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Home My WebLink About1303 W 8th St - Building 05.p00.7"" CITY OF PORT ANGELES (i 1 �F�N PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000584 Date 6/17/11 Application pin number 008096 Property Address 1303 W 8TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-2-4400-0000- your state excise tax form Tenant nbr, name QWEST /EXCELL on Y Application type description PUBLIC WORKS UTILITES to the City of Port Angeles Subdivision Name Property y Use (Location Code 0502) Property Zoning PUBLIC BUILDINGS PARKS Application valuation 0 Application desc Install phone service RCP# 11 -18 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 PHONE SERVICE RCP# 11 -18 \J) Permit pin number 187369 Permit Fee 150.00 Plan Check Fee .00 Issue Date 6/17/11 Valuation Expiration Date 12/14/11 Qty Unit Charge Per Extension 1.00 150.0000 ECH PW RW CONST EXCAVTION OTHER 150.00 Special Notes and Comments Contact facility operator prior to start of work 417 -4566. Applicant responsible for surface restoration. Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .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 constru tion. 411 417.7/ Signature of Contractor or Aut d.sid Agent Date Signature of Owner (if owner is builder) Date T: \Policies \I 102.15 [10/081 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 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 \1102.15 [10 /08] ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 11- 00001039 Date 9/28/11 Application pin number 291692 REPORT SALES TAX Property Address 1303 W 8TH ST our excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-2-4400-0000- Q/] y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning PUBLIC BUILDINGS PARKS Application valuation 0 Application desc 200 amp service event panel Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 192971 Permit Fee 119.90 Plan Check Fee .00 Issue Date 9/28/11 Valuation 0 Expiration Date 3/26/12 Qty Unit Charge Per Extension 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Fee summary Charged Paid Credited Due Permit Fee Total 119.90 119.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 119.90 119.90 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE q 2 )l ROUGH -IN FINAL /Mill COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING ECEVE yC1Kr 1, l, CITY OF PORT ANGELES PERMIT APPLICATION 0 Building Division /Electrical Inspections 1 2011 u 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 \f Ph: (360) 417 -4 35 Fax: (360) 417 -4711 ELECTRICAL INSPECTIONS Date: l7.) 1' 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Plea e Complete Electrical Plan Review Information Sheet Job Address: 130 L) r Building Square Footage: Description of above 210 W ..--..P S p L," –1- EVE -44 7AOJi�t--- Owner Information Contractor Information Name: C-1 1 O r �f" Name: Mailing Address: 32.1 :5 Mailing Address: City: Vh State: (.....1A–Zip: City: State: Zip: Phone: L{ l `7 -"1.7.T01 Phone: Fax: License Exp. License Exp. Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 1 11 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 CO Branch Circuit W/ Service Feeder 2.60 I 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 Temp. Service /Feeder401 -600 Amp. 148.70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf 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 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 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 -468, 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 Check Credit Card# )0S S)'4117;..41Mareartlill Dated: 9 /Z l 01101/2010 May 23, 2002 TO: ~ORTANGELES WAS H I N G TON, U. S. A. DEPARTMENT OF COMMUNITY DEVELOPMENT Trenia Funston, Public Works and Utilities ~ Haehnlen, Building Division DCD Ken Dubuc, Fire Department FROM: StJBJ: Sue Roberds, Assistant Planner UNCLASSIFIED USE PERMIT - UUP 01-01 CINGULAR CELLULAR - 1303 West 8th Street Attached is a proposal for an unclassified use permit to allow the removal of a 7414" light standard and the replacement with a 95' tall light standard! telecommunication antenna at Shane Park. The property is zoned Public Buildings and Parks. Please review the application and return your comments no later than June 3. 2002. --r7/c 1?U/~D/;Uj O/P. 4rs M (bP1MWT:r. Thank you. ~~2-- ~ Attachments , 1'\ f'... ~ " ~ ~ ,~ ~ 1~ 'rHE ALARlS (; H. () tI P, 1., 1-, C May 15,2002 City of Port Angeles Planning Department Attn: Sue Robetds 321 East Fifth Street PO Box 1150 Port .Angeles, vV A 98362-0217 Subject: Cingular Wireless Shane Park Dear Ms. Roberds: In addition to the narrative and criteria compliance below, the fullowing is submitted for an Unc1assifed Use Penn it: . (1) 11" x 17" set ofplans · (1) 8 ~'2" x 11" reduced plans · SEPA checklist · UlJP Review fee ($500) . SEPA Review Fee ($150) . Entry and Testing Agreement . UUP Application · Photo simulations . RF Signal Propagation Maps & Letter Cingular ~Wireless seeks to expand its Washington State Personal Communications Services (PCS) network to include the proposed site at Shane Park. The proposed communications facility consists of panel antennas mounted on a 95' light standard. Associated equipment cabinets will be surrounded by a privacy fence and screened within a nearby stand of trees and new landscaping. 'rhe site will be unmanned and, therefore, \>,"ilI not require \'vater or \vaste treatment. Both vehicular access and parking are existing. ,Minimal trafflc would be generated during the construction phase while the crew is traveling to and from the site. After construction is compJetep, there would be approximately one visit per month by a field engineer fbr routine maintenance. 1.530 \\".i::,:,s~rl..,.\,t~~I.~;,-\\'E:-,l'l-::' "\()H,'11'1 Sl I_'E 4,00 Sf~;\'-r"rLE, \\"A 10Q Compliance with the City of Port Angeles Municipal Code The proposed facility has been designed to comply with 9 17.52.065 - Telecommunications Facilities on Towers and Antenna Support Structures. The follovving is in consideration of those requirements: PAIY[C 17.52.065(A)(2) The proposed facility has been camouflaged to be as unobtrusive as possible. The antennas are 8" wide and 56" long. The antennas \"ill be "flush-mounted" to further stealth the design. Coaxial cabling from the antennas to the equipment will be underground and routed inside the light standard. The radio equipment is proposed within a privacy fence, surrounded by landscaping, and located within a nearby stand of trees. PA~tC 17.52.065(A)(4) Please see the attached letter from Cingular's engineer regarding this requirement. The proposed facility will not interfere with surrounding properties or their uses. Due to its extremely low power, this facility \vill not be a source of interference with electronic equipment, including radios, televisions and telephone transmissions. Non-interference is ensured by the Federal Communications Commission (FCC) regulation of radio transmi~sions. PAA<fC 17.52.065(A)(5) The proposed facility will comply with all FAA regulations and EIA standards, as well all other applicable federal, state and local laws and regulations. PAil'1C 17.52.065(A)(JO) Construction would take approximately 3-4 weeks. A construction start date has not yet been scheduled. PAft,fC 17.52.065(A)(11) The FCC has detennined that cellular facilities \vith non-building mounted antennas greater than 10 meters (approximately 33 feet) above ground level are categorically excluded from the requirement for routine environmental assessment. Because the light standard is not "building mounted" and the lmvest part of the antenna will be at approximately 92', the facility is exempt from environment assessment. PAi1-1C 17.52.085(A)(1) ll'1odificatioll of Deve/opmeltt Standards (a) The modification requested is to replace an existing 74.4' light standard with a 95' light standard capable of supporting \vireless antennas. The facility has been stealth designed by flush-mounting the antennas and re-attaching the field lighting to the new pole so that it is not likely to be noticed. With this in mind, the 20' increase in pole height is not expected to result in any adverse impact. (b) The light standard proposed for replacement is not likely to be noticed due to its location. Shane Park is comprised of 4 city blocks, or approximately 16 acres. The size of this parcel alone helps isolate the facility from adjacent properties. The existing light standards pro\"ide scale that further contributes to camouflaging the site. Finally, a large stand of mature trees provide a background to help eliminate the profile of the proposed pole. (c) Please see the signal propagation maps and letter from Cingular's Radio Frequency engineer describing the need for this facility at its proposed location and height. This documentation is also in consideration of J 17.52.085(B)(3). Cingular & pcs Cingular ,"Vireless operates under an FCC license and guidelines, and provides \vireless PCS voice and data service to its customers. Like cellular service, PCS calls are handed off from one facility to another as the caller moves through the area. This allows for reuse of a finite number of channels available within Cingular's allotted frequency. Site Selection The need for a new site is dictated by market demand, capacity, coverage requirements for a particular geographic area, and the radio frequency hand-off from one site to another in order to achieve the objective of seamless communications coverage. Once the need for a ne\v PCS site in particular geographic area has been established, Cingular's system engineers identify a target area or "search ring" in which to locate the facility. The required site location and antenna height is detemlined by a propagation study. This study evaluates the expected radio-frequency (RF) signal from the proposed site at a given location and height. The RF signal must be a strong enough to provide adequate coverage within the desired coverage area. The selection and design of a specific PCS site is further refined by considering local topographic and geographic factors, tree canopy, buildings, mountains, water bodies, the ability to mitigate the antenna support structure's visual impact, compatibility of the facility with existing land uses and the availability of necessary space to locate. Because PCS signals must travel in an unobstructed path from the facility to the user, the presence of anyone or all of these can negatively influence the quality of transmissions and reception. The height and location of each Cingular site is, therefore, based upon the ability of the site to effectively function despite those obstacles. In addition, Federal Aviation Administration requirements regulate the height of an antenna support structure near or on major airport facilities. The purposed facility would "hand off' calls to other Cingular sites in the area. It is crucial for Cingular to have adequate coverage within the Port Angeles area in order to provide wireless service to its customers and be in compliance with its Federal Communications Commission (FCC) license build-out obligations. r hope this infomlation is useful for your review. Please contact me at (206) 267-0443 if I may answer any questions or offer assistance. Thank you in advance for your consideration. Sincerely, Chris Listfjeld The Alaris Group File # LL.c:/,P 0,..<'-,0/ Recpt# APPLICANT/OWNER INFORMATION: Applicant: (:"""6ul",,- U,'ld k(') Address: j;lt./</s- IVOTI.. .dE r;Jo2. Daytime phone #: t;:J"S' $?9.s-- 70f"( *Applicant's rfpr~~~,;t~t;~ (if otht7 t~~n~~Plicant): CL rl'S L ,'<; I/; elJ I -r--", /11.:,....$ 6".,v/ L.! <:. Address: IS-50 Lk-, ~f/'. t; .4~ AJ.. 'r;v:k ..&;00 Daytim.e phone #: ,"0(; S <if 6. 3:1<> . SCl;; {?it; vT'7 '111C>? . A, / Property owner (If other than applicant): C~ I- y .a( To r f 4..." &'( r 5 ~ Address: :5?- I ,e- "f(',1 E:/~ rl. 4"d'tJ' "Y~~:2 Daytime phone #:t3~ 0 ') 'it? I,I"s-j':::(, PROPERTY INFORMATION: Street address: J3 0 3 tJt'"f g r'. Sf/Fe (- Legal description: Lof /1: glac.e rS""y !;)v",,;IP ",t! {:",,/.L t9A,_/~J Zoning: Pis P Comprehensive Plan designation: !.'Sie).."" h'.. I Property dimensions: 10t..?Go 7 x Property area (total square feet): It.,. ~ U .:...:' rr r "'tl'. C " Physical characteristics (Le., flat, sloped, vacant, developed, etc.): $k.." Pc..-K PROPOSED USE INFORMATION: Please describe the proposed use: , /,.' .. 1. . . 41./lI"'fr$"5 At t'C'......__ol"llt'c. /-.~, hc.l J y Number of employees:./)- Hours of operation: :::2 '1/7 Number of on-site parking spaces: Number of off-site parking spaces: Building area (total square feet of floor area for the proposed activity): -vA- C!!r " , SIGNATURES: Applicant: I certify that all of the above statements are true and complete to the best of my knowledge and acknowledge that wilful misrepresentation of infamation will terminate this permit application. I have read this application in its entirety and understand my that submittal will be reviewed for completeness and, if found to be complete, will be scheduled for the next availa,ple Planning Commission meeting. /V ~ 'F -'> /,,-'- Applicant's Signature. !_'.-""'- -''-/'' '-, Owner's Signature (if other than applicant): Date /" / ...., " . if' ,"",- I ,"7 '."'"' .., ,....... 'h,,) /' I .... I.\;......-,I~ Date O,)";),2--iCi''2-", .." cingular'" WIR.ELESS SHANE PARK WA-718-02 VIEW #1 LOOKING SOUTH '6; "-'.....? CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98362 p l.catl.on Number Application pin number Property Address ASSESSOR PARCEL NUMBER. Application type descriptl.on Subdivl.sl.on Name Property Use Property Zoning Applicatl.on valuation 06 00000126 Date 281722 1303 W 8TH ST 06-30-00-0-2-4400-0000- ELECTRICAL ONLY 2/09/06 PUBLIC BUILDINGS & PARKS o Owner Contractor CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES WA 983620217 OWNER Perml.t Additional desc Permit pin number Sub Contractor Perml.t Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL EXPERT/ 100A TO 200 A SVC 70714 EXPERT ELECTRIC 95 80 2/09/06 8/08/06 INC Plan Check Fee Valuation 00 o Qty Unit Charge Per 1 00 95.8000 ECH EL-COM 101-200 NEW SRV FEEDER Extension 95.80 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perml.t Fee Total 95.80 95.80 00 .00 Plan Check Total 00 00 .00 00 Grand Total 95 80 95.80 00 00 COMMENTS/ ACTION NEEDED '---.... ~ R \) VJ "- r' ~ \...J ~\ ~ t.. " \~ !'{', /' ~. '\ ~ ELECfRlCAL PERMIT INSPECfION RECO~ <\LL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. I I / j j ! / INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO Uf1Cti lUll T~l-J_IN / COVER SERVICE 2..-/~~ I .....AOy KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW-II02 U 14'9IS] \ /' ~ ,.. '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98~62 Appllcation Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation 06-00000192 Date 173184 1303 W 8TH ST 06-30-00-0-2-4400-0000- ELECTRICAL ONLY 3/01/06 PUBLIC BUILDINGS & PARKS o Owner Contractor CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES WA 983620217 MANN ELECTRIC CO 410 STUDEBAKER RD SPUR 2 CASTLEROCK WA 98611 SEBRING FL Permlt Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Explration Date ELECTRICAL ALTER COMMERCIAL MANNI CINGULAR 71738 MANN ELECTRIC CO 61 30 Plan Check Fee 3/01/06 Valuation 8/28/06 .00 o ~ \:) ~ Qty Unit Charge Per 1 00 61 3000 ECH EL-COMM ALT <5 CIRCUITS Extension 61 30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 61 30 61.30 00 .00 plan Check Total 00 00 00 00 Grand Total 61 30 61.30 00 00 t ~ ~ \~ ~ '\ , COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD I~ CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCItPTED COMMENTS I YES I NO IlIT(:H KllllnH_lN I COVER ~b.K V IcE FTN AT 13-7-c~ -..h~ GENERAL COMMENTS: PW-lI02.1S 14'961 ELECTRICAL WORK PERMIT APPLICATION . Job wired by o Electrical Contractor 0 Owner Installation description o Commercial o Residential License number Date Expires Mo..."" E..\e,..+-<;~ (r. l'Y'ICLII\V'I e..e.r9s:s::lD R~. S';b~.).. tJ ZIP A . q ftsLiI FAX number 36D-;}.: -&.& Pets :;\~aW ~ re1e~ U) it 71 ~ Add"~ inspection ~ R S-I-reeT Electrical contractor name o New o Altered/Addition Purchaser's mailing atess 'l10,~ o.VPK CY;; :I LZl <;T/f'I<~ Telephone number 3(00 - 3 -36\ fbu(1.. (Lt) t'\.p.w (' '-~l;,--k CcIN'lVV\ l ,1\; (1/1 ~ a,kl -4 ~ uj iJfl181:it---L- I chedule inspection: 3~- Owner as defined by RCW19.28.26I:(J) Owner will occupy the structure for lwo years after this electrical permit ;s finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. 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 instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. hapter 296-46B, The City of Port Angeles Municipal Code, and Utility Spec} calions. Sign at actor or electrical administrator o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover Date: Expiration Date of card InspeSJ,ion fee $ &1.30 lectrical Load Addition o NO LOAD CHANGES o Baseboard KW Q Furnace KW o Heat Pump Ton LAR o Fan.Wall KW Service Information o Overhead Service o Temp Service (J Underground Service Voltage PhaseD 1 03 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 /' ROUGH-IN THERMOSTAT SERVICE Dale Appro\'e<.l By Dale Appro\'e<.l By Dale Appro_'e:d By / FEEDER h FlNAL DITCH .1:12 ~. In!, '= Dale: Appro\'cdBy~ Dale Appro_cd By Dati Appro\'e By / Inspection Area, Building or Equipment Inspected Action Taken Elcctrical Date Inspector .J kf) 'T7 1/'fr."" "" /- ,Z'J !. 1\)1\ l^ . 02/07/2005 11:22 2534710874 ZUUbIHH/U'/!TUE 1123 AM CITY OF PA BLDG DEPT EXPERT ELECTRIC INC FAX No, 360 417 4711 PAGE 02/02 " p, 002/002 . ,~ . ~ fjiJ} ELECTRICAL WORKPERMlTAPPLICATION" lob _d by [;I EI..,tri",,1 Contractor DOwner lnsta1tBt!Otl description ' ,:: C_",'rclal CJ IU>ridonlial Electrical contractOr :(lllmo LiCl:nse number Datc.Eifrcs f$"per-+ ~/ed"Jc.. ~1CPEP.Ho08LF aNew [J AtteredlAd41tfoD O/p olD Purchaset's mlnlb5 addreliji.::B . - -'tJ II/I 'f-pa;c., ',~G --A-ve;'" ... ~. -- ... ........,_. - -,. ... ..- .h.... .. .. _u . " _. ," _. .. City ',wA""ezIl' Cj!,/ot Uf1~J e- U1vkv tJ'/re-Ie.JX ~UJ""t>... :Z:fr~;;'qt, "? 0" FAX nUtnJier 2-s-3 '-17/ 031'1 ServIce -ilroVl/l too 1/ 'fo .Prembe:. O"DerJ, name fA) { 2.0 '() A u 11./i U I a.-- I r-e.. UJ ...ddr.... lo.p..H'. f t4 > ' -I /303 (Ale> g tr-u. elt" p, t If,.. l or ' ~ e. e.J ' ~b.ae .umber ,. ..b. ale la,ped..a '.2S~ t(O,) '} (p 30 Ol,..no!I" os r1.frned by RCJJ~'19,28.16):(1) Own..,.. will occltpy the ~""kctJf~fol' rwo )'I!lUS after this tlwriMl. plNtli! it .{WJlUfd. (2) Owner U "~guJnd (0 hire an eltJClrlClll C:t1N1rQctor U" dbDVW said property is for .raJe. re,rt or ItJQ3e. ,0 Cash o Check # . Aftor 'eliding: the above stalement, I l\Cff.bY certify that.,I am the Cl'\Vflct"'ofthe abo\le )( credi~ Mastercard, Oiie<m:r named propeny 0(" a liclIGled electrical contntctbt. r am mQg the electrical tn!tI\l- lation or altcnrion (D' comp1i~ee with the 1I1ectrit;:3.1IaW5, KE.C., RCW. Chapter 19'::&1 WAC. Chaplcr 296...4liB, The City of Port Angelc$ MlJ.nicipat Code, aad Car<! # ' '~~~~~ Utility SpecificsdanL SlgD"Z. ...ae" ;?triej1'atr."': or .leetrl.., .dmialnralor Expintion Do% ' X /IJ, ;. Date:Z-7-0~ of ear<! ~ectrh:al L .4 nlons and or subtractions ~ .NO'LOAD CHANGES [J Baseboard ~ o Fumooe _ tw< 0 Overhead SaMee o H~ Pump Ton LAR D Temp Service o Fan-WaU KW -"... Unde'1lround SaMee..(?./'II fa Ie. SAME'DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 SlIrvlCB tnforme11on vo'tJge~ 2.0 I-z..if 0 Phase 1 CJ a SaNlee Size: 2.Do A Feeder Size: /' ROUGH-IN 'IBERMOSl:AT , SERVICE D.. Appl'OYtd e, I)Jle ApprOl/ed By "... ~pnI..dBy /' FINAL DITCH Fl!lD1!R df~~ '1;rQ O.te Appml/Od By ./ "", Afpre"-4'r Inspection Area, BUlldi>>s or Equipment Inspected Action Taken Eleetrical D.", Inspector d Pi joe, ---,,~,j(h(G Dn/LK -' {J!:. ./1/.0 I /k!LJ ;j, ft6 ELECTRICAL PERMIT APPLICATION fOR OFFlCS USE.-gNL Y -. CblelRo.:: "'~""'Cl""-: PermilIt. ~ Vf- Dale App'UvaJ: Dale luuaI: The Electrical Permit Application must be IIIled out completelY. :It- '{B9 Please type Dr reprint In Ink. II you have any questions, please call (360. 417-4735 C U 5comE7Z-: C/tJG-fAUH!- aJ/ rt.JtiI5 s . Fax number: (360)417-4711 rXoc'?, rJ c~ C. ~"7-471-/00'1 :ZS3-47J .-o87i.( Owneror@;c.Contract~Agenl: c;./ rr.-I<- ",<-&(...,,<-1 (/AJC, Phone: Fax: Property Owner: CiTY aF POrzi A/lJG-cLES Phone360-'f17~tfS3z- Address: ?/Z/ ElI,Sf 5#1. sr. City: plJ>1-r ANGt2..E5' Zip: 11?3~L ElectrlcalContractor: EXlJ;;rz., f:LECT!2U:" rlfVC. Ucensea:G'f.('tI<ITOOf"*t Ip/b}Oi{ Pholr/f?ii11-lo6'1 Address: 4101'1' P(tC.(PIC- AvE ' City: 114C6m~ Zip: 9?lLfOP INSTALLATION WIRED BY: 0 OWNER )a:tLECTRICAL CONTRACTOR Credit Card Holder Name: ~fA/ W, f1/!D.$'8L/ExPt::7Zr {;'LEurtlCr INC-. Billing Address: Lf? I ~ P IK- (Ff c- iv;;: . City: 77'rCO/Vl A- Credit Card Number: / Exp. Date' Zip: f}fjL(Og VISA'/( MC:_ PROJECT ADDRESS: /303 W. 8% sr, TYPE OF WORK: Check all that apply: ~ew o Residental o Multi-family . ~ Commercial o Alteration/Addition o MobileHome . Sq. Ft. /0:' 1[' 5L(l.8 ()rJ G~, o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool Number of Circuits added or altered: h.', ( o $eptic P.ump. . 0 Low Voltage 0 Telecom, 0 S .) ': ' '. DESCRIPTION OF THE ELECTRICAL PROJECT: /fVSTJrlL 13fZ/M)Cf.-!.. C{ tZ.C u rrc::bND W II -r- ' WIf2-C F/U)rM tfX(ST/I'Vr:;. C/tUkJdHL w/;;i;-a:s<; dt:l!.V/C-F /f'1t'J-tL 7D ~D(nCQu(pmb7Vr IN 5l.4t3 /fIZffl f 5CJ ,10 : Service Information Electrical Heat Load Additions o Overhead Service o Temp Service o Underground Service Voltage: Phase:)0'J 0 3 Service Size: Feeder Size: o Baseboard o Furnace o Heat Pump o Fan-Wall _KW _KW _KW _KW PAMC 14.05.060(6): For industrial. commercial. & residential projects larger than a duplex. a one -line drawing of the Electrical Service, Feeders, building size (sq. ft.). load calculations. and the type & of conductors andlor raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I . authoriz ermit. I unde t is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Date: ~Io<.. Date: Skf~3 Owner or Elec. Cont.. Signature: PW-9019 y�F grom : 2533952408 7;Z / 5'xI }C F—t f C - To ',13604174711 09/22/2015 11126 SF-P ;r; 3 2fi fi CITY Y OF PORT ANGELES PERMIT APPLICATION ?�.s�lr." rfiIi Building Division /Electrical Inspections 321 East Fifth. Street -- P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 417 -4711 Date: 09122/15 C Multi-Family or Commercial* #337 P,002/002 ,r Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address' 1363 Wmi am St. Pt. A"eJi , wA 0362 Building Square Footage; Description of above ---7b 4,1 2 -Igc-4 Owner Information Contractor Information Name: G1y0+P6tt Angeles Name;_ Pacific Puwer Group Mailing Address' 321 a Ch Ma%pg Address: e5 Broadway. st 0700 city: PortMolas State: wA Zip: 98362 city V."mw State; WA Zip: 06060 Phone: 300 -457 -0411 Fax: Phone, 253y195 -9077 Fax: 253- 3e5.240e License # I Exp, License # I Exp. P- IFPG68707 WWI8 Item Unit ChaAr Q�t {Qty Multiplied by Unjt Charge} ServicelFwder200Amp. $132,00 _Total $ Service /Feeder 201.400 Amp, $160,00 $ ServicelFeeder 401 -600 Amp $ 225,00 g Service /Feeder 601 -1000 Amp. $ 288,00 $ ServicelFeeder over 1000 Amp. $ 410,00 g Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 7400 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp. Servicel Feeder 200 Amp, $102,00 Temp. Servioe /Feeder 201.400 Amp. $121,00 $ Temp. ServicelFeeder 401.600 Amp, $164.00 $ Temp. ServicelFeeder601- 1000Amp, $185,00 Portal to Portal Hourly $ 96.00 $ 51gr10utline Lighting $ 88,00 $ Signal Circuit/ Limited Energy— Multi- Family $ 64,00 $ Signal Circuit/ Limited Energy I First 1500 sf — Commercial $ 96.00 $ Note: $5,00 for each additional 1500 sf r Renewable Electrical Energy - 5KVA System or Less $ 913.00 $ Thermostat $ 56.00 $ Nate; $5.00 for each additierai T -Stat +01.00 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, WAG, Chapter 296468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications, Signature of owner, el trical contractor or electrical administrator: Cl Cash ❑ check L--'D N Credit Card a X at0d: 091221,6 �a @ 01r0112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . , 15- 00001198 pate .9/28/15 Application pin number . . . 941916 Property Address . , . . , . 1303 W 8TH ST ASS2SSOR PARCEL NUMBER, 06-30-00-0-2- 4400 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use Property Zoning , . . . . PUBLIC BUILDINGS & PARKS Application valuation 0 Owner Contractor £TTY OF PORT ANGELES PACIFIC POWER GROUP Tl PO BOX 1150 85 BROADWAY STREET #700 PORT ANGELES WA 983620217 VANCOUVER WA 98660 (253) 395 -9077 ------------------------------------------------------ aH-tr -------------- - - - -- Permit , . , . . , ELECTRICAL ALTER COMMERCIAL, Additional desc , . Permit Fee 102.00 Plan Check Fee 00 Issue Date 9/28/15 Valuation . . . . 0 Expiration pate 3/26/16 Qty Unit Charge Per Extension 1100 102.0000 ECH EL- COMM 0 -200 TEMP SRV / 9DR 102.90 -- -- - - - - - -- ----- --- - -- Fee summary Charged Paid Credi.ted Due -- 4---- -- - - -- ---- - - - --- ---------- --- - - - - - -- ---------- Permit Fee Total 102.00 102,00 .00 .00 Plan Check Total 00 00 00 ,00 Grand Total 102,00 102.00 00 .00 REPORT SALES TAX on your excise tax form to the City of Pori Angeles (Location Code 0502) PERMIT WILL EXPIRE SIX (6) MONTIiS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:1EXCHANGEIBUILDING Date: 4 1 rr� �1 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 15- 00000727 Date 6/25/15 Application pin number 335980 Property Address .1303 W 8TH ST ASSESSOR PARCEL. NUMBER: '.06-30-00-0-2- 4400 - 0000 -- Application type description ELECTRICAL ONLY Subdivision Name . . . . Property Use Property Zoning , . . . . . . PUBTiC BUILDINGS & BARKS Application valuation . . . . 0 - ------------------------- - - - --- ------------------------------------------- Application desc Service and circuits for verison Owner Contractor RESULTS: CI'T'Y OF PORT ANGELES DITCH SERVICE LYNX ELECTRIC LLC vv� . ".-71, FO BOX 1150 PO BOX 190 PORT ANGELES WA 983620217 S CLE ELUM WA 98943 (206) 412 -3010 Permit , . . , . . ELECTRICAL NEW COMMERICAL Additional desc . . Permit Fee - 310.00 Plan Checic Fee 00 Issue Date 6/25/15 Valuation . . , • 0 Expiration Date 12/22/15 Qty Unit Charge Per Extension 13.00 5.0000 ECH 'EL- BRANCH CIRCUIT W /FEEDER G5. 00 1.00 113.0000 ECH EL- COMM RENEWABLE EKVA -LESS 113.00 1.00 132,0000 ECH EL -COM 0 -200 SRV T EEDER 132,00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ---- Due - -- -------- - -- - -- -- Permit Fee Total -- - - - - -- 310.00 ---- - - - - -- - --- - - - - -- 310.00 .00 - - - - -- .00 Plan Check Total ,00 .00 .00 .00 Grand Total 310,00 310.00 .00 p0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE vv� . ".-71, ROUGH -IN � FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST I14SPECTION Signature of owner or Electrical Contractor X .� 4 G_IEXCHA14GEU3UILDING �— Date: 4 N CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections JUN 2 5 2015 321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 48362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 i'MT RCA INSPECTIONS Date: C-> —,:-) -` I * Plan Review ay Be Job Address: Building Square Footage: Descrtation of above /\,, _ZMulti- Family or Commercial" Please C. ompete Eletrica! Plan Review Irilar�t lalinn Sheet � Owner Information Name: r Cop= jA Mailing Address! City; Stale; Zip: Phone: Fax: License 9 / Exp. item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 60 1 -1000 Amp, Service /Feeder over 1000 Amp, Branch Circuit W/ Service Feeder Branch Circuit W10 Service Feeder Each Additional Branch Circuit Branch Circuits 14 Temp, Service/ Feeder 200 Amp, Temp. Service/Feeder 201 -400 Amp, Temp. Serv!WFeeder 401 aO Amp: Temp. SeMce/Feeder 601.1 C00 Amp , Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy — Muld-Family Signal Circuit! Limited Energy I First 1500 sf — Commercial Note: $5.00 for each additional 1500 sf _/ Renewable Electrical Energy - 5KVA System or Less Thermostat Note: $5.00 for each additional T -Stal Unit Charge $152.00 $160.00 $ 225.00 $ 298.00 $ 410.00 $ 5.00 $ 74.00 $ 5.00 $ 86.00 $102.00 $121.00 $164.00 $185.00 $ 96.00 $ 88,00 $ 64.00 $ 96.00 $ 113.00 $ 56.00 Contractor Information Name: I-- V/\/°X & — MaUin Address: c o Cily, C_GFE Ta'Stale: Zip: Phoneg License 4 /Exp. Total Qt Multi lied by Unit Char e $ r $ $ $ $ $ $ $ $ $ $ $ 31 Total Owner as defined by RCM 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 e iectrical contra ctor 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 wish the electrical laws, KE.C., RCW. Chapter 19.28, WAG, Chapter 296 -46B, The Cily 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 heck �-� d Credit Card# sue'' Dated: _ �! I 0110I2012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Appl.ioation Number . . . . , 15- 00000727 Date 6/25/15 Application pin number . . . 335980 INSPECTOR: Property Address . . . , 1303 W 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 4400 -0D00- SERVICE Application type description ELECTRICAL ONLY Subdivision Name . , . . , . ROUGH -IN Property Use . . . . , . , , Property Zoning , . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 COMMENTS: Application desc Service and circuits for Verison ---------------------------------------------------------------------------- Owner Contractoz CITY OF PORT AN'GE'LES LYNX ELECTRIC LLC PO SOX 1150 PO BOX 190 PORT ANGELES WA 983620217 S CLE ELUM WA 98943 (206) 412 -3010 Permit . . . . . , ELECTRICAL NEW COMMERZCAL Additional desc . . Permit Fee 310.00. Plan Check Fee 00 Issue Date 6/25/15 Valuation , , . , 0 Expiration Date 12/22/15 Qty Unit Charge Per Extension 13.0D 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 65.00 1.00 113.0000 RCH EL- COMM RENEWABLE SKVA -LESS 1-13,00 1.00 132.0000 ECH ETA -COM 0 -200 SRV FEEDER 132,00 ___.- _--- --- ------------_----___------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee 'Dotal 310.00 310.00 .9D 00 Plan Check Total ,00 ,00 .00 .00 Grand Total 310,00 310,00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Cote 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCI3 SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date, GAEXCHANGFIBUILDiNG ELECTRICAL INSPECTION WIRING REPORT 417-4735 RKS DATE: PERMfT tk NSFIECTOR OWNER CONTHACTCR L-yy,)-1 ADDRESS APPROVED NOT APPROVED c127r L ... DITCH .................... 0 ................ ROUGH IN/COVER ............... 0 0., . ................. SERVICE .... ...... ... 0 [I ...... .............. FINAL .................... 0, CORRECTIONS NEEDED: D 11�1�kj rFzcy--\ --: ow K NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS = 91011,11,10MMU roTAM ELECTRICAL INSPECTION ltlk oi, 00; m� ow- ---m WIRING REPORT 417-4735 Fin s� ❑AFE. PERM17 INSPECTOR *�Rl DINN CONTRACTOR ADDRESS APPROVED NOT APPROVED ..... DITCH ................. ❑ ❑ ....... ROUGH IN/COVER ............... ❑ 0 .............. ......SERVICE .................. ❑ ❑ ..................... FINAL . - , .... I ....... I ... 11 - CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 19 UP 17 rol-ff .I* a r k I �*, � A, I FORT,% ELECTRICAL INSPECTION WIRING REPORT RKS & 417-4735 DATE: FE WIT # MFIECTO CONTRACTOR ADDRES) _ APPROVED NOT APPROVED ........ DITCH.. . ................. o El ............... . ROUGH IN/COVER ............... 0 ............... SERVICE ........ I — I — — 0 b.. . ................. . FINAL ................ —.0 1�CORRECTIONS NEEDED: ;x, .75 fn � ole� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ELECTRICAL INSPECTION WIRING REPORT `'ARKS BL 417-4735 QA r T R�RVIT 4 1 ✓ RCT OWNER CONTRACTOR AMPESS -1 APPROVED NOT APPROVED - Ll ................ —. DITCH ......... .......... Cl /9F--7—.7^T,r—n;a L..-R0 UGH IN/COVEA ............... 0 M .............. — ... SERVICE ... — ............. ❑ Q. ................. FINAL .................... 11 CORRECTIONS NEEDED: ARE COMPLETED WITHIN 15 DAYS 0', pORT41,,Q ELECTRICAL INSPECTION WIRING REPORT 417-4735 RKS tl CA-m: RMIT It FZzr-) INSPECTOR -7 -7 - 0INNE16 P CONTRACTOR ilil ADDRESS _I3 ®3 w APPROVED NOT APPROVED Cl ............. ...... DITCH .................... 11 � (z_. . ROUGH IN/COVER . I ............. 0 ....... ........ ... SERVICE .......... ... 1. - 0 .............. ...... FINAL ............. CORRECTIONS NEEDED: - hl WID NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 0.* pORT 4*Q. ELECTRICAL INSPECTION WIRING REPORT 417-4735 CORKS DATE, PERMIT ft INSPECT OWN &' GONTFIACT L-A ADDRESS APPROVED NOT APPROVED -T k C-- ........... DITCH .................... Ll ................ ROUGH IN/COVER ............... 0 0 ...... ............. SERVICE ................... 0 I7 .......e ............. FINAL .................... 0 i)CQRRECTIQNS NEEDED: 6Atf- Co �� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS u-kot F9Yq"'Q- ELECTRICAL INSPECTION WIRING REPORT 417-4735 ❑ATE: PERMIT 4'°� INSPECTC)9 1 J i OWN _R CONTRACTOR L G AMPESS APPROVED NOT APPROVED -'' -...... DITCH, ...................0 ® ................nOUGH IN=VER.,............. M....... ........ .....SERVICE................... ® ................ .....FILIAL...,................ CORRECTIONS NEEDED: �� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 BAYS Application Number . . . . . 22-00001557 Date 12/15/22 Application pin number . . . 737699 Property Address . . . . . . 1303 W 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-4400-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service / Generator ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES ASCENDTEK HOLDING LLC 321 E 5TH ST 111 E KILBOURN AVE STE 2500 PORT ANGELES WA 983620217 MILWAUKEE WI 53201 (414) 803-7856 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 350.00 Plan Check Fee . . .00 Issue Date . . . . 12/15/22 Valuation . . . . 0 Expiration Date . . 6/13/23 Qty Unit Charge Per Extension BASE FEE 86.00 2.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 264.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 350.00 350.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 350.00 350.00 .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 12/14/22, 7:32:29 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001557 1303 W 8TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 350.00 TOTAL DUE 350.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Partial inspection service / feeder NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 1/11/2023 22-1557 TAP OWNER CONTRACTOR Ascendtek Holding PROJECT ADDRESS 1303 W 8th St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 2/28/2023 22-1557 TAP OWNER CONTRACTOR Ascendtek Holding PROJECT ADDRESS 1303 W 8th St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 4/13/2023 22-1557 TAP OWNER CONTRACTOR Ascendtek Holding PROJECT ADDRESS 1303 W 8th St