HomeMy WebLinkAbout1704 Melody Circle - Building ELECTRICAL PERMIT zribr-
CITY OF PORT ANGELES
360-417-4735
Application Number 17-00001163 Date 8/21/17
Application pin number . . 800339
Property Address 1704 MELODY CIR REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-6-6-0030-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the Cityof Port Angeles
Property Use 9
Property Zoning (Location Code 0502)
Application valuation . 0
Application deec
Load bank
Owner Contractor
HIGHLAND COURT HOLDING COMPANY E.S. WEST COAST LLC
20300 S SOUTH END RD 7100 LONGE ST STE 300
OREGON CITY OR 97045 STOCKTON CA 95206
(209) 870-1900
Permit ELECTRICAL ALTER COMMERCIAL
Additional deec .
Permit Fee . . . 102.00 Plan Check Fee . . .00
Issue Date . . . 8/21/17 Valuation . . . . 0
Expiration Date . 2/17/18
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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
a
DITCH
SERVICE
ROUGH-IN
Iz.i1-� rM
FINAL 17
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or,Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION .,�
Building Division/Electrical Inspectionsa, .
321 East Fifth Street-P.O.Box 1150/Port Angeles Washington,98362 - r.e ; ti,,,,.;;fir
Ph; (360)417-4735 Tax; (360)417-4711 t 11:, I
Date: 08/15/2017 _Multi-Family or Commercial* ''';,;
*Plan Review Maya R9quifed, lease Complete Electrical Plan Review Information Sheet
Job Address: /7C`j /y161_34c.“- y Court Par'+ An,e-1�`5, i& )A 9 cF.�:��r.,2
Building Square Footage: 1
Description of above 11:s s'. 4-�c1 1_�, ,,• 1 y N FPI) /f C` /1 ,i .,...,f; r''{'Li r c C-3 cia ICI 1.c t i c) %c+jy l
Owner Information Contractor Information
Name: Highland Court Memory Care Name: L. . A.. s t C-cv—,-s i- L L C-'
Mailing Address: 1704 Melody_Lane Mailing Address: 21.00 Longe Street,Suite 300 _
City: Port Angeles State: WA Zip: 98362 City: Stockton State:CA Zip: 95206
Phone: 360.452.9086 Fax: 360.452.9877 Phone:209.870.1900 Fax: 21 9.870.1950
License#/Exp._ — ._ —_�_.___._ r License#/Exp. l 2 5,-C_ _/_!_ ------- -----
Item Unit Charge (fit Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $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. $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 $ I Q. (`✓
Temp.Service!Feeder 200 Amp. $102.00 _. 1 $ 102 00 L�ic-c; `---
Temp.Service/Feeder 201-400 Amp. $121.00 $ /e- f``hC
Temp.Service/Feeder 401-600 Amp. $164.00 $
Temp.Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $ 96.00 $
Sign/Outline Lighting $ 88.00 $
Signal Circuit/Limited Energy-Multi-Family $ 64.00 $
Signal Circuit/Limited Energy!First 1500 sf-Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
$ 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.
Signature of owner,electrical contractor or electrical administrator: 0 Cash 0 Check
0 Credit Card it 011012012
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Application Number . . . . . 25-00000553 Date 5/19/25
Application pin number . . . 381568
Property Address . . . . . . 1704 MELODY CIR
ASSESSOR PARCEL NUMBER: 06-30-14-6-6-0030-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
Application valuation . . . . 0
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Application desc
Generator
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Owner Contractor
------------------------ ------------------------
HIGHLAND COURT HOLDING COMPANY GENTECH NORTHWEST LLC
20300 S SOUTH END RD 27660 WOODSIDE RD NE
OREGON CITY OR 97045 KINGSTON WA 98346
(800) 554-0778
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 265.75 Plan Check Fee . . .00
Issue Date . . . . 5/19/25 Valuation . . . . 0
Expiration Date . . 11/15/25
Qty Unit Charge Per Extension
1.00 265.7500 ECH EL-COM 201-400 SRV FEEDER 265.75
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 265.75 265.75 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 265.75 265.75 .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 $
$265.75 $
$332.85 $
$427.95 $
$523.05 $
$5.30 $
$95.10 $
$5.30 $
$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
COMMENTS:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
6/23/25 25-553 TAP
OWNER
CONTRACTOR
Gentech NW
PROJECT ADDRESS
1704 Melody Cir