HomeMy WebLinkAbout1502 Bldg D E Lauridsen Blvd - Engineering
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNERlAPPLlCANT
PENINSULA COLLEGE
1502 LAURIDSEN BLVD
PORT ANGELES, 00000
000/000-0000
PROJECT INFO
Work is:
Issued: 2/19/2002
Permit No:
Work Order:
1247
o
PROPERTY LOCATION
1502 LAURIDSEN BLVD E
Lot:
Subdivision:
Parcel No:
Block:
GOVT LOT 2
063014210000
~ Long Legal
Value Work:
$0.00
Plans Required: Start Date: / / Finish Date: / /
Contractor: QWEST COMMUNICATIONS 360/000-0000
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform: [2] Install 0 Sanitary Sewer 0 Mise
o Repair 0 Storm Drain
o Watermain ~ Underground Tele/Elec
PROJECT NOTES
trench 75' along r/w including 25' push under walkway at Peninsula
College
FEES ASSESSMENT
1.) R/W Excav: $0.00 15.) Other San Sewer: $0.00
2.) Sidewalk: $0.00 16.) Sew Tap Wye/Man Tap: $0.00
3.) Curb/Gutter: $0.00 17.) Sew Cap/ W/M Removal: $0.00
4.) Driveway: $0.00 18.) Alter Repair Sewer: $0.00
5.) Dwy Culvert: $0.00 19.) Storm Drain: $0.00
6.) Street Cut: $0.00 20.) Catch Basin per ea: $0.00
7.) Other R/W: $0.00 21.) Sewer System Dev: $0.00
8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00
9.) Res Water Servo $0.00 23.) R/W Use Perm: $0.00
10.) Comm Water Servo $0.00 24.) Admin Cost (D.R.A) $0.00
11.) Other Water Service: $0.00 25.) D.R.A. $0.00
12.)Water System Dev: $0.00 26.) Mise: $0.00
13.) San Sewer SFR: $0.00 TOTAL FEE: $0.00
14.) San Sewer MFR: $0.00
add unit 0 Amount Paid: $0.00
Receipt No:
Inspection Fee: $0.00 Balance Due: $0.00
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Permil To Perform Work In Sneet Right~of-WaY
APPLlCA TiON is Il<reby maoe to the municipality of PORI' ANGELES . to perform work as
nOTed hereon and <IS '.hown on anBched drawing:
hi i L-L- f!.sO 4f~ .s
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L.AVv~M SGN - SeE S ,I((;TcH
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Approved:
W:l.tp.r Dppartment - Sllpp.rinr.o>.ndo>.nto
Sewer Department - Superintendent
The estimated time for completion of the above work is ID "DAYS A~TE:rL a...E.c.E.ll"'I
J ^
~~ / .~1
Byl~ <r'- u<wES-C
Contrac' r Owner
DwES-r /AlT-N ;BSw fWD"", [5D~
I ~ 00 - -rr y AVE.,. <-.EA lfLE 0 WI\-.
THE AllOVE APPLICATION IS HEREEY GRANTED SUBlECf TO APPL1CANT'S: CiS /4 I !
Date :2 /87J:) 0:2-
'2.D~ -I-/f.a( - c:;qq3,
'tAX ?JJL,-7..,115- z..W"Z-
Complying with i:111 !vi unicJpal OrdifH:.nccs',
Notifying the StreeT Superint~ndent of the time the work will start, and when it will finish;
Prosecuting the work with diHgence and with d\le respect to all prOperty. contracts, persons'
Tights 3r,d the interests and convenience of the public~
Saving the MunicipalilY harmless from any and all damages which may accrue to any person
or property because oi this instaliation or the maintenance therecf~
Complying with following special conditions:
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?// 1: J /~ -19-
/ City of PORI' 1>.NG;7fS
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Feb-De-02 02:49pm From-U S WEST lRAC
20~3469223
)-389 P.03/03 F-60<
1502 LAURIDSEN BLVD.
W00200625
E. LAUWSEN
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SEcn ON: NE V.
RANGE: 6W
TO \\lNSHIP: 3 ON
\VTLL REQUIRE: APPROX 75' ALONG R-O-W, INCLUDES
APPROX 20' PUSH u'NDER W ALKW A Y
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ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE f)NL Y
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PernIit.;
DaM: Appru1'Cll:
02.reluuN;
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. Please type or reprint In Ink. II you have any questions, please call (360, 417-4735 i:)<.:!. t:> c>
Faxnumber:(3601417-4711 .,.53. 2-7<1.'f17c" P\1.4L S''''"1'~''-~
L /1- I., L' Ij,?~ 19.5 .
OwnerorElec.ContractorAgent: U,/J.I~V<lIT/-, /<:Jr~I5L/)bUJ."'''7Crit,one: -";<;"S-.,1iJi! Fax: >/5,-3o"/,;)-
propertyOwne,' ~.AI/.I.I~ulA . {!D/~e.../gM.~f /LI..t-d.;...lOl--J Phone:
Address: /c;l>Z- E L~/'ILIf)SelJ J3L/1D . City: dJ t?j}6~fe>
Electrical Contractor: f~GI'::' '-- Ifl €t..1n,'c. Co (;4f1/.f,f"GP99L.?
Address:'"7,(). 80K ")6';;2.'1' City: ~a.L~vt~ uJY'r.
INSTALLATION WIRED BY: 0 OWNER 'lj(ELECTRICAL CONTRACTOR
Credit Card Holder Name: Lee. M~ k .'
Billing Address: g 33 {" c;e 1?.,17. > f.: City: ~/7 Ihl . W't9-
Credit Card Number/ Exp.Date"
The Electrical Permit Application must be filled out completely.
Zip: 9! 3t z-
:Jut>
Phone:~77. '59'17
Zip: 9r- 31 'Z-
Zip: 9,ftJS-r!
VISA:~ MC:
'PROJECTADORESS:l5(")'Z- d, L4-/JI2/Oft<AJ RuJD
,/
TYPE OF WORK: Check all that apply: 0 New 0 Alteration/Addition
o Residental 0 Multi.family 9( Commercial 0 Mobile Home . Sq, Fl.
o Remote'Meter 0 Detached garage 0 Hot Tub .0 Swim Pool 0 Septic Pump
lmJ IJA){,-<-~~, W#
pf)/ tj, :''1 j)
^$l/Cf
o Low Voltage OTelecom;
O~
-
-
Number 01 Circuits added or altered: . .....
. 'DESCRIPTION OF ~HE ELECTRICAL ~RP:'ECT: 11/ ,fc. / ( A/?~J. r:,;u,. Ij.Ut.f2.,vt ~ ~/<;f:- t1A:AJ.1~t.-,J. '
elM s f-./'UG i-, """' r:trrL- t$UI u.i-..s]). . N~w $<1 ">~.M ~ /" *"'1"),.... h I'!J(/ <. A~'5
-'=:'-YJ..e. ,1-1/Hl...M "'1 <;h"'1 I1khuC04--k,.. . . .'. . . . .
Electrical Heat Load Additions c$ 4l>, q 0 Service tnformation
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
SeNiee Size:
Feeder Size:
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
_KW
_KW
-KW
PAMC 14.05.060(8): For industrial, commercial, & residenllal projects lar drawing 01 ectrical SaNice
Feeders, building size (sq. Ill, load calculations, and the type & 01 conductprs andlor raceway is required and shall accompany the
Electrical Permil application,
I hereby certify that I have read and examined this application and know that same to be true and correct, and I,
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are requ7d; it remains the applicants responsibility to determine what permits are required and to obtain such,
(p( l-") 1.6> ,
A( - l)(c k"/ i, (~ ...soL
Credit Card Holder's Signature: Date:
Owner or Elee. Cont.. Signature:
Date:
PW-9019
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c/; 10, 90
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3504174729 PORT ANGELES CITY LT
PAGE 01
eORT"
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CITY OF PO,R1ANGELES
LIGHT ll)l~''.:.ISION
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FAX TRANSMISSION COV~R SHEET
Date: 11/12/03
To: L&I
Fax: 417-2755
Re: Inspections .,
Sender: Kathy Trainor W,:
~.
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'.
YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724.
Please inspect the following:
1502 E. Lauridsen (east end of college) .
Ceiling inspection ~ '. IJ /
//- /:5 - tJ3 ~';/
~9 Pcu~lL!v ~
,j
per Don
Pacific Electric
360-340-1262
Thanks,
Kathy
~ {)/C T2rjJ-Fa~
n1~f&rn- &( f~
APR-12-2007 09:19A FROM:5TEELE CORP
.,
4257421454
TO: 13504174711
P,2/3
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ELECTRICAL WORK PERMIT APPLICATION'
.
Job ",ired by
o Electrical Contractor 0 Owner
InS~lion description
~ Commercial (J Residential
Electrical contractor name
.~d<=.eJe..- CortI
Purchaser', mailing Dddrcss
'-'Ail-"
License number Dale expires
S +c:..d Q....." S';;LR I.' ,. 6
o New 0 Altered/Addition
Ave.- u).
State ZIP
c:r'i"o'2.-"
PAX number
n<;;-
~ e\') \5 cAe" C10 lle..'J<e.
LOfur l'c:I-:,-e.., ililud
9 .., 3',2
-r ClI/I 'P PClX.Uoe R.
110:lL.f
CilY
fFf"\ '^^
'Telephone number
'I I f> \fV\I!)
.
42. /'504
Premises owner's name
$ -k. t-e.. C~ a:0l;:\
Address or In'ptellon
t'f10"Z. C'l.S+-
~C!l'" of /1. lIlo:,.~d e 5, l..U A
Phone number 10 lichedule Inspection:
~O"" ;1.b(,,- ?"t~- "11..0 ~
ell)
Owner (IS defitled by RCWJ9.18.161:{/) Owner will OCC/lpy the slructurefor two
yenrs after (hi)' e!e('/ricnf pemll"/ is finolized. (2) Owner is required (0 hire an electrical
contraCtor if above said propr:,.t)' is for ja'~. ,.enl or leas".
After rCOlding the above Slalemenl, [ hereby ccnify that I um the owner or the above
named propert)' or a licensed electrical contractor. ] am making (he electrical instal-
lalion or alleration in compliance witn lne electrical laws, N.E.C.. RCW. Ch:aptcr
19.28, WAC. Chl:lptcr 296.468, The City or Port Angeles Municipal Code, and
UliJI!Y Speclficslions
o Cash 0 Check #
x
leelrleal odmlnhlrator
IJ Credit Card Visa ~le~ Discover
Card # ' _
q'!5?--
Date: . - 12-07
Expiration Date
of card (/ _ <:,-,
Inspection rec
$
SIa:Roture
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
CJ HeBI Pump _ Ton _ LAR
o Fan-Wall KW
Q Overhead Service
1(, Tamp Service
~ Underground Service
Service Information
Voltage t{~O /20"Y-J7-0
PhaseD 11jL3
Service Size: ...!:i.!!!P...IltI1p
Feeder Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
!Rl
ROUGH.IN THERMOSTAT SERVICE
DilC: APfllovcd Dy Dale Ap","oved fly 011& ,o\pprov..ll3y
FINAL nITCH "\ FEEDER
<I~/3-(j7 ~ Ollie OHlc: Approved Dy
D~IC Approved Dy "- Approved By
Inspection Area, Building or Equipment Inspected Aclion Token fleelrical
Dote Inspector
1./- 2.(, -0 7 FoR.wAM c./"t OF TIII~ Pc~,r Tb /1'Irrc9.JA!(,. APP. u.
=~=nn,
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APR 1 2 2007
UGHT DEPT.
\
RPR-1~-2007 09:19R FROM:STEELE CORP
4257421454
TO: 13604174711
P.Y3
.
Department of Labor and Industries - Temporary Electrical Inspection Fee Worksheet
COMMERCIAL I INDUSTRIAL (Effective 12-31-06)
ITEM NO. AMPS @ FEE TOTAL
ALTERED Service or Feedor 010 @ 75.00
200
" .. 20110 @ 175.00
&liD
" . 601 to @ 264.00
1000
.. .. 1001encl @ 239.00
Over
OVER 600 VOLTS @ 58.00
Sorvlc:o or F..d,r ISurehafge)
METER OR MAST Repeif onlv @ 64 00
ITEM NO. AMPS @ FEE TOTAL
N,w SERVICE 010 @ 75.00
100
" .. 10110 @ 91.00
200
" .. 20110 @ 175.00
400
" .. 401 to @ 204.00
600
" .. 601 to @ 164.00
600
.. " 801 to @ 322.00
1000
.. .. 10011nd @ 351.00
OVlr
Oto @ 75.00
Larg..t N.w FEEDER 100
or TRANSFORMER 10110 @ 91.00
PrlmiU'y/S.condary 200
" " 201 to @ 175.00
400
.. " 40110 @ 104.00
600
" .. 50110 @ 16400
BOO
" " 80110 @ 321.00
1000
" " 1001 and @ 351.00
Over
Addltlonsl N,w FEEDER 010 @ 46.00
100
.. " 10110 @ 58.00
200
" .. 201 to @ 69.00
400
.. " 40110 @ 01.00
600
.. .. 601 to @ 111.00
BOO
" " BOl to @ 13400
1000
.. " Over @ 167.00
1000
ONE ENTRY IN ABOVE BI..OCK (unl... multiple IONic.. are to b. Inlt.nldl
REC
AddltlonalN,w FEEOER Oto @ 46.00 Additional New FEEDER Oto @ 46.00
N.w Tran.lormer PRIMARY 100 New Tran,former SECONDARY 100
(15KVA-10 or 30KVA.301 101 to @ 58.00 (15KVA.10 or 30KVA.30) J 101 to @ 5800 'Set
(Protected al30 Amps or more) 200 (Protected at 30 Amps or more) 200.
.. .. 201 to @ 89.00 " .. 20110 @ 6900
400 400
.. .. 40110 @ 82.00 .. " 40110 @ 8200
600 600
.. " 80110 @ 111.00 .. .. 601 to @ 111.00
600 800
.. .. 80110 @ 134.00 .. .. 80110 @ 13400
1000 1000
" .. 1001 and @ 187.00 .. .. 1001 and @ 187.00
OV8r Over
Larg..t TEMPORARY 010 @ 40.00 Additional TEMPORARY 010 @ 21.00
Slrvlce orFleder 60 Flldsr (Inspected wltl1 largelt) 60
" " / 8110 @ 40.00 If{, .. .. 6110 @ 2200
100 100
.. .. ~. @ 58.00 .. " / 10110 @ 29.00 ~9
'0 200
.. " 20110 @ 6900 /,'Y .. .. 20110 @ 3500
400 400
.. " 40110 @ 93.00 .. .. 401 to @ 4600
600 600
.. .. 601 and @ 105.00 " " 6018nd @
Over Over 53.00
Altered/Added CIRCUITS ONLY i' Fjve @ 58.00 5C6
Flrlt flve (5) per panelboard
Altered/Added CIRCUITS ONLY Additional @ 5.00
hcll addlUonll clrcun Plrplnll.
(Per pane' lee shan nol e)(~~id e
new leeder 01 same ratin
1_...-- COLUMN 2 SUBTOTAL -7 -7 't.t6
I!.o lfoCUMlf1 SUBTOTAL -7 -7 I, l '-, COLUMN 1 SUBTOTAL -7 -7 lIS
A P R 1N~Ii100\i'~nal ci~ lea, may bo a,sessed Fees inside Ihe Clty.I Auburn and
City 01 Shoreline are higherttlan the L&llee, Check with lhe Building Official.
PAGE 1 SUBTOTAL
i ; (p~~
UGHT DEPT.
APR-12,-2007 09:19A FROM:STEELE CORP
4257421454
TO: 13504174711
P.1"]
"
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Steele-Corp
-Electrical Contracting-
17024 68th A ve.W est
Edmonds, W A. 98026
Phone (425)742-1454
FAX-(425)742-1504
.
"
FACSIMILE TRANSMISSION
DATE:
~ '-/-11,-07
.'
3
~ ~ [)IIII$IU~
dbO - 1.f17- 4 II I
Number of Poges. Including This Page:
To:
Fax No.:
From:
s~~~
~~~~
RE:
Comments:
fJl.td4L ~ ~ ~~ ~
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APR 1 2 2007
If you hove any questions regarding this transmission please call
(42S) 742-14S4
:;~,. UGHT DEPT.