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Home My WebLink About300 E Ahlvers Rd - Building OF pO Ri,WC CITY OF PORT ANGELES I.■ PUBLIC WORKS UTILITIES Now. .321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001188 Date 10/25/11 Application pin number 760172 Property Address 300 E AHLVERS RD REPORT SALES TAX ASSESSOR PARCEL NUMBER: R6- 30- 00 -0 -0 -0000 -0000- on your state excise tax form Tenant nbr, name QWEST/CENTURYLINK Application type description PUBLIC WORKS UTILITES to the City of Pon` Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning UNKNOWN Application valuation 0 Application desc QWEST fiber equipment in R /W, RCP #11 -38 Owner Contractor CITY OF PORT ANGELES EXCEL UTILITIES CONSTRUCTION PO BOX 1150 54 W. MISTY LN PORT ANGELES WA 983620217 PORT ANGELES WA 98362 (360) 452 -1110 Permit RIGHT OF WAY Additional desc RCP# 11 -38 Permit pin number 195040 Permit Fee 150.00 Plan Check Fee .00 Issue Date 10/25/11 Valuation 0 Expiration Date 4/22/12 Qty Unit Charge Per Extension 1.00 150.0000 ECH PW RW CONST EXCAVTION OTHER 150.00 Special Notes and Comments Surface restoration responsibility of applicant. Fee summary Charged Paid Credited Due 19 Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .00 1, 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 construct' Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T: \Policies \1 102.15 [10/08] PERMIT INSPECTION RECORD CALL 417 -4831 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 YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4831 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING T: \Policies\l 102.15 [10 /08] e--. ELECTRICAL PERMIT CITY OF PORT ANGELES J 360- 417 -4735 N Application Number 11- 00001246 Date 11/02/11 X. Application pin number 232854 REPORT SALES TAX Property Address 300 E AHLVERS RD our excise tax form ASSESSOR PARCEL NUMBER: R6-30-00-0-0-0000-0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning UNKNOWN Application valuation 0 kA Owner Contractor 8 CITY OF PORT ANGELES SIMPSON ELECTRIC PO BOX 1150 243036 W HWY 101 PORT ANGELES WA 983620217 PORT ANGELES WA 98363 N.4 (360) 457 -9270 Permit ELECTRICAL ALTER COMMERCIAL Additional desc CENTURYLINK Permit Fee 122.50 Plan Check Fee .00 Issue Date 11/02/11 Valuation 0 1 Expiration Date 4/30/12 few Qty Unit Charge Per Extension 1.00 2.6000 ECH EL- BRANCH CIRCUIT W /FEEDER 2.60 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Li Fee summary Charged Paid Credited Due Permit Fee Total 122.50 122.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 122.50 122.50 .00 .00 Wm's° PI o r) f r Z ir INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH r 1 7 i SERVICE I 1, h 0 ROUGH -IN ii /1( 'Oh V1 FINAL i l ff//1-- COMMENTS: r PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 300 6- A-01 itfly -j CITY OF PORT ANGELES PERMIT APPLICATION (ij B� A t Building Division/Electrical Inspections N 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 95362 s N Ph_ (360) 417-4735 ]Fax: (360) 417 -4711 W. P Date: /i 'S'N 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May B wired, Please Com *1-te Electrical P evi -w Infom,atio Sheet 1 W�v �r1 l f Job Address: �J_ 9- Q 14 ,C, HI P f �Y1 ��E' ./1t►4 5 Cf i t Budding S quare Footage: or eL ‘..J... ‘..J... f Description or above 2 -e 4 L H r M 1: -r 1 r! .i pits 10 0 v�D a ..r` A2 c u r Owner to�! atiop Contractor Information r Name: men N G i rl k Name: S: Y►"►1 1 Li t LL C.. Mailing dress: Mailing d :ZOK� l�,. City= A State :Is.�L Zip: l City: State: L(1l'1- Zip: Phone: Fax: Phone: Fax License Exp. Licensa Exp. .51117. E Item Unit Charge Total (qty ul lied by Unit Charge) Service /Feeder 200 Amp. 119.90 1 11 4 1 L Service/Feeder 201 -400 Amp. 145.50 Service/Feeder 401-600 Amp 204.60 Service/Feeder 601 -1000 Amp. 262.20 Service/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 1 ,;e_(p t Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201.400 Amp. 110.30 ^—W Temp. San/Ice/Feeder 401 -600 Amp, 148,70 Temp. Service /Fender 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign/Outline Lighting 86.20 Signal Circuit/ Limited Energy First 1500 St Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi- Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy SKVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Fi 110.30 Each Additional 500 Square Ft. or Portion or 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 ZL5C!Total Owner as defined by RCW.19.28261: (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 ora licensed electrical conl actor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19,28, WAC. Chapter 296.4E B, The City of Port Angeles Municipal Code. and Utility Specifications and PAMC 14:05.050 regarding Electrical Permit Applications. Signet re of owner, electrical co ctor or electrical administrator: L1 cash l Check r I� Credit Card �1 I Atta i )R/ bond: otrolrzeln