent- [(/pJKles Qp r/�UnICa ) '(]/!s Pcn.:457— 1,375_ Fa, 615707j/CZ Property eater. �C) (Q Il') CC L4 n'�'\� 1. Phone: Addmca: Z �/ City' I zip, I< '\ Electrical Conaactw- C Uceraa 0, Exi, Phone: �,j� Addn=: CRY: zip; ,\ INSTALLATION WIRED BY: O oWNER [I ELECTRICAL CONTRACUIR \� Credh Card Hoffer Name: 1'2 �h I✓, J BillingAfdiitss:/DZ }�pSS _ctry: r ies zipL H3(b3 sA�- wC:_ PROJECT ADDRESS: CI- TYPE TYPE OF WORK: Check BLI Ihat appy; ❑ New ❑Ataration/Addition n Residental U Mufli4amily Commercial .. 0 Mobiie Home Sq, Ft Remote Meter ❑Detached garage U Hot Tub 0 Swim Pool ❑Septic Pump p Low Voltage 0 Telecom. U Sig Number of Qwils added or altered: DESCRIP71ON OF THE ELECTRICAL PROJECT: Tie nn.. I — i I PERMIT FEE: I U Baseboard _KW Voltage. 0 Furnace KW O Overhead San" Phase: O-Ir) 3 O Heat Pump .-TON LRA 0 Tamp Service Seryl®3178_ O Fan-Wait ,KW Fl Underground Service Foods,348:. .. _ PAMC 14.051160(8): For Industrial, commerdal,B residential projects larger then a dupiac,a one-6ne drawing of the Electrical Service 8 Feeders, building size (sq- N.), load calculalions, and the type 8 of conductors end/or raceway Is required and shall atxaalpany the Eledrlca Permit application. . I hereby certify that I have read and examined this appk*ftn and know that Same to be hue and correct, and f an authorized to apply for this permit. /understand d is not the City's legal responsibility to deteMyne what permits er required;it remains the applicants respons/bility to determine what permits are required and obtain such. Credit Card Hoider.'s Signature: Owner or Elec.Cont.319nature: per; CALECTRICALPERM ITAPPLICATION I S4o40 Sx It.lo SS,50 Page I of I 'GEU.s PE10-111T Arpuc/awsl WE Crry ot� Poin,AN IVED Bioilditig,D.Ivi,sion/Ei.ectricaI In.ipections APR 2 q 11- 321 East Fifth Street —11.0, RDx 11-50/1art An gelesWashington,98362 I lh. (360):417'- 73 5 Fax; (36 0)417.471 1. ELECTRICAL, Data: 4-22-14 MIuki-Family or Commercial' INSPECTIONS 'Plan Reyiew May Ele Required,Please Complete Electrliuil Plan ReAlow Information Shut. Jd)Addrea : MM, 18th Dbonof above one for one r.hanq pyLqf jrr�_aIarm..q ................. ........... Owner Info rmailon Contractorinformation NarM:-C'MMM-C-0 -SL MC'0$-1 Name: HJ-TP..MftLq 4%.44 Aftess jkl 2 Wj 81 h Wing Mdiasi; 723 East Front St 'A� -Slob:VVA Zo ........ M . . Phone:— 452 727 Fax: 5 ._ License H TE Item Unit Charge jr. Total ly Multip.1fed by Unit ChaWq) 3 WWNoder 200 Amp. 13209 ServkelFoeder261-400 Amp. 160,00 SaMWFeedor 411-600 Amp $925.00 Amp, MOD() SeivioplFeederaver 10,30 Mp. $410.00 ,B(aflvh amull Wisemim Foudw 5.00 Mandi UfcuA W10 SAW rp-Feeder 74j00 Each Addikiial Btanob Ci"4 &00 :Brandi.Owoks 1-4 f 86.00 Tamp�SarvW FeeJerM Afrip, $102.00 Temp.Sen�iFW&201-400 Amp, S 121.00 Tamp.Bervk-Weedet401�WO Amp. $164,00 Temp,SavWN&derMl-1000 Arnp, $25,00 Portal b Portal kjur + $ 96.00 $— skjafWkie Ugfiling $ 88.00 4fol Ck-djU U1 led Emeigy-Mu111-Fan0j $ 64,00 Sl rnl CkDR UTdtad EnMy I Fiskl 1500 st-UfwriwdA S WOO 1 $ (L 00 6lote: $5,00 for ea,,;h addirvinal 1500 &1 Rori%vaM EXc*d Enawgy-51M Systom ortm $11100 TNnnostat *10 for earl?&ddkflal T-Stal Tiotal (1)Owger will occupy the st=tureforlwo Years atter iNsolec trical permit is f i 0 iz W.(2)Owner is rsqtTrod to hire an iAectftal wntrwtor if above-said p roperty is for We,mAt or leaso, Permit ox Oros a flat skmon ths of hst Ins pachn, 1.heroby certify M I am tie owwrU the above named propearly.or a I": nsAdeckalcontrartar. lammaking the elect(cal in qt4ation or aturalb n in tornpTl ance vilth[he eLaddcal law,N,E.C,;RGVJ.Ghaptpr'19.8,WAC,Chaptor 29 6-46 B.,TER City of Port Angeles Municipal Code,and Utility Specificat0s and PAMC 14,05.M fogardiffig Elettkii Ptrrrji[Appkakas, Signaturo of owner,electricalconlractGr or eledrical adminfatrator. ED t 0 clwd X Nlike Shlrh�y Dame, u 4 227, - http://www.pdfescape.com/open/RadPdf.axd?rt=c&dk=0342DE95PIMMQLFW9TS3UV2HF... 4/22/2014 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , . , . , 14-00000480 Date 4/23/14 Application pin number . . . 636840 Property Address , . . , . 1912 W .18TH ST j�PQ�T S•pLES, �-�y ASSESSOR PARCEL NUMBER: 46-30 DO-1-1-1900 1400- R A /"t/, Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . , . . , to the City of Port Angeles' Property Use , , . . , . . , Property Zoning . , . . , . , PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . , . , 0 ---------------------------------------------------------------------------- Application desc Fire alarm ---------------------------------------------------------------------------- owner Contractor PORT OF PORT ANGELES HI TECH SECURITY INC PO BOX 1350 723 E FRONT ST PORT ANGELES WA 983620251 PORT ANGELES WA 98362 (360) 452-2727 — ___________________ ____ _-_ _------ Permit , . . , , . ELECTRICAL ALTER COMMERCIAL, '+�J Additional desc Permit Fee 96.00 Plan Check Fee ,40 Issue Date 4/23/14 Valuation . . , . 0 1 Expiration Date 10/20/14 Qty Unit Charge Per Extension 1.00 9b,0000 ECH EL-LLMITED IST 1500 $Q 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 V INSPECTIONTYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN '^ 2 1 FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING ELECTRICAL PERMIT t CITY OF PORT ANGELES 360-417-4735 Application Number . . . . 18-00000256 Date 2/27/18 Application pin number . . 873856 Property Address . . . . . 1912 W 18TH ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER= 06-30-00-1-1-1900-1000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . 0 ---------------------------------------------------------------------------- Application desc Load bank ---------------------------------------------------------------------------- Owner Contractor PORT OF PORT ANGELES LEGACY TELECOMMUNICATIONS INC PO BOX 1350 PO BOX 360 PORT ANGELES WA 983620251 BURLEY WA 98322 1253) 858-0214 ---------------------------------------------------------------------------- Permit . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee 102.00 Plan Check Fee .00 Issue Date 2/27/18 Valuation . . . 0 Expiration Date 8/26/18 Qty Unit Charge Per Extension ; 'I-o 102.0000 ECH EL- COMM 0-200 TEMP SRV / FDR 102.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited- Due ---------------- ---------- ---------- -- -- ---------- Permit Fee Total 102.00 102.00 .00 00 Plan Check Total .00 .00 .00 .00 Grand Total 102.00 102.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN OF FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X` Dater O� t CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street—P.O.Bog 1150/Port Angeles Washington,98362 Ph:(360)4174735 Fag:(360)4174711 Date: 2/22/18 X Multi-Family or Commercial* *Plan Review Maly ge2Rejuiry$g Fomplete Electrical Plan Review Information Sheet Job Address: Building Square Footage: n a Description of above load bank 80kW standby generator a iy ; 1 . Center " alla Im County Parks NNaame:�OrLeM ga b0yn Telecommunications Mailing Address: Ma" PU oX City Site: zip: City: ur, Staff: Zip: Phone: Fax: Phone: 2538580214 Fax: 2538580215 Lam#/Exp. License#IExp. T,RG'ACT T89).T9 Item Unit Charge Qty Total(Qthr Muftlled by Unit Channel Service/Feeder 200 Amp. $13200 $ Service/Feeder 201.400 Amp. $160.00 $ Service/Feeder 401.600 Amp $225.00 $ Sennce/Feeder 601-1000 Amp. $268.00 $ Servios/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/0 Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp.Service/Feeder 200 Amp. $102.00 Tem.Servoe/Feeder 201.400 Amp. $121.00 -- $ Tem.Servoe/Feeder 401-600 Amp. $164.00 $ Temp.ServicelFeeder 601-1000 Amp $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit!Limited Energy-MWtWamily $ 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 $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat $_10 2 . 0 dotal Owner as defined by RCW.19.28,261:(1)Owrrer 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.PemA 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 296.468,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.0540 regarding Electrical Permit Applications. Signature of owner,electrical contractor or Wectrical administrator: x � o.aa: 2/22/18 j �,a ELECTRICAL PERMIT CITY OF PORT ANGELES • 36(}417-4735 Application Number 17-00000699 Date 5/31/17 Application pin number . . 661692 w Property Address 1912 W 18TH ST - REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-1-1-1900-1000- , Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning PUBLIC BUILDINGS & PARKS (Location Code 0502) , Application valuation . . . 0 Application dear • Replace fire alarm devices Owner Contractor PORT OF PORT ANGELES HI TECH SECURITY INC PO BOX 1350 723 E FRONT ST • PORT ANGELES WA 983620251 PORT ANGELES WA 98362 . pp (360) 452-2727 Permit ELECTRICAL ALTER COMMERCIAL Additional dear . Permit Fee . . . 96.00 Plan Check Fee . . .00 Issue Date . . . 5/31/17 - Valuation . . . . 0 • Expiration Date . 11/27/17 Qty Unit Charge Per . Extension 1.00 96.0000 ECH " EL-LIMITED 1ST 1500 SQ FT 96.00 • Fee summary Charged Paid .Credited Due d Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 , • Grand Total 96.00 96.00 .00 .00 • ''J',:- . - • `,= ti„ - . - INSF' ION TYPE DATE:. RESULTS: INSPECTOR DITCH SERVICE ROUGH-IN t01/7 . ImP AA D FINAL 1 IOW' _ COMMENTS: /*ERMCF WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION { Signature of owner or Electrical Contractor X Date:, • CrAEXCHANGE\BUILDING - , ii Li , >- CIT1.OF PORT ANGELES PERMIT APPLICATION `1r,1: 1.1 Building Division/Electrical Inspections !/ 321 East Fifth Street-P.O.Box 1150/Port Angeles Washington.98362 lemallIIIIMINIF Ph:(360)4174735 Fax:(360)417-4711 Date. 533 1/17 x Multi-Family or Commercial* Plan Review May Be Required.Please Compete Electrical Plan Review Information Sheet Job Address. 1912.W. 18th - - - - - - Buidre Square Footage Descnptm of above Replace four smoke detectors with FIRE-CO detectors.add CO.nobficalan strobe at control station. All required.by State inspector. Owner Inbrmation Contractor Information Nine Claliam County Juvenile Services Name. Hf Tech Security Inc_. r.4arrg Address 1912 W 18th Mating Address 723 East Front St_ CO Port Angeles State WA Zip 98362 City Portfnnetes_ State.WA Zp 98362 Pnone., , ,2638 Fax Phone 452.2727 Fax 452-8564 Lrense r Exp - - Lm me r'Exp HITECTS9558S an Unit Charge CILy Total(Qty Multiplied by Unit Chargel Service:Feeder 200 Amp 5 132.00 $ Service:Feeder 201.400 Amp. 5 160 00 - - S ServiceiFeeder 401.600 Amp 5 225 00 $_ Service:Feeder 601.1000 Amp 5 28800 S _ Service/Feeder over 1000 Anis $410.00 5_ - .._ _ Branch Circuit W:Service Feeder S 5.00 _ __ S__.. Branch Circuit W 0 Service Feeder 5 74.00 - .. 5 Each AddionaIBrarchGrant 5 500 __._ S_ Branch Circuits 14 S 86.00 . 5 Temp Service.Feeder 200 Amp 5 102 00 --- 5 Temp Service:Feeder 201-400 Amp $121 00 S Terrp.Servca Feeder 401-600 Amp 5164.00 ... S_ Temp Serwoei Feeder 601.1000 Amp S 185.00 _.. ._ 5 Porta b Portal Hourly S 96 00 S SgrvOutineLighing $ 8800 S_ Signal Circuit Lmted Energy-Multi-Farcy S 64.00 5.. _ Signal Crcut Lmted Energy'First 1500 sf-Commerical 5 96 00 1_ 5 .96.00 _ Note: 55 00 for each addtiorel 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 .. S Thermostat 5 5600 -- S_ Note 55 00 fa each add:tonal T-Stat $ 96_00 Total Owner as defined by RCW.19.28.261 (1)Owner will occupy the structure for two years after this electrical permit a finalized (2)Owner a required to hie an eledncal contractor if above sad property is for sale,rent or lease.Permit expres 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 makng the electrical installation or alteration in compliance with the electncal laws,N E.C.,RCW Chapter 19.28,WAC.Chapter 296-468.The Crty 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. E ash = Chick CiWI Calf on file x Mike Shirley out 5/31/17 0//0112012 Application Number . . . . . 23-00000356 Date 4/17/23 Application pin number . . . 742008 Property Address . . . . . . 1912 W 18TH ST ASSESSOR PARCEL NUMBER: 06-30-00-1-1-1900-1000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Load bank ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PORT OF PORT ANGELES LEGACY TELECOMMUNICATIONS INC PO BOX 1350 PO BOX 360 PORT ANGELES WA 983620251 BURLEY WA 98322 (253) 858-0214 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 102.00 Plan Check Fee . . .00 Issue Date . . . . 4/17/23 Valuation . . . . 0 Expiration Date . . 10/14/23 Qty Unit Charge Per Extension 1.00 102.0000 ECH EL- COMM 0-200 TEMP SRV / FDR 102.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 102.00 102.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 102.00 102.00 .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 4/12/23, 9:19:15 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000356 1912 W 18TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 102.00 TOTAL DUE 102.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 4/17/2023 23-356 TAP OWNER CONTRACTOR Legacy Telecommunications PROJECT ADDRESS 1912 W 18th St ' Y7JIM ELECTRICAL PERMtF CITY OF TORT,ANGELES MW 360-4174733 Application"Number . . . 18-00001819 Date 12/63/18 Application pin number 982552 REPORT STATE SALES TAX Property Address . . . . . . 1912 W 18TH ST on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-1-1-1900-1000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . (Location Code 0502) Property use . ._ . . . .. Property Zoning .` . . . . PUBLIC BUILDINGS & PARRS Application valuation . . . 0 ------------------------------------------------------------- ------------- Applicat.ion desc` Replace 2 existing VAV units Owner Contractor ------------------------ PORT - ---- ----- PORT OF PORT ANGELES ANGELES ELECTRIC PO BOX 1350 524 E. 1ST ST. PORT ANGELES WA 983620251 PORT ANGELES WA 98362• - (360) 452-9264 w Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee . . . 56.00 Plan Check Fee .00 Issue Date . . 12/03/18 Valuation . . . 0 ExpirationDate . 6/01/19 Qty Unit Charge Per Extension BASE FEE 86.00 --------------- Fee summary Charged Paid Credited Due ---- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 I INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH f SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WU L EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: �' "�, "5., _, �". �., _, .' - _ �y.-. -.. _ - ". \. <. 11/29/2018 16:05 FAX 360 452 9265 Angeles Electric 00001/0001 ELcOm MULTI-FAM LY / COMMERCIAL ELECTRICAL PERMIT -�. A APPLIC TION Public VV NO 4 tc orks and Utilities Department 321. E. 5th Street,Port Angeles,WA 98362 E1�r 360.417.4735 j www.cityofpa.us (electricalpertnits@cityofpa.us mvs*�O�t / N — Project Address: � x'10, Project Description: t ❑ Multi-Family Residential Commercial/Industrial/Public Building Square footage: OWNER INFORMATION Name: Lit 1t ' all: . Mailing Address: 2-2- . Phone: CONTRACTORELECTRICAL Name: Angeles Electric, Inc License: ANGELE146ORS Mailing Address: 524 E:.First Street, Port Angeles, WA 98362 Expiration Date: 2/1/2020 Email: ksimpson@olympusnet' Phone: 360.452-9264 PROJECT i Unit Charge 2manj 12tW(Quantity x Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 20:1-400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $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/Feeder401-60GAmp_ r 0a Temp.Service/Feeder 601 1000 Amp. ` � .— Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/Limited Energy: Muit1 Emily Signal CircuitiLimited Energy/Frrst't5U(l�sf Gotutrlezdal EQ (Note:$5.00 for each ai di ditto al 500 Renewable Elec.Energy:5KVA System ori�ass $ Thermostat(Note:$5 for each additional) .t)t1 _ $ 6-o $ 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 PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature(❑ Owner (Erhe66ical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electriealpermits@cityofpa.us or faxed to 360.417.47111 =' r t 3 ! ELECT*bAL PERMIT CITY CS T ANGELES 7 "41'7-4735 Application Number 20-00000056 Date 1/21/20 Application pin number . 100096 REPORT STATE SALES TAX Property Address . . . 1912 W 18TH ST on. our excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-1-1-1900-1000- Application type description ELECTRICAL ONLY to the City of fort Angeles SubdProperty Us Name (Location Code 0502) Property Use Property Zoning . , . . . . PUBLIC BUILDINGS & PARRS Application valuation . . . . 0 ----------------------------------------- ----- - -------- ---------- Application dese --- -- - Load bank --- -------------------- -- -------- ----- -- -- ------ --------- Owner Contractor ------ -------------- -- - - PORT OF PORT ANGELES LEGACY TELECOMMUNICATIONS INC PO BOX 1350 PO BOX 360 PORT ANGELES WA 983620251 BURLEY WA 98322 (253) 858-0214 Permit . . . . ELECTRICAL ALTER COMMERCIAL Additional dese . i Permit Fee . . . . 102.00 Plan Cheek Fee .00 Issue Date 1/21/20 Valuation . . . , 0 Expiration Date 7/19/20 Qty Unit Charge Per - Extension 1.00 102.0000 BCH EL- COMM 0-200 TEMP SRV j FUR 102.00 Fee summary Charged Paid Credited Due Permit Fee Total 102.00 102.00 .00 .00' Plan Check Total .00 .00 .00' .00 I Grand Total 102.00 102.00 .00 .00 I i 3 j INSPECTION TYPE, DATE: RESULTS: INSPECTOR: DITCH SERVICE . ROUGH-TN FINAL COMMENTS; PERMIT WILL EXP[RE SIX(6)MONTHS FROM LAST INSPEMON Signature of owner or Electrical Contractor X Date: T \ . • ELM MULTI-FAMILY / COMMERCIAL CD • ELECTRICAL PERMIT APPLICATION �'4,1 i� �a rA Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 www.cityofpa.us electricalpermits@.cityofpa.us Project Address: la v tJ I\e— Cf-,-A-e—c- Project Description: Qe..,er ,_V,, r- ZoCrJ 6o,- 0 Multi-Family Residential Commercial/Industrial/Public Building Square footage: OWNER INFORMATION Name: c" Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: L=4,cw awe License::=.CL ACTL Z1 7 Mailing Addres : S i e. c Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charae Quantity Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $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 �_ $ t Z 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 $88.00 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $ (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat(Note:$5 for each additional) $56.00 $ $_ CO 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 PANIC 14.05.050 regarding Electrical Permit Applications. 1(' . .' Zow Date Print Name Signature(❑ Ownerectrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electrical permits@cityofpa.us or faxed to 360.417.4711] . n 1.ELLi}�'r0.�X:Z.i✓ PERMtrEft OF Application Number . . . . 21-00000006 Date 1/06/21 Application.pin number . . 443058 Property Address . . . 1912 W 18TH ST ASSESSOR PARCEL NUMBER: 06-30-00--1-1-1900-1000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . 0 ---------------------------------------------------------------------------- Application desc Load bank ---------------------------------------------------------------------------- Owner Contractor PORT OF PORK` ANGELES LEGACY TELECOMMUNICATIONS INC PO BOX 1350 PO BOX 360 PORT ANGELES WA 083620251 BURLEY WA 98322 (253)-858-0214 ------------------------------------------------------------------- Permit . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 102.00 Plan Check Fee .00 Issue Date . . 1/06/21 Valuation . . . 0' Expiration Date 7/05/21 Oty Unit Charge Per Extension 1.00 102.0000 ECH EL- COMM 0-200 TEMP SRV / FDR 102.00 --Fee summary Charged Paid Credited Due Permit Fee Total 102.00 102.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 102.00 102.00 .00 .00 REPORT SALES TAX on your excise tax fonn to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 1 FINAL 2 S COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G IEXCHANGSBIJU DING MULTI-FAMILY / COMMERCIAL - ELECTRICAL PERMIT APPLICATION 3 Public Forks and Utilities Department )v 321 E; 50h Street. Port Angeles, WA 9U621 360.4I7.4735 1 N ww.citYofpa.us electricalperi7titsL-),cityofpa.tzs Project Address: Juvenile Center 1912 w. 18th Project Description: Generator Load Bank O Multi-Family Residential LI Commercial/Industrial/Public Building Square footage: OWNER ! ' • Name: Clallum County Parks Email.' Mailing Address: 1912 W. 18th Phone: CONTRA OR INFORMATION Name: Legacy Power Systems License: ECLEGACTL821 LJ Mailing Address: 8102 Skansie Ave Gig Harbor,WA 98332 Expiration Date: Email: THOMAS.DU NHAM@LEGACYPOWER.COM Phone: PROJECT &M Unit'Charae Quantity 19.W(Quantity x Unit Charge) Service/Feeder 200Amp. $132.00 $ Service/Feeder 201400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $41`0.00 $ 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 1 $ 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 $88.00 $ Signal Circuit/Limited Energy/First 150b sf-Commercial $96.00 $ (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat(Note: $5 for each additional) $56.00 $ $ 102.00 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. 1/5/20 THOMAS DUNHAM Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] Application Number . . . . . 24-00000434 Date 5/13/24 Application pin number . . . 519250 Property Address . . . . . . 1912 W 18TH ST ASSESSOR PARCEL NUMBER: 06-30-00-1-1-1900-1000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Load bank ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PORT OF PORT ANGELES LEGACY TELECOMMUNICATIONS INC PO BOX 1350 PO BOX 360 PORT ANGELES WA 983620251 BURLEY WA 98322 (253) 858-0214 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 190.20 Plan Check Fee . . .00 Issue Date . . . . 5/13/24 Valuation . . . . 0 Expiration Date . . 11/09/24 Qty Unit Charge Per Extension 1.00 190.2000 ECH EL- COMM 0-200 TEMP SRV / FDR 190.20 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 190.20 190.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 190.20 190.20 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us ELCOM MULTI-FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □Multi-Family Residential □ Commercial / 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 Unit Charge Quantity Total (Quantity x Unit Charge) $237.75 $ $237.75 $ $332.85 $ $427.95 $ $523.05 $ $5.60 $ $95.10 $ $47.55 $ $95.10 $ $190.20 $ $237.75 $ $285.30 $ $332.85 $ $95.10 $ $142.65 $ $190.20 $ $190.20 $ $190.20 $ Item 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: $5.60 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5.60 for each additional)$95.10 $ $ 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 (□Owner □Electrical Contractor / Administrator) Pe r m i t # : [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL CORRECTIONS NEEDED: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 5/13/24 24-434 TAP OWNER Contractor Legacy Telecom. ADDRESS 1912 W 18th St