HomeMy WebLinkAbout223 E 4th St (15)N
\
:
fl&
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'.l-4735
AppllcaLion Number
Applicatsion pin nulnber
Property Address
ASSESSOR PARCET NUMBER I
Application type descriptsion
Subdiwision Name
Pr:operly Use
Property zoning
Applicatsion valuation
21- OOOO1128 Date
689176
223 E 4IH ST
o5-3 0- 00-5-4- 5700 - 0000-
EI,ECTRICAI, ONIIY
e/09/2t
PUBLIC BU]LDINGS & PARKS
0
Applicalion desc
,Jail conference room circuiE
CLAILAM COU}ffY
223 E 4TH ST
PORT ANGELES
\36A) 417 -2429
ANGEI,ES EIBCTRIC
524 E. lST ST.
PORT ANGELES
136O) 452-9264
wA 98352 wA 98352
PermiE
AddiL ional
PermiE Fee
Issue Date
ELECTRICAI ALIER COMMERCIAI,
1-4 CIRCUITS
85. OO Plarl Check Fee
9/os/27 Va.LuaLion
a / 08/22Expiratsion Date
oEy unit charge
00
0
BASE FEE
Extension
86.00
PermiE Fee Total
Plan check Total
Grand ToEal
85.00
.00
85 .00
85.00
.00
85 .00
.00
.00
.00
REPORTSALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTTON
Signa ture of owner or Electrical Conhactor X 4*
GIEXCHANGE\BUILDtNC
Date
charged Paid Credited Due
.00
.00
.00
RESULTS:
I
I
MULTI-FA IVIIY IC o MMERCIA L
ELECTRI CAL PE MITAPPLICAT to N
Public Works and Ufilities Deparlmenl
321 E, 5th Stlr;ct, Port Argclcs, WA 9ti.l62
.)60.4 t7,4735 i rvrvw.c tfltea'ns I eleclricalpermits@cityofpa us
Pro.iect Address:
Project Descrlption
n Multi-Family Residential ! Commercial/ lndustrial / Public Building Square foolage:
Name:Email:
Mailing Address:Phone:
Namel Anqeles Electric, lnc.
iVailing Address:524 E. Flrst Street, Port Ano eles. WA 96362
License:ANGELE146ORS
Explratlon DatB:211t2020
Email : ksimpson@olympus,net Phono:360.452-9264
It€m
Service/F6ed6r 200 Amp.
Servicei Eeeder 201400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Clrcuit W Service Feeder
Branch circuit WO Service Feeder
Each Additional Branch Circuit
Branch Clrculls 1-4
Temp. Servlce/Foeder 200 Amp.
Temp, SeNice/Feeder 201-400 Amp.
Temp. Service/F€eder 401-600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Portal Houriy
Sign / Outline Llghtjng
Signal ClrcuiuLlmited Energy - Multi.Family
Slgnal clrcuit/Llmited Energy/First 1500 sf- commerclal
(Noter $5.00 ror each addllional 1500 sf)
Renewable Elec. Energy: SKVA Systom o. less
Thermostat (Note: $5 for each additlonal)
unlt Chargo
$132.00
$160.00
$225,00
$288,00
$410.00
$5.00
$74.00
$5,00
.$86.00
$102,OO
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96i00
fqlgl (Quantlty x Unlt Charge
T
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$
$
$
--gTa-
$113;00
$56.00
$
$
$-&Zrcr^L
Owner as defined by RCW,19.2B.26i i (t ) Owner will occupy th6 structure tor tlvo yoars after lhis electrlcal permit ls lrnallzed. (2) Owner is
required to hire an ;lectrlcal contractor if'abovo said property ls lor sale, rent or lease. Psrmit oxpir€s sfl6r six months of last lnspoction'
Aftsr readlng tho above statement. I hereby cerlify that I sm tho or/ner ot th€ above named proporty o. a llcensed electrical conlractor' I
Em making iho eleotrical tnstalla$on or alr; on in compttanco ,,riith the electrical laws, N.E.c,, Rcw. chapter 19.28, wAc, chaptsr 296-
468, The atry ot port Angeles Munlotpal code, and Utllly specllications and PAMC 14.05.050 regarding Electrical Permlt Appllcations'
Ken Sim son
Print Name Signature (Owner Electrlcal Contractor / Administrator
6
[Electricat Permit Applications may be submitted to clty Hall or electrlcalpermits@cityofPa.us or faxed to 360.417 4711]
.B
o
$
IDlrl\-
IN
IOo
ELECTRICAT PERMIT
CITY OF PORT ANGELES
360-417-4735
PUBI,IC BIJIID]NGS & PARKS
0
a
\.s
1
s.-
G
ApplicaEion Number
ApplicaLion pin number
Propertsy Address
ASSESSOR PARCEIT NUMBER:
Application l)'pe descr:iption
subdivision Name
Property Use
Proper!y Zoning
Appficatsion valuation
21- oooo1513 DaLe !2 /1-0 /21
352529
223 E 4Tlt ST
06-3 0- 00-6-4 -6700-0000 -
EIJECTRICA! ONIIY
Application desc
Replace vAv
CLALLAM COUNTY
223 E 4TH ST
PORT ANGEIES
\35A) 4L7 -2429
ANGEIES ELECTRIC
524 E. 15? ST.
PORT ANGELES
136O) 452-9264
wA 98352 wA 98362
Permits
Additsional desc
Issue Datse , .
Expiration Date
Qty Unit
2. OO
EIEC?RICAIJ ALTER
]._4 CIRCUITS
96.00
!2/ro / 2a
6/08/22
COMMERCIAI
Plan Check Eee
ValuaEion
00
0
Charge Per
5.OOOO ECII EL-BRANCH CIRCUI.r W/FEEDER
Extension
86.00
10.00
charged Paid Credi!ed Due
Pemit Fee Total
Plan Check ToEal
Grand Total
96 .00
.00
95 .00
96.00
.00
95.00
00
00
00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RISULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI
COMMENTS:6
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Cofltractor X
C:,ExCHANGEiBUILDING
Date:
TVIULTI-FA MI LY / COMMERCIAL
ELECTRICAL PER IV'IITAPPLICATION
, Pr.lblic Worl<s and Utilities Department
32 I E, 5th Strcct, Porr Augedcs, WA 9tt.l62
360,41 7.4735 | rvrvwcityofpa.n s e)ectricalperm its (iD ci ty olp a. u ssw*
!
1
$
N
{C
\N
Project Addressl
Prolect Description
E Mulii-Family Residential Commercial / lnduskial / Public Building Square foolage:
Namel Emall:
i\4aillng Address:P h one:
tfi%'&
Name: Angeles Elechic, lnc,
lr4 ailjng Address: 524 E. First Street. Port Anoeles, WA 96362
Emaili ksimpson@olympus.net
Licenso:ANGELEI46ORS
Expir s1i6n f21d 21112Q20
Phone:360.452-9264
Item
Seryice/Feeder 200 Amp.
Servlce/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 60'l I 000 Amp.
Servlce/Feeder over 1000 Amp.
Branch Circuit Wl Service Feeder
Branch CircuitWO Servico Feeder
Each Additional Branch Circull
Brancb Clrcuits 1-4
Temp. Servioe/Feoder 200 Amp,
Temp. Servlce/Fe€der 201-400 Amp,
T€mp. ServlcelFeeder 401-600 Amp.
Ternp. Servlce/FBeder 601-1 000 Amp,
Porlal to Porial Hourly
Sign / outline Ljghllng
Signal CkcuiuLimlted Energy - Multi'Family
Signal circuh/Llmlted Energy/Firsl 1500 sf - Commercia'l
{Note: $5.00 foreach sddl onai 1500.sr)
Renewable EIec. Energy: sKVA System or lese
Thermostat (Notei $5 for each addltional)
OuEntltv fghl (Quantlty x Unlt c harge)Unlt charoe
$132,00
'$160.00
$22s.00
$288.00
$410.00
$5,00
$74.00
$5.00
.$86.00
$102.oo
$ 121.00
$164,00
$rE5,0o
$96,00
$88,00
$88,00
$96:00
$--
$
$_
$r$-*=_
$*--$--$ /o."-$ *b"
$=-
$.--_
$113;00
$ll6;00
$
$
$
$
$
$
$
$
s ?Aol ,o'ro,
owner as delined by Rcw..1g,28.261: (1)Owner wlltoccupy the struoture for two years afler thls electr calpermlt ls rlnslized (2)owner ls
requirod lo hir6 an el6ctrical contractor j/abovo said propeity is for sale, rent or lease. Permit expiros after slx monlhs of lasl Inspection
After reading ths above slotement, I hereby certify that 1 ain u1e owrer of the above named prop€rty or a licensed €le,clricel contE€lor' I
am meking $ie electrtcat i.tstaltatios or al-#rron tir
"omptiunce
wtrh rhe electricat laws, N.E,i., RCW, Ctlspte|l9 28, WAC Chnptsr296-
ioJ i1" briv J p"r, nngeLs fiiuniclpal code, and ut]tliy specltlcations and PAIVC 14.05.050 regarding Electrical Permit Applications'
Ken Sim son
Print Name ature (rf Electrical Contractor / Adm inistrator)
IElectricel permit Applicatiqns may b€ submitled to city Hsll or electricalpermlts@cityofpa.us or faxed lo 360 417 47111
--7-
I
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
PSBL]C BUILDINGS & PARKS
0
N
\
-L
N]b'Application Number
Appficatior pin number
Property Address
ASSESSOR PARCEL, NUI,{BER:
Application trce descripEion
subdivision Name - .
Property use
Properly zoning
Application valuation
2l-oooal425 Date 11/ 04/21
44L9'/A
223 E 4TH ST
06-3 0-00-6 -4 - 6700- 0000 -
EIECTRICAI ONIJY
ApplicaEion desc
Car:d reader
CLALLAI\,I COIJ'NTY
223 E 4TH ST
PORT ANGELES
{36AJ 4!7 -2429
ANGETES EIECTRIC
524 E. 1ST ST.
PORT ANGE],ES
136O) 4s2-9264
wa 98352 wA 98362
Permit
Additional desc
Permits Fee
Issue Date
Erpiration Date
ELECTRICAL AITER COMMERCIAI
1-4 CIRCSITS
85.00 Plan CheckL1/04/2L valuatsion
5/ 03 /22
Fee
0
Qtsy UniE charge Per
BASE FEE 85 .00
charged Paid Creditsed Due
Pelrnit Fee Tola1
Plan Check Tolal
Grand Total
85.00
.00
85.00
86.00
.00
86.00
o0
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION T1?E DATE INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN
FINAI-
COMMENTS:NA
PERMIT WTLL EXPIRE SIX (6) MONTHS FROM LAST
Signature of owner or Electrical Contractor X
Gr\EXCIIANGE\BUILDINC
Date:
.00
RESULTS:
MULTI-MILY / COMIM ERCIAL
ELEC TRICAL PE MlTA PPLICATION
Public Works and Utilitres Deparrntenr
-121 E- 5rh Street. Porr r\ngeles, !\.4 911-162
-1 60.:l 1 7.473 5 lvr.r, rv.cityofpa.us, eleclricalpernrirsia.ciryo ipa.us
Project Address:z J#-(t6 r-,
Project Description
1'o
3
N
.-L
N6'2/
Multi-Family Residential mercial / lndustrial / Public Building Square footage;
Name:
Mailing Address:
Name:
Mailing
Email:
Address;
Item
Service/Feeder 200 Amp.
Service,/Feeder 201 -400 Amp.
ServicdFeeder 401-600 Amp.
Service/Feeder 601 -1 000 Amp.
ServicelFeeder over 1000 Amp-
Branch Circuit W Service Feeder
Branch Cir$it WO Service Feeder
Each Additional Branch Cirqiit
Branch Cirflits 14
Temp. Service/Feeder 200 Amp,
Temp. Service/Feeder 201-400 Amp.
Temp. SeMce/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp-
Portal to Portal Hourfy
Sign / Outline Lighling
Signal CircuiuLimited Energy - Multi-Family
Signal CircuiuLimiled Energy/First 1500 sf - Commerciat
(Note: $5.00 for each additionat 1S0O s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Email:
Phone:
License:
Expiration Date:
hone
lJnit Charoe ouantitv IglEl (Quantity x Unit Charge)
ec-4fl
$132.00
$160.00
s225.00
$268.00
$410.00
$5.00
s74.00
$s.00
$86.00
$102.00
$121.00
$1e_00
$185.00
$96.00
$88.00
$88.00
s96.00
t+a
l-_
4I;@
$
$
$
s
$
s
s
5
s
$
$
$
$
$
$
$
$
0
$
$113.00
$s6.00
t S*@-ro,o,Owner as defined by RCw19.28.261: (1) Owner will occlpy the structure for two years after this electricalF,ermit is finalized. (2) Owner is
required to hire an electrical contraclor if above said property is for sale, rent or lease. Permil. expires after six months of last inspection.
Afrer reading the above statement, I hereby certify that I am the of the above named propedy or a licensed elecuical contractor. I
am making the electrical installation or alteralion in complian laws, N.E.C., RCW. Chapterl9.28, WAC. Chapter 29&
468, The City of Port Angeles Municipal Code, and Utilily and 1 4.05.050 regarding Electrical Permit Applications
Electrical Contractor / Administrator)Date
IElectrical Permit Applications may be to City Hall or electncslpermits@cityofpa.usl
IlarE
-T
F-- !
tr
OWNERNFORMAf}ON
ELECTRICAL CO
PRG.EfrTSEAAtLS
Print Name
/o
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
PUBIIC BUII,DINCS & PARKS
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
N
I
GJApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER :
applicat.ion t).pe description
Subdivision Name
Property Use
ProperLy zoning
Application valuation
21 00001371 Date ),O/27 /21
913084
223 E 4TH ST
o5-3 0 -00- 6-4 - 6700- 0000 -
EI,ECTRICA], ONI,Y
Application desc
Dat.a runs
Owner
.LAI,I-AM COITNTY
223 E 4TH ST
PORT ANCELES
\35A) 4',t-1-2429
ANGELES COMMUNICATIONS INC.
102 ROSS LN.
PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 457 - 43 75
wA 98352
Permit
Additional
Permit Fee
Issue Date
desc
95.00
to /2't /21
4 /2s /22
ELECTRICAI AI-TER COMI4ERCIAI,
Plan check Fee
valuatio!!
00
Expiratiorr Date
Qty UniE Charge Per
1.00 95.0000 ECH EL-rfMrTED 1ST 1500 SO FT
Extension
95.00
Fee summary Charged Paid CrediEed Due
Permit Fee Total
Plan Check TotaI
Grand ToLal
95_00
- 00
95. 00
.00
.00
.00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:4x
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Elecrical Conaactor X Date
95.00
.00
95. 00
tc MM
EL ECTRI CAL P ER MIT APPLI CATI ON
License
Expiration Date
Phone:7@o e /?J
Totrl (Quantity x Unit Charge)
!o
3
=
Public Works and Urilirics Dcparrnrenr
,l2l E. 5th Sr.reer. porr i\ngeles. WA 9ft-t62
.l 60.4 1 7.,173 5 Lv,,vlv.cityo lpa. us j electricalpernr r rs{a,ciryotpo. us
\)
1
\A-l
Pro.j ectAddress: ( Z- J q14 5r
Project oescription:LD.
E Mutti.Famity Residential Commercial / lndustriat / public Buildi ng Square footage:
Email:
Mailing Address z1
Phone:
Name:
Mailing
Email:
Temp. S
Sign /
Signal
Signal
Address 'z-oz Z
7.-/v
Item
Servic€/Feeder 200 Amp.
SeMce/Fesder 201-4OO Amp.
Service/Feeder 401€OO Amp.
Servicer/Feeder 60i-1 000 Amp.
Service/Feeder over lOOO Amp.
Branch Circuit W Servace Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Cirorit
Branc$ Circuits 1-4
Temp. Service/Feeder 2OO Amp.
Temp.
Temp.
ice/F€€der 201-400 Amp
$ 132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$s.00
$86.00
$102.00
$121.00
$164.00
$185.00
s96.00
$88.00
$88.00
$96.00
$
$
$
$
$
Portal to Portal Hourly
tline Lighting
rcuiulimited Energy - Multi-Famity
mited En ergy/First '1500 sf - Commerciat(Note: $5.00 for each additional lSOO s0
c€/Feeder 40'l-600 Amp.
ce/F€edar 601-1OOO Amp
Elec. Energy: sKVA System or less
(Note: $5 for each additional)
$
$
$
$
$
$
t
$
$
!
$
$
R
Th erm
s113.00
$56.00
$---=-
$_-_-
$q{TOTALOwner as ned by RCW 19.28.261: (1) Owner wlt ocoJpy the structure for two years afrer this electrical permit is finalized. (2) Owner isrequiredhire an electrical contractorif above satd properly is for sale, rent or lease. permit expires after six months of last inspectionAfter re the above siatement, I hereb y certify that I am the owner ofthe above named property ol. a licensed eieclrical contractor. Iam makin the elactrical installation or al teration ln compliance with the electrical laws , N.E.C., RCW. Chapter 19,29, WAC Chapter 296-468, the ly of Port Angeles Municipal Code, and Uility Specifications and PAMC ,l 4.05.050 rsgarding El€ctricat permit
/o/of u zl/t
Print Name Signature (E OwnerE Electrical Contractor
O{*14
Date
[Electricar Permit Apprications may be submitted to city Ha[ or erectricarpermits@cityorpa.us]
Applications.
Name:
X.
OWNER INFORMATION
COI\INFORMATIONELECTRICALITRACTOR
%-i--*-
ELECTRICAL PERMIT
CITY OF PORT ANGELES
36041'14735
PUBIIC BUII.,DINGS & PARKS
0
Appllcation Number
ApplicaLion pin number
Property Address
ASSESSOR PARCEI, NUT'IBERI
Application Ltpe description
subdivision Name ... -
Property Use
Property zoning
AppLication valuaEion
21- 0000 0391 DaEe 3/3t/21
755704
223 E 4TII ST
05-30- 00 -6 - 4 -570 0- 0000-
ELEqTRICAi O!{IJY
Applicalion desc
Lobby Kiosks
Contracfor
CI,ALLAM COU}IIY
223 E 4TH ST
PORT ANGELES(360\ 411-2429
ANGEI,ES ELECTRIC
524 E. lST ST.
PORT ANGELES
1350) 4s2-9264
wa 98152 wA 98362
PermiE
Addi I ional
Permi! Fee
Issue Date
ELECTRICAI AI?ER COMMERCIAL
1-rl ctRcurTs
86.00 Plan check Fee
1/3t/2r valua!ion
Expiration Date
Qly Unit
00
0
Charge Per
BASE FEE
Extension
86.00
charged Paid Crediled Due
Permit Fee ToEal
PIan check Total
85 .00
.00
85 .00
86.00
.00
85.00
.00
.00
.00
.00
.00
.00
REPORT SALES TD(
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:gx
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST
Signature of oumer or Electrical Contractor X
Gi\EXCHANCE\BUILDINC
Date:
I
I
I
IV ULTI-FAIVI / COMMERCIAL
ELECTR C AL PE RIV ITAPPLICATION
Public Works and Utilities Department
32 I E. -sth Srreer. PoIt Ang0lcs, WA 98.362
360.4 I 1.4'735 | rvr.vwcityofira.us I eJcctdcalpermits(d)cityofi)a,us
Project Address:Z
Pro.iect Oescription
84,C Multi-FamilyResidential rnmercial / lndustrial/ Public uilding Square footage:
Name Email:
lvlailing Address:Phone:
Name Anqeles Ele ctri ln c,License:ANGELE146ORS
!o
j
N
UJJJ
c.
[so
Service/Feeder 200 Amp.
Servlce/Feeder 201-400 Amp.
SeMce/Feeder 401-600 Amp.
Service/Foeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W S€rvic€ Feeder
Branch Circuit WO Service Feeder
EachAddltional Branch Clrcult
Branci Circuils 1-4
Temp, Servlce/Feeder 200 Amp.
Temp. Service/Feeder 20,l-400 Amp.
Temp. Servlce/Feeder 401.600 Amp.
Iemp, Servic8/Feeder 60'1 -1 000 Amp.
Portrlto Portal Hourly
Sign / Outline Lighting
Signal Circululimiled Energy - Multi-Family
Slgnal Ckcuiullmited Energy/Flrst 1500 sf - Commerciril
(Note: $5.00 for each addltional 1500.s0
Renewable Elec, Energy: sKVA System or less
Thermostat (Note: $5 for each addltlonal)
Ouenlltv lolgl (Quontlty x unlt charge)unll Charde
$1s2.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
.986.00
$102.00
$121.00
$164.00
$185.00
$96,00
$88.00
$88.00
$96.00
-trd-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$ 113,00
$56.00
$
$
$I € roro'
Ken Sim son
te Print Namo Signature (E Owner p clrical Contractor / Administrator)
{Electrical Permit Applications may be submitted to City Hall or eloctricalpermlts@cityofpa.us or taxed to 360.417.47111
Mailing Address: 524 E. First Street, Port Anseles, WA 96362 Expiration Oata: 2!L!@__
Emall: ksimpson@olympus.net phona: 360{52-9264
/
Owner as dellned by RCW.19.28.261: (1) Owner will occupy tho structuro for tlvo years after thls elect.lcal permit is linallzed. (2) Owner is
roquired to hiro an €lectrical contr6ctor if above said propBrty i6 for 6sle, rent or lease. Permil expirgg afier six months of last lnspection
Atter reading the above statemenl, I hereby certify that I am tho owner of th6 above named proporty gr a licensed eleclrical contractor. I
am making the electrical installation or alteration in compliance with the electrical l6ws, N.E.C., RCW. Chepter 19.28, WAC. Chapter 296-
468, The Ciry of PortAngeles Munlclpal Code, and tJUllty Specl,icatlons and PAMC 14,05.050 regardlng Electrical Pormit Applicatlons
ELECTRICAL PERMIT
CITY OF PORTANGELES
3604t74735
:
N]
\
N
o
Application Numbe!
Applicat j.on pin nuniber
Property Address
ASSESSOR PARCEL NUUBER:
Applicarion Lype descripEion
suMivision Name
ProperEy (Jee
Property Zoning
AppLication vaLuation
21- 00000210 Date
't23920
223 E 4TIl S?
06 -30-00 - 6-4 - 6700-0000 _
ELECTR1CAI ONIJY
2/22/2a
PUBI,IC BUfIDINGS & PARKS
0
Appli.cation desc
vi.deo monitor
Ovroer
CLALLAI,I COUI\ITY
223 a 4TH Sr
POR? ANGELES
l.3601 4t7 -2429
ANGEIJES EtEC'IRIC
524 E, 1ST ST.
PORT ANGELES
(360) 452 9254
wA 98362 wA 98352
PermiE
Additi.oaal
Permit Pee
Iasue DaLe
ELECTR]CAIJ AITER COMMERCIAT
1.4 CIRCUITS
85. OO Plan Check Fee
2/22/27 valualion
a/21/2!ExpiraEion Dale
Qty UnlE Charge Per
BASE FEE
.00
0
Extension
86 .00
charged Credited Due
PermlE !ee'l'oEal
Plan Check Total
crand Tolaf
85.00
.00
85.00
85.00
.00
85.00
00
00
00
.00
.00
.00
REPORTSALES 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:dr,
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contracbr X
G:\EXCHANGE\BUILDING
Date
IV ULTI-FAM I LY / COMM ERCIAL
ELECTRICAL PE RI\4ITAPPLICATION
, Public Works and Utilities Depaftment
321 E. 5th Strect, Po[t Augelcs, WA 98.]62
.j60.41 7.4735 | r.vrvw,ci lpem its(4cityofpa.us
1'q
Eqf ,.)
(
ccEL-t {*u-Project Address:
Project Description:
I Nlulti-Family ResiOential dC ommercial / lndustrial / Public Building Square footagei
Name:Email:
Mailing Address:Phone:ot-*'7 33
Name:Anqeles Eleclric, lnc
Mailing Address:524 E. First Street. Port Anqeles , wA 96362
Email: ksimpson@oiympus.net
a: 4!9E!Ell!989-
lion Date: 21112020
Phono: 360-452-9264
Licens
Expiral
Item
Servi6e/Feedor 200 Amp.
Service/Feeder 201-400 Amp,
Service/Feeder 401-600Amp.
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. SeNice/Feeder 40 i-600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Portal Hourly
Sign / outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal CircuivLimited Energy/First 1500 st - Commercial
(Note; $5.00 for qach additional 1500 s0
Renewable Elec, Energy: sKVA System or less
Thermostat (Note: $5 ror each additional)
Llnlt Charao
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
.$86.00
$102.00
$121.00
$164.00
s195.00
$96.00
$88.00
$88.00
$90.00
Ouantllv IOIaL (Quantlty x Unlt Charge)
-g.-
$
I
$
I
$
$
I
S
s
$
$
$
!
$
$
$
$
$
$
$
$ t13.00
$56.00
fule-TOTAL
Owner as defined by RcW19.28.261; ( 1) owner !,vill occupy the structure tor two yoars aftor this €loctrical permit is finalized. (2) Own€r is
required to hiro an electrical contractor if above said property is for salo, rent or lease. Psrmil 6xpi.es after six monthE of last inspection.
After reading the above statement, I hereby certify that I arn the owner oI the above named p.op€rty or a licensed electrlcal contractor. I
am making the elect.ical installation or alteration ln compliance wlth the electrical laws, N.E.C,, RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specillcations and PAMC 14.05,050 regardlng Eleclrical Permil Applicatlons
t'1 Ken Sim son
Date Signature (! Owner p Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or fax€d to 360.417.4711]
q)
I
Print Name
ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
PI'BI,IC BUII,DINGS & PARKS
0
Appfication Number
Application pin numlcer
Proper:tsy Address
ASSESSOR PARCEL NUMBER:
Appf icatioII t)4)e description
subdivision Name
Property Use
Propertsy zoning
Appficalion valuation
21- 00001599 Date L2/0'l /2L
89879r.
223 E {TH ST
06- 30- 00-5 -4 -6700 -0000-
EI,ESIRICA], ONI,Y
Application desc
Generator Load Bank
CI.AI,I,AM COUNTY
223 E 4T1{ ST
PORT ANGE],ES
136A) 4r7 -2429
IJEGACY TELECOMMUNICAUONS INC
PO BOX 350
BURL.EY qA 9A322
(2s3 ) 8s8-0214
wA 98352
Permi t
AddiLlonal desc
Permit Fee
Issue Datse
121. 00
t2 / o7 /2L
6/os/22
ELECTRICAI, AI,TER COMMERCIAL
PIan Check Eee
Valuation
00
0
ExpiraLion Date
Qty unit charge Pei
1.00 121-0000 EcIt EL- COMM 201-400 TEMP SRV/PDR
Exteneion
121. O0
Charged Paid CrediEed
PermiE Fee rotal
Plan Check Total
Grand Total
121.00
.00
121.00
121.00
.00
121.00
.oo
.oo
.00
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:E*-
PERMTT WILL EXPIRE Stx (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:\EXCHANCRBUILDINC
Date
I
I
I
M ULTI-FAM lLY / COMM ERCIAL
ELECTRICAL PERMIT APPLICATION
Public \\,brks and Utilitics l)cpiirtnrcnt
-12I E. 5th SLleel. Port Angeles. WA 9li-162
-160.,117.;1735'rvrvu'.cityo1'pa.uslelecrricalpelnrits(rr,cityotpa.us
223E4thSt PortAngeles, WA 98362
1'o
uJ\^J
Project Address:
Project Description:Load Bank slandby gen 175kw
E Multi-Family Residential I Commercial / lndustrial / Public Buitding Square footage:
Leqacv Power Svslems Email: thomas.dunham@legacypower.com
PhoneMailing Address:
Namet
lvlailing
Leqacv P ower systems License: LEGACTLS2lLJ
Address: 8102 Skansie Ave Gig Harbor WA Expiration Date 06t14t2022
Emait. thomas.dunham@leqacvpower.com Phone:850-341-9883
Unit Charoe Ouantltv IOEI(Ouantity x Unit Charg€)
$132.00
s160.00
$22s.00
$288.00
$410.00
$s.00
$74.00
$s.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
121.00
$ 12 l .00 roraL
Owner as defined by RCW.19.28.261: (1 ) Owner will occupy the structure fortwo years afrer 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 295-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05-050 regarding Electrical Permit Applications.
12t46t2021 Thomas Dunham Thomas Dunham
Date Print Name Signature (! Owner E Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
Name:
ltem
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401S00 Amp.
Service/Feeder 601-'l 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
-emp. Service/Feeder 40'l-500 Amp.
Temp. Service/Feeder 60'1 -1 000 Amp.
Portal to Portal Hourly
Slgn / Outline Lighting
Signal CircuiVLimited Energy - Multi-Family
Signal CircuiULimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
1
$113.00
$56.00
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Applicatsion Number
Appficatsion pin number
Property Address
ASSESSOR PARCEL NTUMBER:
ApplicaLion twe descriptlon
Subdivision Name . .
Pxopertsy Use
Property Zoning
Aoplicat.ion valuaEion
21- 00001599 Date L2 / A1 / 21
89879i
223 A 4T$ ST
05 -3 0 - 00 -6-4 - 570C - 0000 -
ELECTRICAL ONLY
PUB],IC BUIIDINGS & PA.RKS
0
Applicatiol1 desc
Generatsor Load Bank
LEGACY TELECOMMUNICATIONS INC
NA 98322
C],ALLqM COL,-NTY
223 E 4TH S?
PORT ANGE],ES
136A) 4!7-2429
PO BOX 360
BT'RLEY
(2s3 ) 858-0214
wa 98362
PeInliE
additsional desc
PermlE lee .
lssue Datse ,
Expiration DaEe
ELECTRICAL AL?ER COMMERC]AI,
!21.00
12107 /2t
6/a5/22
Pla;r check Eee
ValuaEion . .
Qtsy Unit Charge Per
1-00 121.0000 EcH EI- COMM 201-400 TEMP SRV/FDR
Extension
121.00
Charged Paid crediled Due
Permlt .q'ee 10ta L
Plaa Check Totsa1
Grand Total
f21.00
-00
121.00
121.00
.00
121.00
REPORTSAIES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T1?E DATE:RESLILTS IITISPECTOR:
DITCH
SER\'ICE
ROUGH.IN
FINAL
COMMENTS
PERI{IT WILL EXPTRE SIX (6) MONTHS FROM L{ST INSPECTTON
Signature ofovmer or Electrical Contractor X
G:\EXCHANGE.BUILDNiG
Date:
.00
0
.00
.00
.00
.00
.00
.00
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
PUBIIC BUILDINGS & PARKS
0
I
G.
Nl
G
Application Number
Applicatsion pin [umber
Property Addr:ess
ASSESSOR PARCEL NUMBER:
Application E14)e descriptsion
Subdiwision Name .....
Property Use
Property zoning
Appficatsion vafuatsion .
21- 00001618 DaLe 1-2 /1-O /21
3 1712 0
223 E 4TH ST
05-30-00-6 -4 -5700 -0000 -
ELECTRICAI ON]JY
Application desc
JaiI contr.ol
CIAILA}I COUNTY
223 E 4Tt{ ST
PORT ANGEIES
.360) 4a1-2429
JUSTICE SYSTEMS CORP
3902 W VALLEY HIiY NORTH, SUITE
AUBUBN WA 98 OO1
(2s3) 981 4398
wA 98352
Permit
Additsional desc
Permil Fee
Issue Datse
Expiration Date
185.00
L2/tA/2L
6/08/22
ELECTRICAI, AI,TER COMMERCIAL
Plan Check Fee
Valualion
00
0
Qty Unit Charge Per
1. 00 95 . 0000 ECH
1a .00 5 . 0000 EcH
95.00
90.00
EL LIMITED 1ST 15OO SO FT
EL-ADDNT LIMITED 15OO SQ FT
Charged Pald Credited Due
PermiE Fee Totsaf
Plan Check ToEal
Grand Total
186
186
186.00
.00
185 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
REPORISALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTlON TYPE DATE:RESIJ'LTS INSPECTOR
DITCH
SERVICE
ROUGH-IN t)s)zz €
FINAI 4n bz &n*
COMMENTS
Signature ofowner or Electrical Contractor X
GlEXCHANCF.BUILDING
.00
.00
.00
#
Date:
tuu I-FAIM ILY / CO IUIUER IAL
E LECTRICAL PERMIT APPLICATTON
Public Works and Utiljtics Dcpartnrenr
-.12 I E. 5rh Srl'eer. Porl ;\ngele s, \\A 98.1(r2
l6D.1l'1 .1135 I wtvrv.cityo lpa.us , electricall:eln.rir.r(.i.ciryot'p;1. us
!o
34
x
Project Address ZL Vw+ 4tb it C.?;r1+1
Project Description:aai v\ltDtI f>-tf*
E Mufti-Family Residential
Name:
lVlailing Address:
Name:
lvlailing Address:DZW
Email:
It€m
Service/Feeder 200 Amp.
Servlce/Feeder 201{00 Amp.
Ssrvice/Feeder 401-600 Amp.
Ssrvice/Feeder 601-1 000 Amp.
Service/Feeder over 10OO Amp.
Branch Circuil W Service Feeder
Branch Circuit WO Service Feeder
Each Additlonal Branch Circuit
Branch Clrcuils 1-4
Temp. Service/Feeder 2OO Amp.
Temp. Service/Feed€r 201-400 Amp.
Temp. Servics/Feeder 401-600 Amp.
Temp. Service/Feeder 601-,t000 ArrIp.
Podal to Pqrtal Hourly
Sign / Ouuine Lighiing
Signal Ci.cuit/Limited Energy - MuttLFamily
Signal Circuiylimited Energy/First ISOO s, - Commerciat
(Note: 55.00 for each additionat iSOO sf)
Renewable Elec. Energy: st(VA System or less
Thermostat (Note: SS for each additionat)
E Commercial / lndustrial / Public Building Square tootage:3D DD
Email:lt*t.
Phone:17- 2271
License:
oDl Expiration Date:
p6sn6. lZt-24>-t Zao
(Quantlty x Unlt Chsrge)Unlt Charoo Ouantltv
$132.00
$160.00
$22s.00
$288.00
$410.00
$5.00
s74.00
$5.00
$86.00
$102,00
Si2i.oo
$164.00
$185.00
$96.00
G88.00
$88.00
$s6.oo 19
U
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
s_$113.00
$56.00 $
t ,or18
Owner as defined by RCW.19.28.261: (1) Owner wilt occupy the structure for two years afterthis pemit is finalized. (2) Owner isrequired to hire an electical contractor if above said property is for sale, rent or lease. Permit expires after six mmths of last inspection
After reading the above stalement, I hereby ce rtify that I am the owner ofthe above named property or a licensed eleclrical contracto.. Iam making the electrical installation ot alte.ation in compliance with the electrical laws, N.E.C., RCW.Chapter 19.28, WAC. Chapter 296-46B, The City of PortAngeles Municipal Code,and lJtllly Specifications and PAMC 14..050 regarding Electrical Permit App,icadons.
B,"l A([
Print Name Signature (E Owner I Contractor / Administrator)Date
I 2J
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
ELECTRICAL CONTRACToR INfoRT\4ATION