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Home My WebLink About1521 W Lauridsen Blvd - BuildingF Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total T \1102.15R 1/05] Qty Unit Charge WA 983620217 RIGHT OF WAY RUP #0602 71787 70 00 3/02/06 8/29/06 Per Charged 70 00 00 70 00 BASE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000198 752772 1521 W LAURIDSEN BLVD 06 30 00 1 1 5100 0000 ATHLETE S CHOICE PUBLIC WORKS UTILITES PUBLIC BUILDINGS PARKS 0 Contractor OWNER Valuation FEE Paid Credited 70 00 00 00 00 70 00 00 Date 3/02/06 Plan Check Fee 00 Due 00 00 00 0 Extension 70 00 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. r 3/2/4( Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date c) CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\Policies \1102.15R 1/05] RESIDENTIAL FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO PERMIT INSPECTION RECORD YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING 1 pORTNGELES A4 le)l-e ,s C'.ho tGe- NAME OF APPLICANT )T I nfe.v6n5on DATE J q O[n MAILING ADDRESS e FM, X 3Z Part itrifrek,5 um 96 3C12.. PHONE NUMBER qui 21014 STREET ADDRESS OF PROPOSED STREET USE pi e. a 5 ,G !Se.. A A 6)1.6 al Copies sent to: Police Fire Planning Finance Date: W A S H I N G T O N U S A. DESCRIPTION OF REQUEST (include drawings required for clarity): [If street closure is requested, please state the name of the street acid limits of closure, to9 ether with the duration of closure S as pZ rt a- ru rn l•n IS THE USE TEMPORARY OR PERMANENT? HOW LONG WILL THE OBSTRUCTION BE IN PLACE? ,J WHAT ARE THE HOURS OF OP ORATION? HOW IT WILL BE LIGHTED? J EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLANTING STRIP ARE THERE ALTERNATE AREAS THAT COULD BE USED? ivi11 h:'. a s c� s pa rf- 1)4- +h:e �a� c cQUrs Y1 r -ILL[ •JI fL [1 n n ,r�l'`'� ti/ I r'lin t o rf •1-h "4 5 HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Street Use Permit to the undersigned allowing the placement of the above described street use or obstruction, the undersigned for himself and for his successors in interest, hereby agrees to indemnify hold harmless, and defend the City of Port Angeles against any claims or lawsuits for personal injury or property damage arising out of or in any way connected with, the placement of the use or obstruction on the City street, sidewalk, or planting strip. DATED thi day of 3 ,200 �Je.r pC, pu Applicant SUBSCRIBED and sworn to beepremethis t* day of d ,200 NOTARY PUBLIC in and for the State of Washington residing at (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) FOIE. PVT' t= t Y Elien- Fee paid 7 Receipt A C ZS 11 12.140 B Agreement to Remove Encroachment signed. and recorded on N/A A lication reviewed and recommendation by City Engineer ate l b to ap we and with the following conditions: Date application received Certi icate of Insurance per P on J-Lb N/A Application a pproved br dei by the Director of Public Works Date Copies to: Applicant 0 Fire 0 Police 0 Street 0 Other CJ aOrl «p 'S a Lreid3 ivt,1 r'.h 14Z.40 [OFFICE USE ONLY] r•u.i 134 puhtr 0 Address file 0 RUP file 0 RU P Y CITY OF PORT ANGELES PERN11T APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: — Multi- Family or Commercial* REC E NOV 1 22 203 ELLUr CAL 1ASPECTfOIV's * Plan Review May 8 Requt red, Please Complete Electrical Plan Review Information Sheet Job Address: " - 11 Z� Building Square Footage: Description of above CW adu 7— - Owner Information Name: 47 Z '-'-14 e Mailing Address'. City: Stale: zip: Phone: Fax: License # I Exo. Item 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 WI Service Feeder $ 8.00 Branch Circuit WIO Service Feeder $ 74,00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1 -4 $ 86.00 Ternp. Servicel Feeder 200 Amp. $ 102.00 Temp, Service/Feeder 201 -400 Amp, $ 121.00 Temp. Service/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 CireuV Limited Energy - Multi- Family $ 64,00 Signal Circuitl Limited Energy I 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 -Scat $ Contractor Information Name: Mailing Address: City: State: Zlp: Phone: Fax: License # 1 Exp. Qty Total (Qty Multiplied by Unit Charge) $�_ $ $ $ $ $�� otal 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 h compliance with the electrical laws, N.E,C., ROW, Chapter 19.23, WAG, Chapter 296 -462, 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: ❑ cash 11 Check El Credit Card 9 x Dated: f J 0 1 10 112 01 2 (J`t `f; ' ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 13- 00001308 Date 11/12/13 Application pin number . , , 270872 Property Address , , 1521 W LAURIRSEN BLVD ASSESSOR PARCEL NUMBER, 06-30-00-1-1- 5100 -0000- Application type description ELECTRICAL ONLY Subdivision Name . , . . , , Property Use Property Zoning , . , PUBLIC BUILDINGS & PARKS Application valuation , . . , 0 ------------------------------------------ Application deer- 200 amp service change Owner Contractor ------------------------ CITY OF PORT ANGELR,S OWNER PO SOX 1150 PORT ANGELES WA 983620217 Permit , , , , . ., ELECTRICAL ---- ----------- -- -- ALTER COMMERCIAL -- ---- --- ---___ Additional. desc . , SERVICE Permit Fee 132,00 Plan Check Fee O0 Issue Date 11/12/13 Valuation 0 Expiration Date 5/11/14 COMMENTS: Qty Unit Charge Per Extension 1100 132,0000 ECH EL -COM 0 -200 SRV FEEDER 132,00 Fee summary Charged -------------------------------- Paid Credited Due Permit Fee Total 132.00 -- - --- -- - - -- ---- 132,00 .00 - -- - -- ,00 Plan Check Total 00 .00 .00 .00 Grand Total 132.00 132,00 00 .00 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION la REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) RESULTS: ]INSPECTOR, Signature of owner or Electrical Contractor X Date: G:IEXCHANGE1BUILDING t .1' kA �r r