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HomeMy WebLinkAbout1940 E 1st St 170 - Building 05113/2013 10 : 04 FAX 001/001 tc EIVE VV y 13x013 `<5 CITY OF PORT ANGELES PERMIT APPLICATION UVRICAL �• wilding Division/Electrical InS fections �-- 321 East Fifth Street—P.O,Box 11501 Port Angeles Washington,98362 -� Ph: (360) 417•-4735 Fax: (360) 417-4711 Gate. �� - Multi-Family or Commercial* ' Plan Review y Re ed ale ColrpJe triCel Ian Review nfor, anon Sh et Job Address !' building Square Foota t7eeaription of ebove_ '✓ ' Owner nformatl n Contract n� rm , C' Name I �il C �Ij NameMani Address: Mailin ress; C'dy Stale; Zlp, C�Iy Stale:' Zip• Phone, Fax: Phone- Fa . r" License 4I Exp _� License 4!Exp. � Item Unit Charge_ V Total(Qty Multiplied 4y Unit Charge ServlcelFeeder 200 Amp. $132 00 Service/Feeder 201400 Amp $160,00 S ServlcelFeeder 401600 Amp $225,00 S ServlcelFeeder 601 1000 Amp. S288,00 § Service(Feader over 1000 amp. $410.00 $- Branch Circuit W)Service Feeder $ 5,00 $ Branch CucultVYIO Service Felder S 74.00 Each Additional Branch Circuit $ 6100 $ Branch Circuits 1-4 $ 66.00 �� S Temp Service/Feeder 200 Amp. $102.00 $ Temp 5ervicelFeeder 201-400 Amp $121.00 $ Temp ServicelFeeder 401-600 Amp $164,00 $ Temp.5ervicelFeeder 601-1000 Amp. $ 185.00 $ Portal to Portal Hourly $ 96.00 $ SignlOutlfne lighting $ BB,00 $ Signal Clrcuii!Limited Energy—Multi-Family S 64.00 _ Signal Circuwll limited Energy I First 1500 sf—Commercial $ 96,00 $ Note; $5,00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less Q 11300 $ Thermoslat $ 56,00 $ � Nom $6,00 for each additional T-Slat $ Total Owner as defined by RCW.19.28.261:(1)Ownerwill occupy the structure for two years after this eleotrloal 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 k used electrical contractor, I am making the electrical i tailation or alteration in oomplianos with the electric, ;avys •.;". RCW,Chapter 19,28,WAC, Chapter 296-468,The My of Port Angeles Muni Ip i Code,and Utillt Specifioatio n MC 14.05-0.5'•:regarding Electrical Permit Applications. Sign tune of ner,electrical ont etor or iectrica administrator; CQ caah ❑ chKij } i 4radll Card L/ x adt4d; f ELECTRICAL PERMIT CITY OF FORT ANGELES 360-417-4735 Application Number , , . . . 13-00000514 Date 5/14/13 Application pin number . . . 56B504 Property Address 1940 E JET ST 170 REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-12--5-0-7000-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name , , , . to the City of Port Angeles Property Use (Location Code 0502) Property Zoning . , , . . , , UNKNOWN Application valuation . . . . 0 Application desc 1-4 circuits fire alarm panel Owner Contractor ----------------------- ------------------------- rl PORT ANGELES PLAZA SHAW? ELECTRICAL CONTRACTING ASSOCIATES LLC PO BOX 383 650 S ORCAS ST, STE 210 PORT ANGELES WA 98362 SEATTLE WA 98108 (360} 452-168.9 206 658-3104 ----�---------:--------------------�----------°_- ---------__-___----------- �! Permit . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86.00 Plan Check Fee 00 Issue Date . . . . 5/14/13 Valuation 0 Expiration Date . . 11/10/13 Qty Unit. Charge Per Extension SASE FEE 86,00 Fee summary Charged Paid Credited Due --- Y Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 DO .00 Grand Total 86,00 86..00 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN � E FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 0:1EXCHANGEIBUILDING nUIVED tit �41+tr�,�r/ MAR 2 6 2013, CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL Building Division/Electrical inspcctians NSPFCTIONS > 321 East Fifth Street -- P -O. Box 1154 / Port Angeles Washington, 98362 \ . Ph: (360) 417 -4735 Fax: (360) 4174711 VV Date: 12812 Q Mufti - Family or Commercial' * Plan Review May Be Required, Please C m 1 to Electrical Plan Rpi9w Information Sheet Job Address: a•o - sww a sue• s+r Building Square Footage: DW6ption of 9baVe dim tavome�+ x xat f ftM In A=M mac:carne snt„a owner as defined by RCW.19.28.261: (1) Owner Oil occupy tine structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor 4 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 l am the owner of the above named property or a licensed electrical oontraotor. t am making the electrical installation or alteration in compliance with the electrical laws, KE,C., RCW. Chapter 19.28, WAC. Chapter' 296 -46 B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signatures of owner, electrfCal contractor or electrical administrator: 0 cast, ❑ Check Q Credh (aid N Fio x Mike Shirley 1 Gary P�litika Wed: 01linr2612 Contractor Information Owner Information Name. 141wh s.Wn+r. �- Name Pcr'Am*m � Mailing Address: 723 Ellt Fml St Maihng Address: 650 s n—sT, s� r o 6eo ra N108 State: WA Zip: ,oe Crty. �OM1P'09 5taie: w^ 7iPsz city 3t0a Fax. Phone: MGM Phone �o- asza�' --Fax: �o,s2.a�co License k ! Exp.erses License 0 1 Exp Unit Charge Q_yt Total Multiplied by Unit Charge) Item SeryicdFeedorr 200 Arne. $ 132.00 $ $�--"- Service/FeWer201 -400 Amp. $190.00 $---- 5emedFeeder 401.600 Amp $ 225,00 $ ServicefFeeder 601 -1000 Amp. $ 288.00 5--- 9ervioerFeeder over 1000 Amp. $ 410.00 — - — 5 Branch Circuit W1 Service Feeder $ 5.00 5 Branch Circuit W/O Swvice Feeder $ 74.00 $ Each Additionar Branch Circuit $ 5.00 $ Branch Circuits 1.4 $ 86.00 $ Temp, Service! Feeder 200 Amp. $102.00 $ Temp. ServicelFeeder 201400 Amp. $121.00 $ Temp. Service/Fesder 401 -600 Amp. $164.00 5---- Temp. service/Feeder 601-1094 Amp, $185.00 $ Portal to PoTW Hourly $ 96.00 $ Sign/outline Lighting $ 88.00 $ Signed Cln:uill Limited Energy -- Mull- Famlly $ 64.09 $ es.co Signal Circuit! Limited E=nergy I First 1504 sf - Commercial $ 96.00 -- Nate: $5,00 for each additions 1500 sf $ Renewable Electrical Energy - 5NVA System or Less $113.00 $ Thermostat $ 56.09 Note: $5.00 for each additional T-Stat ea oo Total owner as defined by RCW.19.28.261: (1) Owner Oil occupy tine structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor 4 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 l am the owner of the above named property or a licensed electrical oontraotor. t am making the electrical installation or alteration in compliance with the electrical laws, KE,C., RCW. Chapter 19.28, WAC. Chapter' 296 -46 B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signatures of owner, electrfCal contractor or electrical administrator: 0 cast, ❑ Check Q Credh (aid N Fio x Mike Shirley 1 Gary P�litika Wed: 01linr2612 ELECTRICAL INSPECTION WIRING REPORT Q-W ,- RKS 01 ", 417-4735 PER!gINSPECTOR OWNER CONTRAC' OR - .�41 t, ADORES 14 L4 APPROVED NOT APPROVED 13 ..,. .......DITCH .... ........... -, D ROUGH IN/COVER .............. .O 0 .................... SERVICE .............. Ll .......... ...... FINAL .................... [I CORRECTIONS NEEDED: )v L NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS � STOs 11 riall 9 0014 k7irelvi 40 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . 13- 00000283 Date 3/27/13 Application pin number . , . '112083 DITCH Property Address . . . . . . 1940 E I S T ST ASSESSOR PARCEL NUMBER; Ob -30 12 -5 0- 7000 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . ✓ Property Use FINAL Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . , 0 COMMENTS: Application desc Fire alarm control. Owner Contractor PORT ANGELES PLAZA HT TECH SECURITY INC ASSOCIATES LLC 723 E FRONT ST 650 S ORCAS ST, STE 210 PORT ANGELES WA 96362 SEATTLE WA 90108 (360) 452 -2727 `206) 658 -3104 _ - -- __ --------------------------------------- ----- - - - - -- ��z _ vs_�p _ -- Permit . . . , . . ELECTRICAL ALTER COMMERCIAL Additional deac , . Permit Fee . . . 96.00 Plan Check Fee 00 Issue Date .3/27/13 Valuation . . . . 0 Expiration Date 9/23/13 Qty Unit Cbarge Per Extension 1.00 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT 96.00 --------- --- - -- --- - - -- - - Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96.00 .00 DO Plan Check Total .00 .00 .00 .00 Grand Total 96,00 96.00 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: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical. Contractor .X Date: QTXCHANGEBUILDING 1 tae ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , , , . 15- 00000309 Pate 3/30/15 Application pin number , , . 237109 DITCH Property Address . . . , 1940 E 15T ST 170 ASSESSOR PARCEL NUMBER: 06-30-12-5-0- 7000 -0000- Application type description ELECTRICAL ONLY Subdivision Name . , . , . . Property U9E . . . , . , . . FINAL COMMENTS: Property Zoning , . . . . . . UNKNOWN Application valuation . . , . 0 Application desc Remodel Owner Contractor PORT ANGELES PLAZA SHAMP ELECTRICAL CONTRACTING ASSOCIATES LLC PO SOX 383 650 S ORCAS ST, STE 210 PORT ANGELES WA 98362 SEATTLE WA 98108 (360) 452 -1689 (206) 658 -3104 Permit , , . ELECTRICAL ALTER COMMERCIAL Additional desc , . Permit Fee 672,00 Plan Checic Fee .00 Issue Date 3/30/15 Valuation . . , . 0 Expiration Date 9/26/15 Qty Unit Charge Per - Extension 64.00 5.0000 ECH EL- $RANCH CIRCUIT W /FEEDER •320.00 2,00 132,0000 ECH EL -COM 0 -200 SRV FEEDER 264.00 1.00 286.000.0 ECH EL -COM 601 -1000 SRV FEEDER 288.00 Fee summary Charged Paid Credited Due Permit. Fee Total 872.00 872.00 .00 .00 Plan Check Total 0o ,00 00 .00 Grand Total 872.00 872,00 00 .00 REPORT SALES TAX on your excise tax farm to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X Date: GAEXCHANGMBUILDING U ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . , , . 15- 00000309 Date 4/24/15 Application pin number , , . 237109 Property Address . . , , . . 1940 E 137 ST 170 ASSESSOR PARCEL NUMBER: 06--30-12-5-0- 7000 -00c0- Application type deec.ription ELECTRICAL ONLY Subdivision Name Property Use Property Zoning , , . , . . , UNKNOWN Application valuation , . , , 0 ---------------------------------------------------------------------------- Application desc Remodel, Owner Contractor PORT ANGELES PLAZA SHAM? ELECTRICAL, CONTRACTING ASSOCIATES LLC PO BOX 383 650 S ORCAS ST, STE 210 PORT ANGELES WA 98362 SEATTLE WA 98108 (360) 452 -1669 (206) 658 -3104 Permit . , , . . , ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Pee 1084,00 Plan Check Fee .00 Issue Date 3/30/15 Valuation , , , . o Expiration Date 10/20/15 Qty Unit Charge Per Extension 64.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 320.00 1100 96,0000 ECH ET,- LIMITED 1ST 1500 SQ FT 96,00 9,00 $,0000 ECH EL -ADDNT LIMITED•1.500 SQ FT 4.5.00 2,00 132.0000 ECH EL -COM 0 -200 SRV FEEDER 264,00 1,00 288,0000 ECH EL -COM 601 -1000 SRV FEEDER 288.00 1,D0 56.0000 ECH EL- LVT- THERMOSTAT 56.00 3,00 5.0000 ECH EL- L,VT- ADDTTIONL THERMOSTAT 15,00 Fee summary Charged ?aid Credited Due Permit Fee Total 1084,00 1084,00 00 00 Plan Check Total .00 .00 .00 OD Grand Total 1084;00 1084,00 .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 r� FINAL. COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ; E Signature of owner or EIectrical Contractor X Date: G:1EXCi11NGBBUILDWG RECEIVED', WR 2 7 Q WURICAL �t lrj MT, CATY CWPOR]" ANGF,"ISS PEMUT 321 Ast h .. : P (360) 4,17- 4:136 Fax (3 6 0:) 417-4 7 It Ift It 1-Famil Wks ' An Rev ,A�,Addros�, R'Adm,J �,qln DOWN f ----------- - . .. .. ..... Ownor 10 �1118TOP 11formatiod 3F t A, W -j"2 pho caud;P PAT" H gn jq1W fgHN lut Id b .-"7 � qa D i l i ,40C, An i� ...... >, it SwWudw 10 1 SOD Am 000 ,�rnp . .. ......... Both AdAm Anch AM 810 COW 14, 80 Ap " vmp. S�,,Mpj; N�A�[ 20C kn 110200 5 . ........ . ................ .... wnp, ivw�eir,��edc.a D) �'W Afnp s Bn 10 PWN MPMN Hady 1: ua W 13 me: ummd Enomy . Puts, 64 00 .Rpa, La : iiil:tyl Encm, 0)0,28f - CWMWAI S ROW $5 01 NY 0A Mb5d 1530 Sf 8K wry mom a Ws I Q 0(i .................. . .. on, Wv $TM ff emb mdkrW TW IPA, 541:1.11- Total dofinp(j r „y FCC CIAL191,28,n)l , �1) Owner WN ODMpy Me sVwWm kr Mo Mam OW phis ele, I pprmA q finali?aid ,2) Ovme,0,,i q.0od W tie wR de&14 cankadon Kabove mad pmpOrly 4 DF ON; r or Wo, °�fttar,six mcntks of lost After readm the'ahow” owner cA Te abovo u[i�.-k pro; pej,tI� Gra 1bf)n','o(j 1",14DOA01 COIMCtOr. I W11 fffflk'Oj si '&,ijlwj or M-1060061 11 ,.coriyl lap& v�,i th th c) kl,,,ojcN ',,wn, N. F, G, , ROLA Ch npier 1919, WAD, Chap%i 2964E, The Cily of Pwl ,JjLjy �ti 14,05.050 roprdlii� EWuhtal A= AppluAhns. sigilours of own r f tri qaF co ritnl n$mjnistralor: 0 cuh. L! edit Cstd Ak ponPgNC� ELECTRICAL INSPECTION ci �N WIRING REPORT i {��`�`"F 417 -4735 ® APPROVED NOT APPROVED .................... DITCH. . .... ,............. ....... 4 ...... BOUGH IN /COVER ® ............... .....SERVICE................... 0 ... .................. FI$VAL ................ . CORRECTIONS NEEDED: V 1,,I � R Tap v NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE F gnAr�k ELECTRICAL INSPECTION WIRING DEPORT 417-4735 ARKS & � APPROVED NOT APPROVED C7 .................... DITCH . n Jai Irt_ROUGH IN /COVER ............... ® ............... .....SERVICE................... ®...... CORRECTIONS NEEDED: _L.,3 tb L,(C 12A42--.. „ �A- 9'5t4 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS a ® � ELECTRICAL INSPECTION WIRING REPORT 417-4735 0 ................ ROUGH IN/COVER ............... [I El .... ........ SERVICE ......... ......... [I 13 ..................... FINAL ....... ............ 0 )� CORRECTIONS NEEDED: -ML 2nAe-W-WIN 1> --n NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS Application Number . . . . . 22-00001476 Date 11/29/22 Application pin number . . . 145024 Property Address . . . . . . 1940 E 1ST ST 170 ASSESSOR PARCEL NUMBER: 06-30-12-5-0-7000-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Fire alarm Com. ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PORT ANGELES PLAZA ADT COMMERCIAL LLC ASSOCIATES LLC PO BOX 310702 650 S ORCAS ST, STE 210 BOCA RATON FL 33431 SEATTLE WA 98108 (561) 322-4878 (206) 658-3104 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee . . .00 Issue Date . . . . 11/29/22 Valuation . . . . 0 Expiration Date . . 5/28/23 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------­ Project Description:--------------------------------------□Multi-Family Residential D Commercial I 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 llim! 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: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ 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 (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD PREPARED 11/23/22, 7:50:10 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001476 1940 E 1ST ST 170 FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 96.00 TOTAL DUE 96.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Fire Alarm Cell NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 2/7/2023 22-1476 TAP OWNER CONTRACTOR ADT PROJECT ADDRESS 1940 E 1st St #170 Application Number . . . . . 22-00001476 Date 11/29/22 Application pin number . . . 145024 Property Address . . . . . . 1940 E 1ST ST 170 ASSESSOR PARCEL NUMBER: 06-30-12-5-0-7000-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Fire alarm Com. ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PORT ANGELES PLAZA ADT COMMERCIAL LLC ASSOCIATES LLC PO BOX 310702 650 S ORCAS ST, STE 210 BOCA RATON FL 33431 SEATTLE WA 98108 (561) 322-4878 (206) 658-3104 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee . . .00 Issue Date . . . . 11/29/22 Valuation . . . . 0 Expiration Date . . 5/28/23 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------­ Project Description:--------------------------------------□Multi-Family Residential D Commercial I 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 llim! 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: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ 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 (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD PREPARED 11/23/22, 7:50:10 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001476 1940 E 1ST ST 170 FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 96.00 TOTAL DUE 96.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Fire Alarm Cell NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 2/7/2023 22-1476 TAP OWNER CONTRACTOR ADT PROJECT ADDRESS 1940 E 1st St #170