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Home My WebLink About223 E 4th Street - BuildingELECTRICAL PERMIT CY OF PORT ANGELES 360-417-4735 Application Number . . . . . 16-00001200 Date 8/11/16 Application pin number . . . 262800 Property Address . . . . . 223 8 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . ts.b Property Use . . . . . . . . WA 98362 Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ----------- ----------------------------------------------------------------- Application desC q 1-7 UPS and low voltage cable ---------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 1 SK REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0542) Owner M II Contractor s ------------------------ CLALLAM COUNTY ------------------------ CTS 223 E 4TH ST 2720 S ASH ST ts.b PORT ANGELES WA 98362 TACOMA WA 98409 (360) 417-2429 (206) 686-2000 q 1-7 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 101.00 Plan Check Fee .00 Issue Date . . . . 8/11/16 Valuation . . . . 0 Expiration Date . . 2/07/17 Qty Unit Charge Per_ Extension 1.00 96.0000 ECH EL -LIMITED 1ST 1500 SQ FT 96.00 1.00 5.0000 BCH EL-ADDNT LIMITED 1500 SQ FT 5.00 Fee summary Charged ------------------------------------- - Paid Credited - Due Permit Fee Total 101.00 -------------------- 101.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 101.00 101.00 .00 .00 N, INSPFLMON TYPE 111111 1■-,��II�� M II I I 1 •' s , ! ;4�i Cllr' PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEMON Signature of owner or Electrical Contractor X Date: G\EXCHANGEIBUILDING Signature of owner, electrical contractor or etectrical administrator: El Cash El Chock '5w?'4t4X& -'> 15, 1, "T�' , 4,0 A"I � Crodlt Card # 6001 01101012 17 A(0_6g(('1_2600 260 4-V o CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 4174711 Date: Muffi-Farnilly or4orrtntercla Plan Review May Be RAquired, Please Complete Electrical Plan Review Information Sheet Pbr� Anwfq� Job Address: 22-3 E q 3 WA 98-1&;L Building Square Foo e: Description of above I A0,2 IM!,S ' on A 2. Caj han 0-MARV -In 13,0rver Caim Owner Information Contac offnation Name: Nams!r Mair, I 'i in Address.-- P-2) F _LA 5V- Mallin Address: 2120 City... State: Mffl_ zip: ciftv! Tnrn ryi (X State: I I j Zip: Q'WL1061 Phone; ax: Phone:_ax License # / Exp. License# /Exp. Item Unit Charge Total (gly Multiplied by Unit Change) Serv!WFeeder 200 Amp. $132,00 $ Service/Feeder 201-400 Amp, $ '160Z Service/Feeder 401-600 Amp $225,00 Servloe/Feeder601-11000 Amp, $288.00 ServicelFeeder over 1000 Amp. $410.00 $ Branch Circuit W/ Service Feeder $ 5.00 $_ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5,00 $ Branch Circuits 1-4 $ 86.00 $ Temp. Service/ Feeder 200 Amp. $102.00 $ Temp, Service/Feeder 2C I 4W Amp. $121.00 $___ Temp, Service/Feeder 401 -fM Amp. $164,00 Temp. Sen4ce/Feeder 601 -1000 Amp $185,00 Portal to Portal Hourly $ 96,00 Sign/Outline Lighting $ 88.00 Signal Circuit/ Limited Energy- Mufti -Family $ 64.00 Pf $ Signal Circuit/ 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 for T-Stat $_ Note: $5,00 each additional '.tal JD1 $44W 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 29646B, 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 etectrical administrator: El Cash El Chock '5w?'4t4X& -'> 15, 1, "T�' , 4,0 A"I � Crodlt Card # 6001 01101012 17 A(0_6g(('1_2600 260 4-V ELECTRICAL PERMrF _ b� CITY OF PORT ANGELES 360-4174735 Application Number . . . . . 16-00001286 Date 8/29/16 Application pin number . . . 456636 Property Address . ... . . . 223 E 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 - on our excise tax form Application type description ELECTRICAL ONLY .y Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Ceiling heat units ---------------------------------------------------------------------------- Owner Contractor ------------------------ RESULTS: ------------------------ CLALLAM COUNTY DITCH ANGELES ELECTRIC 223 E 4TH ST 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 417-2429 1 (360) 452-9264 — ---- ----------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL - Additional desc . . 1-4 CIRCUITS COMMENTS: Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 8/29/16 Valuation . . . . 0 Expiration Date . . 2/25/17 Qty Unit Charge Per Extension BASE FEE 86.00 - ---------------------------------------------------------------------------- Fee summary Charged ---------- Paid Credited ---------- ---------- Due ----------------- Permit Fee Total ---------- 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPUtE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGEWILDING 08/29/2016 07:45 FAX 360 452 9265 Angeles Electric CITY OF PORT ANGELES PERMIT .APPLICATION BuildlintDivislonMectdw Luspadons 321 East Fifth Street — P.U. Boz 1150 /port Angeles Wasbi gW#, M62 Ph: (350) 411-4735 Fax: (360) 417-4711 ., Date: u!>a-ii+aNt or Commprotal" IA 0002/0002 *'Plan Review May Be Requkw, Please Complete ElecWCV Plan Review hWmat%n Sheet Job Add= BcnWq 4mM Footage . Desmiptl4n Ownerin" 0 Norms MofMg. Gly: Slate: Phone:. F� t�cerasa It/Ecgk. It SerVIefFeeder.200 Amp. t 132.00 SeMaIFeedsr201400 Amp. $160.00 SoMoolFaadet4014M Amp $ 22500 SorWC0Fesder 601.1000 Amp. $ 288.00 SaMc WF90orover 1000 Amp. $410A Branch Chua W/ Servos Feeder $ 500 Branch Cl=k W/O Service Feeder $ 7400 Each Addl l Brafich CkM ; 5.00 Branch Chwlts 14 86.00 Temp. Sarvicel Feeder 200 Amp. $ 10200 Temp. ServftFoedor2014WAmp. $121.00 Temp. SoMoolFaedsr 40144 Amp. $164.00 Temp. SavlcodFesder 601-1000 Amp. 3185.00 Portal to Portal Hvily $ 6600 Sign/Oufm Wh6ng $ 8800 4nel CkmW United Energy —Muld-FsmBy $ 6400 St nal Chcltl Limbd F.netgyl Fust 1StMi sf—Commer" $ 9600 Note: ;5.00 for each additional 1500 of Renewable Becatcal Energy - SKVA System or Less $ 1 `1300 Thermostat t 56.00 Nots: $&00 for aaeh adManal T-Stat bion Nome. s� s Owner as defined by RCW.19.28.261: (1) the w will occupy the structure for tort years ar[Dar # t daddad p eent is Inalked. {21 P- wor is lequked to hire an electrical conhactor 9 above said property is far sale; rent or feasor. Permit -expires atter six monft of Dalt lotion. After reading the above stator nsK I "y certify ft am the omer of the above mod property or a kertaed electrical omt . I an matdng. the electrical hstallation or alterWm In compliance with the electrical Ora, N.EC., RCW. Chapter 192% WAC. ChWW 29640, The CRY of Port Angeles Municipal Code, and U ty Spedtications and PAMC 14.05.050 regarding Becttical PurnkAppSes#tons. Signature of owner, slacWcai contractor or. tleetrieat admtnktrator: ❑ coon ❑ Chock ---- %� etaotM= PERMIT WILL'MME SIX (6) MONTHS FROM LAST Dwktm Signature downs`& ae0tri+e tmtractor X GAEXCHAlriGEil3M'DING Date: ELEC'r'R.ICAL PERMIT - CITY OF ANGELES N -PORT . 360-417-4735 OO Application Number . . . . . 16-00001287 Date 8/29/16 ,J Application pin number . . . 537862 Property Address . . . . 223 E 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 - Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Camera's meeting room ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLALLAM COUNTY ANGELES ELECTRIC 223 E 4TH ST 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 417-2429 - (360) 452-9264 ------------------------------------------- --------------------------------I Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 8/29/16 Valuation . . . . 0 Expiration Date 2/25/17 Qty Unit Charge Per Extension 1.00 96.0000 BCH '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 PERMIT WILL'MME SIX (6) MONTHS FROM LAST Dwktm Signature downs`& ae0tri+e tmtractor X GAEXCHAlriGEil3M'DING Date: WEI PERMIT WILL'MME SIX (6) MONTHS FROM LAST Dwktm Signature downs`& ae0tri+e tmtractor X GAEXCHAlriGEil3M'DING Date: 08/29/2016 07:44 FAX 360 452 9265 Angeles Electric CITY OF PORT ANGELES PERMIT APPLICATION BiiUdlingMvIsion/FlectldW Inspections 321 East Fifth Street —P.O. Boz 1150 /Port Angeles Wasbingten, 98362 . Ph: (360)XZ Fax: (360) 417-4711 Date: * V Ilduttt-E nor Comm4rNai" 4Mhf. IA 0001/0002 'Plan Review. May Be Required, Please Complete Electrics Klan Review Irrlormetion Sheet . Job Address: 2 Y Buikfq SquarefoohW. Description of ireJ— _ ff r me.w. Ownerlat do Name CIV. Mallfng. des '�Y Zlp; Llamas /911 o Fax License 01 Exp. . ' rd Z e 3 SeMw1Feeder 200 Amp. $132.00 Service,feeder 201400 Amp. $160.00 Servios/Feeder 401-600 Amp $225.00 Servimfeeder 601.1000 Amp. $ 288.00 SaWlce/Feeder over 1000 Amp. 0 $410.00 Branch Cimpdt W/ Service Feeder $ 500 Bmnch.CjmA WJO Service Feeder f 74.00 Each AddPtlonal BW#ch Omuit f 5.00 Branch Cirmbs 14 f moo Temp. Service/ Fender 200 Amp. $102.00 Temp. Sav WFaeder 201400 Amp. $121.00 Temp. Servics/Fsedsr4014W Amp. $154A Temp. Ssrvkx/Fssder 601-1000 Amp . $185.00 Petal to Portal Hourly f 96.00 SigrdOudbte Lighdng f 88.00 Signal ClmxrWtlmhed Energy–Mull-Fan* f 54.00 Signal CkwW Whed Energy / First 1 S00 sf – Commardai f 9600 Note: 05.00 for each sddifl MW 1500 of oa: Renewable Seckloal Energy - MA System or Leas S 156.00 Thermostat Nota $500 for each odddond T-Stat me.w. �— CIV. Llamas /911 TOW ((my MukWHed by Unit Cbo!d1 3 f' s f f� i - f�.� . f f. Z f oa: Owner as defined. by RCW.19.28.261: (1) Owner w9 occupy fhe smtdm for two years afterthis slec" pong is kolzed. (2)Owneris MOW . to hire an eki&W contractor• if above said property is for sate, rentor Issas. Permk v pkes after stx monft of last stspOCUM. After madutg the above statement, I herby CW* that 1 am ftte owner of the above reared property or a kw*W eieetrlcal oontrUW- I am rte the elechical Instagation or alteration in compliance +wi h the electrical hw% N.EC., RCW. Chapter 1918, WAC. Chapter 29"S, The City of Port Angeles MuNdpal Coda, and tililily SpNM=f * and PAMC 14.05.050 roparding 89WW PWA APOWAUM- Signatun of owner, alwWcd contractor or eled"- adMOSM010 cubes ❑ Cheek J3'gr %Card# �'� ELECTRICAL PERMIT CITY OF PORT ANGELES 360417-4735 Application Number . . . . . 16-00001790 Date 12/02/16 Application pin number . . . 252600 Property.Address . . . . . 223 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ------------7--------------------------------------------------------------- Application desc Low volt data ---------------------------------------------------------------------------- Owner Contractor ------------------------ CLALLAM COUNTY ------------------------ ANGELES�COMMUNICATIONS INC. 223 E 4TH ST 102 ROSS IN. PORT ANGELES WA 98362 PORT ANGELES, WA (360) 417-2429 PORT ANGELES WA 98362 (360) 457-4375 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 12/02/16 valuation . . . . 0 Expiration Date . . 5/31/17 Qty Unit Charge Per-- Extension 1:00 96.0006 ECH EL -LIMITED IST 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 M REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGE MI)ING rri PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGE MI)ING �Xr CITY OF PORT ANGELES PERMIT 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: / Zt-'/ _ Multi -Family rCommercial` " Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet 1..6 AAA.-..- er In ormatl� o 'Name. r Contra rtq�r Infory�aUon, o CSC».m t/4 A dress: �[fl/ Meiliny��ffss: u 4fi•�. Cil' Slate. j,�� Zp. City trr► /' Stale: Cv/i- Zip. Phone. Fax. Phone.,UX i Fax. Wo 13 -7 -412J7 -- License M / Exp. License N / Exp. Rem Unit ChameQ Yt Total (Qty MuRioRed by Unit Chame) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201400 Amp. $160.00 $ ServicalFeeder 401-600 Amp $225.00 $ ServicefFeeder 601-1000 Amp. $288.00 $ ServicelFeeder over 1000 Amp. $410.00 E Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder E 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp. Service/ Feeder 200 Amp. $102.00 $ Tamp. Service/Feeder 201400 Amp. $121.00 S Temp. Sermce/Feeder 401-600 Amp. $164.00 $ Tamp. Service/Feeder 601-1000 Amp. $195.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/ Limited Energy - Mutti-Family $ 64.00 $ S5. Signal Circuit/ Linuled Energy / 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-Stat 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 reg4ed to hue an electrical contractor it above said property is for sate, 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 krstal ation or alteration in complanoe with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of Pat Angeles MunidWC6dA and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. sidnature owner, electrical contractor or electrical administrator: ❑ Cwh ❑ Chm* _ 1 3K—CWN Cards l J r) t L t //-- x Dated: �i��J 01101M2 Application Number . . . . . Application pin number . . . Property Address . . . . . . ASSESSOR PARCEL NUMBER: Application type description Subdivision Name . . . . . . Property Use. . . . . . . Property Zoning . . . . . . . Application valuation . . . . ELECTS PERMIT CITY OF PORT ANGELES 360-417-4735 16-00001749 Date 11/22/16 684276 223 E 4TH ST 06 -30 -00 -6 -.4 -6700 -0000 - ELECTRICAL ONLY PUBLIC BUILDINGS & PARKS 0 Owner Contractor RESULTS: ------------------------ CLALLAM COUNTY DITCH ------------------------ ANGELES COMMUNICATIONS INC. 223 E 4TH ST 102 ROSS IN. SERVICE PORT ANGELES WA 98362 PORT ANGELES, WA (360) 417-2429 PORT ANGELES WA 98362 FINAL (360) 457-4375 -------------------------------------------------•-------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL COMMENTS: Additional desc - - Permit Fee . . , . 96.00 Plan Check Fee .00 Issue Date . . . . 11/22/16 Valuation . . . . 0 Expiration Date . . 5/21/17 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL -LIMITED 1ST 1500 SQ FT 96.00 ------`--------------------------------------------------------------------- Fee su ry -------------- -Fee Charged ---Paid--- ---------- Credited -- ---------- -Due- - Permit Total 96.00 96.00 .00 .00 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) 0 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SDC (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEBUILDING yokrr 1�(N CITY OF PORT ANGELES PERMIT 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: / Zo/ _ Multi-Fsmily Commercial' ' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet erIContra�j CLLName: r:: InfoTdJ ✓T)� A ss: Main} u C City Stile: ye�� z,p. Cit I r++ State. /�(� zip. Phone. Fax: Phone. j�_Fax: 3L• Y�'7 License N / Exp. License # / Exp. — Item Unit Chame 21 Total (Qty Multiplied by Unit Charge► Serv" Feeder 200 Amp. $132.00 5 Service/Feeder 201400 Amp. $160.00 5 ServicelFeeder 401-600 Amp $225.00 b Service/Feeder 601-1000 Amp. $ 288.00 E ServicelFeeder over 1000 Amp. $ 410.00 $ Branch Circuit W/ Service Feeder S 5.00 $ Brandt Circuit W/0 Service Feeder S 74.00 $ Each Additional Branca Circuit $ 5.00 b Branch Circuits 14 $ 86.00 b Temp. Service/ Feeder 200 Amp. $102.00 $ Temp. service/Feeder 201-400 Amp. $121.00 $ Temp. Service/Feeder 401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp . $185.00 5 Portal to Portal Hourly $ 96.00 S Sign/Oulline Lighting $ 88.00 5 Signal Circuit/ limited Energy — MullWamily $ 64.00 $ Signal Circuit/ Limited Energy / First 1500 sf — Commercial $ 96.00 S . Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 5 Thermostat $ 56.00 $ Note- $5.00 for each additional T-Stat t_i� Total Owner as defined by RCW.19.28.261: (1) Owner wil occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor 9 above said property is for sale, rent or base. 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 kensed electrical contractor. 1 am making the electrical installation or alteration in compliance with the eleciticai laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 298-46B, The City of Port Angeles WniciatEode; and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Siinature owner, elecMcal contractor or electrical administrator: ❑ CaA ❑ Chwk L C - 98"k Card a l J Ate% X144 1 x Dared: O1/OtrlM2 ELECTRICAL PERMIT CITY OF PORT ANGELES 360417-4735 Application Number . . . . . 16-00000390 Date 3/18/16 Application pin number . . . 250090 Property Address . . . . . . 223 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ CLALLAM COUNTY ANGELES COMMUNICATIONS INC. 223 E 4TH ST 102 ROSS IN. PORT ANGELES WA 98362 PORT ANGELES, WA (360) 417-2429 PORT ANGELES WA 98362 (360) 457-4375 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 3/18/16 valuation . . . . 0 Expiration Date . . 9/14/16 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL -LIMITED IST 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 m REPORT STATE 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: h y CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections -.....M. 321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 rF` Date:.` y, 1L f (, Mufti -Family or ommercial` Plan Review May Be Required, Please�omplete Electrical Plan Review Information Sheet Job Address 'Z -1 7, C • y tH 5 1 - o -C r F4 t — V _ Building Square Footage �,ti' K -' C,J N Desoripbon of above C L 4-1 t A m c' 0, ,V i� - r L -- - s r re Roe- ; r -qj 7- - -- --- - -- - Owner Information Contractor Information Name'.—__L.1�19_./''..—� )—'� r7% _ _ Name Mellingc ddress Z-2- tdni6ng dd ess _ /'ice_ s L r7.--�_ City: r r f ��,fZe S State �� Zip Js j p Phone. Fax Phone 56,c yy3 # / Exp License # I Exp. License -0 .__3� Item Unit Charge QtV Total (Qty Multiplied by Unit Charge; Service/Feeder 200 Amp. $132.00 Service(Feeder 201-40C Amp. $160.00 Service/Feeder 401-600 Amp $ 225.00 Service/Feeder 601-1000 Amp. $ 288.00 ServiceiFeeder over 1000 Amp. $ 410.00 Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/O Service Feedw $ 74.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 86.00 Temp. Service/ Feeder 200 Amp. $102.00 �— Temp, Service/Feeder 201-400 Amp. $121.00 $ Temp. Service/Feeder 401-600 Amp. $164.00 Temp. Service/f eeder 601-1000 Amp . $185.00 _--. - -- -- Portal to Portal Hourly $ 96.00 Sign/Outline Lighting $ 88.00 $ __ Signal Circuit/ Limited Energy - Multi -Family $ 64.00 Signal Circuit/ Limited Energy / First 1500 sf - Commercial $ 96.00 Note: $5.00 for each aoditimal 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 Thermostat $ 56.00 Note. $5.00 for each additional T-Stat 9C:=Total $ Owner as defined by RCWA9.28.261: (1) Owner wiN occupy the structure for two years after this electrical pF rmit is finalized, (2) Limier is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six mondrs 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 mal.,ng the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.24 WAC. Chapter 296-46B The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Appbcatrons. Signature of er, electrical contractor or electrical administrator: . ; rash . _ 4 Dated: 111 4 �� OV011,2012 ELECTRICAL PERMIT CITY OF PORT ANGELES 36D417-4735 Application Number . . . • . 16-00000260 Date 2/25/16 Application pin number . . . 126560 Property Address . . . . . . 223 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Low volt wire basment office IT depart. ---------------------------------------------------------------------------- Owner Contractor RESULTS: ------------------------ CLALLAM COUNTY DITCH ------------------------ ANGELES COMMUNICATIONS INC. 223 E 4TH ST 102 ROSS IN. PORT ANGELES WA 98362 PORT ANGELES,,WA ROUGH -IN (360) 417-2429 PORT ANGELES WA 98362 ---------------------------------------------------------------------------- FINAL (360) 457-4375 021?- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 2/25/16 Valuation . . . . 0 Expiration Date . . 8/23/16 Qty Unit Charge Per • Extension 1.00 96.0000 ECH EL -LIMITED 1ST 1500 SQ FT • 96.00 --------------------------------------------------- Fee summary Charged ---------- I------------------------ 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 .Ob .00 REPORT SALES TAX on your excise tax form . to the City of Pout Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH -IN FINAL CON04EM: PERMrr WILL EXPIRE SDC (6) MONTES FROM LAST VMPBCIYON Signature of owner or Electrical Contractor X Date: . CMEXCRANCOBUILDENG CITY OF PORT ANGELES PERMIT 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 Dap. Z ) rE6 t";l G _IWlti-FamilyCon'rne�aal,) • Ran Review M3N Be Regtired Please Cawete Be¢rical Ran Fte��a�r om�atan Sheet JobAdchm Z - Z --)C q4- S t o- h � a ES , uA ,( L 9cift Sqm FadW Lj tj N O &,;tJ l�esaiEim of � h, Rrr� o, -,+, r r3 v ; � ni c { S � 1G� - [. ��w :/„c r t.�, /Z �.✓G— /a' Z. �' is c S � 5 S7 I'le Omw Information 4"- UQ c2 /1 6t. Li i c r- Contractor �tf0(il1ation Plays C LAt,t...A-kn ��'-,.J _ V, `�' �-255� Nm. T741 czr� C� r �. .a, c.Q Po�, S hft Adinaas 7- v3 C t$ K ru, f Wlaiiry i rJ c = W. A biz �f �— Oty .-v ��S1are: � zR _ Pla Fac Pho 3G a v�7 y31jFac: ?& y;'7 License s/ Ucerm / e i-01 3Y(, S/ Z- y 1 13-110 Item Lht Charas gy Taal (Cly Multiplied by Unit Qiam) Sere w*deder200A-% $132.00 $ Se *&Veeder201A00Arm $160.00 $ S w*WFeeder 401-600 Mp $ 225.00 $ Sa4aWmder6o1-1000Arrp. $ 288.00 $ S v oWFeeder over 1000 Anp $ 410.00 $ Bad h CSruit w Service Feeder $ 5.00 $ Bad Gtech WOService Feeder $ 74.00 $ Each AdMord Elrandh C kaA $ 5.00 $ Doha,Chuft u $ 88.00 $ Twp Samoa Feeder 200 Arrp. $1a2.0o $ Temp Sec4mfeeder201A00Anp. $121.00 $ Temp ServiaWeeder40t-600Ayp. $164.00 $ Tenp Sw4awFeeder 601-1000 MP . $185.00 $ Pcrtd to Portal Hxoy $ 98.00 $ 39v0Afine Ug" $ 88.00 $ Signal CiruiV Uffned Enemy - MA -Fa* $ 64.00 $ Sscwi CAWV United Energy / First 1500 sf - Cxrrnxdd $ 9600 Noor. $5.00 far each addt1500 sf Rananable Electrical E nffW - 5KVA Sysiancr Lass $113.00 $ Thwn)stat $ 56.00 $ We: $5.00 for each adcf coal T-Stat $ Total (1mw as defined by RDN19.28.281: (1) Cannier vWl occupy the gructLm for two years ager this electrical permit is findiwd (2) OArw is rec}imd to fire an electrical oontractor if above said property is for sale, rent or lease Pemit expires after six ,, a 111 s d last inspection. Ager readng the above statement, I hereby certify that I am the oww d the above naned property or a licei electric ca iracfor. I am malting the electrical uteta Mm or alteration in ocrtpia'ne with the electrical laws, K EC, RL)N Chapter 19.28. VW- Chapter 2%45R The City d Port Angeles Mridpd Code, and Unity Spedfimbcns and PANIC 14.05.050 regardng Bedrical Permit AoiicMcns. Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check //'� ❑ Credtcardr ,J� Dated Z3 r,,; �,GiLt u / C 01A,2 c -^e- ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 16-00000260 Date 2/25/16 Application pin number . . . 126560 DITCH Property Address. . . . 223 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . FINAL Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Low volt wire basment office IT ---------------------------------------------------------------------------- depart. Owner Contractor ------------------------ CLALLAM COUNTY ------------------------ ANGELES COMMUNICATIONS INC. 223 E 4TH ST 102 ROSS LN. PORT ANGELES WA 98362 PORT ANGELES, WA (360) 417-2429 PORT ANGELES WA 98362 ---------------------------------------------------------------------------- (360) 457-4375 e>21Z Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 2/25/16 Valuation . . . . 0 Expiration Date . . 8/23/16 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 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: GAEXCHANGE\BUILDING ELECTRICAL PERMIT CITY OF `PORT ANGELES 360-417-4735 Application Number . . . . . 17-00000651 Date 5/19/17 Application pin number . . . 000183 Property Address . . . . 820 W 11TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -5116 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service change -------------------------------------'--------------------------------------- Owner Contractor ------------------------ ------------- ---------- gerald stangle CASCADE ELECTRIC & VAC INC 820 W 11TH ST PO BOX 369 PORT ANGELES WA 98363 PORT HADLOCK WA 98339 (360) 461-1790 (360) 379-5347 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check -Fee .00 Issue Date . . . . 5/19/17 Valuation . . . . 0 Expiration Date . . 11/15/17 Qty Unit Charge Per Extension 1.00 120.0000 BCH EL -0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- -------- ---------- ---------- ---------- Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total -120.00 120.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) If INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH -IN FINAL COb04ENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST IMSPWrI0N Signature of owner or Electrical Contractor GAEXCHANGMUILDING Date: ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 16-00000550 Date 8/25/16 Application pin number . . . 494750 Property Address . . . . 223 E 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 - Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . . . . 0 ---------------------- ----------------------------------------------------- Application desc Plan review ---------------------------------------------------------------------------- Owner Contractor RESULTS: INSPECTOR ------------------------ CLALLAM COUNTY ------------------------ OWNER 223 E 4TH ST PORT ANGELES WA 98362 (360) 417-2429 ---------------------------------- Permit . . . . . ----------------------------------------- . ELECTRICAL PLAN REVIEW Additional deac . . PLAN REVIEW FINAL FEE Permit Fee . . . . 346.82 Plan Check Fee .00 issue Date . . . . 5/06/16 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 96.82 250.00 1.0000 ECH *EL -PLAN REVIEW 250.00 --------------------------------------------------------------------------- Fee summary Charged -------------------- Paid Credited ---------- ---------- Due ----------------- Permit Fee Total 346.82 346.82 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 346.82 346.82 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH -IN FINAL COA+tl1 ENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST WSPEMON Signature of owner or Electrical Contractor X Date: GAEXCHANGEWILDING 4/19/16 COPI Clallam County Attn: Joel Windborn 223 E 4th Port Angeles WA 98362 Subject: Electrical Plan Review. Courthouse grounding project Joel The estimated cost for your electrical plan review is $250.00 this estimate is good for 180 days from the date of this letter. The City requires that you deposit an amount equal to the estimate with the City as part of your permit application. The actual fee will be the City's labor and material cost plus a 15% administrative fee. If the actual cost exceeds the deposit amount, the City will bill you for the overage. If the actual cost is less than the deposit, the difference will be refunded. If you have any questions or concerns, feel free to contact me at the phone number, or e-mail, listed below. Sincerely, Trent Peppard Senior Electrical Inspector tpeppard@citvofpa.us Wk 360 417 4735 Cell 360 808 2613 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 16-00001697 Date 11/14/16 Application pin number . . . 696323 Property Address . . . . . . 223 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Jail low voltage ---------------------------------------------------------------------------- Owner Contractor ------------------------ RESULTS: INSPECTOR: ------------------------ CLALLAM COUNTY NORTH PENINSULA ELECTRIC 223 E 4TH ST SERVICE 761 FRESHWATER PARK RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 417-2429 (360) 477-1764 --------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL COMMENTS: Additional desc . . Permit Fee . . . . 161.00 Plan Check Fee .00 Issue Date . . . . 11/14/16 Valuation . . . .. 0 Expiration Date . . 5/13/17 Qty Unit Charge Per Extension 1.00 96.0000 ECH -.EL-LIMITED 1ST 1500 SQ FT 96.00 13.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT .65.00 ~--Y--_-__ _ Feesummary Charged ---------- ---------- Paid Credited -------------------- Due ----------------- Permit Fee Total 161.00 161.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 161.00 161.00 .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 3 3a 17 FINAL 3 ND COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAFXCHANGE\BUILDING -4 Item Unit Charge Qty Total MuWpg Se-vice/Feeder 200 Amp. $132.00 �_ _-_ Service,Feeder 201-400 Amp. Uti gc1Rr,14 . '� CITY OF PORT ANGELES PERMIT APPLICATION O1►"�►•� _S Building Division/Electrical Inspections � S 321 East Fifth Street - P.O. Box 11501 Port Angeles Washington, 98362 $ 410,00 _z000�$ $ Ph: (360) 417-471135 Fax: (360) 4174711 $ 5.00 �_ Date-; / /c �? _. Multi -Family or Commercial $ 74.00 * Plan Review May Be Required; Please Cofnplete Electrical Plan Review Information Sheet $ 5.00 $ Job Address: _ ._ � -� a 3_ --------------------- - ------ $ 86.00 $ Budding Square Footage: Description of above C. $102.00 Temp. Service/Feeder 201400 Amp. ------------------- — $ Owner Information tt Contracjor Info nation Name:c'.I{;iICIYl1 C`_l.t Ltl ll _Cly Name: " `1�`- $'64.00 Mailirg Address _ Mailing Address:._ Temp. Service/Feeder 601-1000 Amo . City: State: VA $ 96.00 Phone:.. Fax Phone:. License#,Exp.____________ __. License#,Exp, n -Cf'( - $ 88.00 Item Unit Charge Qty Total MuWpg Se-vice/Feeder 200 Amp. $132.00 �_ _-_ Service,Feeder 201-400 Amp. $160.00_._ Service/Feeder 401-600 Amp $ 225.00 _S Service/Feeder 601 -1000 Amp. $ 288.00 S Service/Feeder over 1000 Amp. $ 410,00 _z000�$ $ Branch Circuit W/ Service Feeder $ 5.00 �_ Brancn Circuit 1N10 Service Feeder $ 74.00 Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp. Service! Feeder 200 Amp, $102.00 Temp. Service/Feeder 201400 Amp. $121.00 $ Temp. Service/Feeder401-600Amp. $'64.00 Temp. Service/Feeder 601-1000 Amo . $ '85.00 Portal to Portal Hourly $ 96.00 _ $ Sign/Outl;ne =fighting $ 88.00 Signa: Circuit/ Limited Energy - Multi-Fami:y $ 64.00 $_ Signal Circuit/ United Energy/ First 1500 sf - Commercial $ 96.00 Note Cr 00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113 00— $ rm_ Theostat $ 5600 _ $ Note: $5.00 for each additional T-Stat $__. - o I 0;;� Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) er 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. Signature of owner, electrical contractor or electrical administrator: ❑ cash C check l `—"`— � ff / ty. 1 J X � `�l � L` l 3 . �. Dated: — �/ .�" 1 4X — 0114112012 Application NUW.Ier: Application pin ii"r` Property Address . ASSESSOR PARCEL NUMBER: Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 17-00000573 Date 5/04/17 795647 223 E 4TH ST 06 -30 -00 -6 -4 -6700 -0000 - ELECTRICAL ONLY PUBLIC BUILDINGS & PARKS 0 Owner ------------------------ Contractor RESULTS: CLALLAM COUNTY DITCH ------------------------ ANGELES ELECTRIC 223 E 4TH ST 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 417-2429 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . ELECTRICAL ALTER COMMERCIAL Additional desc UPS AND PANEL IN BASEMENT PHON Permit Fee . . . . 132.00 Plan Check Fee .00 Issue Date . . . . 5/04/17 Valuation . . . . 0 :;Expiration Date 10/31/17 Qty Unit Charge Per Extension 1.00 132.0000 ----------------------------------------------------------------------------- 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 b. 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: GAEXCHANGEIBUILDING - 05/04/2017 07:54 FAX 360 452 9265 Angeles Electric CITY OF PORT ANGELIr±S PERMIT APPLICATION Building • DivisionMedrical Inspatdiont 321 East Fifth Street - P.O. Boz 1150 / Port Angeles Washington, 9062 Ph: (360) 4.11-4735 Fax: (360) 417-4711 Date. MukWamlly, or Commercial" `Plan Review.May Be Required, Pkaft Compete EWCWW Fps Review Wattla M Sheet M ems,,.... 8U#ft Square Footage: i' OwerInformadon Name; n.Addra UutRAM SavicelFeeder200Amp. (j' c1mail, knome $1 Savice/Feeder 201400 Amp. Servicel oo* 401.600 Amp $ 225.00 Savtcefndef 601-1000 Amp. $288.0D Savlce *0er aver 1000 Amp. $410.00 Branch CircuitW/Savior Feeder $ 5,00 Branch.Circuit W/O Savio Feeder S 74.00 Each AddWonat Braleh Cka4t $ 5,00 Branch Circub 14 $ 88,00 T=ip. Savlcal Feeder200ArM $ lam Temp. SoMcatFeeder 201.400 Amp. $121.00 Temp. SavicelFeeder 401-- Amp. $184.00 Tens. SeMcciFeeder 601-1000 Amp, $ 985.00 Portal to Portal liaudy S 98M Si nlOvft Ughft S 88.00 Slpnal Ch=id Wad Energy—Melt-Fv* $ 64.00 Stgnd Ckcattt Cknbd Energy! Fkat 9600 orf—CommomW $ 86.00 Note: $5.00 far each SLIM ral 1500 at RenewsUe Mectdcd Energy . 5KVA System or Less $113M Thermostat $ 66A Note: 55.00 for each add ftW T-Stat 90001/0001 r Owner as defined by RCW.19.2MI: (1 ) OoNw wit oocM the struokn for two years ager Otic electrl W permit Is i wbmd. (2) Owrw is mgr W to hire an electrical contractor I above said properly is for sale; rent or Iease. PwntRexoft alter sk monft of leaf IrapMdlon. After reading the above statement, I hereby ou* that I am the owner of the above named prnpwiy or a =ftcl r. I am mWft the elsob oral installation or aberatlon in oompliance with the electrical laws, N.E.C., RCW. Chapter 19.2% WAC. C vow 298.468; TM Chy of Port Angeles Municipal Code, and titi9ty Spedltcadons and PANIC 14.05.050 regarding EkkW PaTak Appkdone. -Signature,of owner, electrical contractor or electrical admhdstrator: Cl cote O pier L: ? -r i►_,/. // f�L 'A •. •t1 I '.{ �' 'A t.l .l . I• Owner as defined by RCW.19.2MI: (1 ) OoNw wit oocM the struokn for two years ager Otic electrl W permit Is i wbmd. (2) Owrw is mgr W to hire an electrical contractor I above said properly is for sale; rent or Iease. PwntRexoft alter sk monft of leaf IrapMdlon. After reading the above statement, I hereby ou* that I am the owner of the above named prnpwiy or a =ftcl r. I am mWft the elsob oral installation or aberatlon in oompliance with the electrical laws, N.E.C., RCW. Chapter 19.2% WAC. C vow 298.468; TM Chy of Port Angeles Municipal Code, and titi9ty Spedltcadons and PANIC 14.05.050 regarding EkkW PaTak Appkdone. -Signature,of owner, electrical contractor or electrical admhdstrator: Cl cote O pier L: ? -r i►_,/. // Application Number . . . . . 23-00000006 Date 1/05/23 Application pin number . . . 503526 Property Address . . . . . . 223 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Add exterior lighting ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLALLAM COUNTY ANGELES ELECTRIC 223 E 4TH ST 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 417-2429 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 1/05/23 Valuation . . . . 0 Expiration Date . . 7/04/23 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 MULT I-FAMI / COM M ERCIAL CT AL PE LICATIO , Public Wcrrks and Utilities Department 32,1 E,5th Slrect, PortAngclcs, W'A gB3(;2 360,4t7.1735 |r.vr.vrv.cityofpa,irs Ieleci:ricalpelmits(1_i)cityofpa.us & ercial I lndustrial / Public Building Square footage Email: Phone -U oa 3 +t Project Address: Project Description I Multi-Family Residential Name: Mailing Address: Name:Anoeles Ele ctric lnc Mailing Address:524 E. First Street, Port Anqeles , wA 96362 License:ANGELE146ORS Exp iration Date: 21112020 Email:ksimpson@olvmous,net Phone:360.452-9264 Item Service/Feeder 200 Amp, Service/Feeder Z0 1 400 Amp. Service/Feeder 40 1 -600 Amp, Service/Feeder 601 -1 000 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. Temp. Service/Feeder 401-600 Amp, Temp. Service/Feeder 601 -1 000 Amp, Porlal to Portal Hourly Sign / Outline Lighting Signal CircuiULimited Energy - Multi"Family Signal Circuit/Limited Energy/First 1,500 sf - Commercial (Note: $5.00 for each additional 1500.sf) Renewable Elec, Energy: SKVA System or less Thermostat (Note: $5 for each additional) $'l32.oo $160,00 $225,00 $288,00 $410,00 $5.00 $74.00 $5,00 .$86.00 $t oz,oo $121.00 $164,00 $185.00 $96,00 $88;00 $88.00 $edoo Ietgl (Quantity x Unlt Charge) o 0 $ $ o{, $ $ $ $ $ oI $ $ $ $ v $ $ $ -WT' = $ 113;00 $56;00 $ 86? rorAl Owner as defined by RCW,19,2B .261: (1) Owner will occupy the structure for two years after this electrlcal permit is finalized, (2) Owner is required to hire an electrical contractor if above said propeity 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 ln 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 Speciflcations and PAMC 14,05.050 regarding Electrical Permit Applications. I Ken Sim son Date Print Name Signature ([ Own Contractor I Administrator) [Electrical permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed lo 360'417 '4711] ULTI-MI LE ALP Public Worl<s and Ut.ilities Department 32,1 E,Sth Stlcct, Porr Angcles, WA g83(t2 '3 60, 4 .t 7, 47 35 | wivur cityofp a,u.s I el eclri c alpeLm its(Ci)ci tyofira . u s Project Address Project Description: ! Multi-Family Residential mmercial / lndustrial / Public Building Square Tootage; Name:Email Mailing Address:Phone; -0 o-3 $ Name ,A,noeles Electric.lnc Mailing Address: 524 E. First Street, Porl Anqeles, WA 96362 E j1sil; ksimpson@olympus,net License: ANGELEI460RS Expiration Dale: 2l I 12020 Phone : 360'452-9264 Item Service/Feeder 200 Amp. 5ervice/Feeder 201 -400 Amp, Service/Feeder 401 -600 Amp, Service/Feeder 601 -1 000 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. Temp. Service/Feeder 401-600 Amp, Temp, Service/Feeder 601 -'l 000 Amp, Porlal to Portal Hourly Sign / Outline Lighting Signal CircuiULimited Energy - Multi'Family Signal Circuit/Limited EnergyiFirst 1'500 sf - Commercial (Note: $5.00 for each additional '1500 sf) Renewable Elec, Energy: SKVA System or less Thermostat (Note: $5 for each additional) Unit ChaJoe $132.00 $160,00 $225,00 $288,00 $410,00 $5.00 $74.00 $5,00 .$86,00 $t oz,oo $121,00 $ 1 64,00 $135,00 $e6,00 $88.00 $88.00 $e6i00 Quantltv T - Islgl (Quantity x Unlt Charg $ s $ oll) $ o.{, o oI $ $ o{ $ ov $ $ o*, $ $ 113;00 $56;00 $-._-----_ $-...-...-----.- $ 7A'/ rorAl Owner as defined by RCW.19,2B .261: (1) Owner will occupy the structure for two years after thls electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said propeity is for sale, rent or lease, Permit expiros afler 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 ln compllance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC, Chapier 296- 468, The -ity of port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Ken Sim son Print Name Signature (Electrical Contractor / Administrator) [Electrical permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed lo 36a.417 .4711] PREPARED 1/04/23, 8:40:46 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000006 223 E 4TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 86.00 TOTAL DUE 86.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Exterior lighting NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 1/10/2023 22-6 TAP OWNER CONTRACTOR Angeles Electric PROJECT ADDRESS 223 E 4th St Application Number . . . . . 22-00001109 Date 9/07/22 Application pin number . . . 671880 Property Address . . . . . . 223 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Parking lot lights ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLALLAM COUNTY ANGELES ELECTRIC 223 E 4TH ST 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 417-2429 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 9/07/22 Valuation . . . . 0 Expiration Date . . 3/06/23 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 MUL I-FAMI /co M MERCIAL ELECTRICAL P IT APPLICATION , Pubiic Wcrrks ancl Utilities Department 32,1 E.5th Slleet, Port Angeles, WA 983(t2 S 60, 4 t T, 4l S5 l wrvrv, cityofpa, n.s l el ectri c aip elm.its (g_Doi tyo{lra. u.s 223 -fry*f ]J (D I 3;+' $ Project Address Project Descriptionr I Multi-Family Residential ! Commerciali lndustrial/ Public Bu ding Square Tootage: Name:Email: Mailing Address:Phone D2- Nam e: Anqeles Electric, lnc Mailing Address: 524 E, First Street, Poft Anseles, WA 96362 License ,ANGELEI46ORS Expiration Date:211 Email:ksimpson@olympus,net Phone '360.452-5264 Item Service/Feeder 200 Amp. servlce/Feeder 201 400 Amp, Service/Feeder 401 -600 Amp, Service/Feeder 601 -1 000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W Service Feeder Bianch Circuit WO 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 60:1 -1 000 Amp' Portal io Portal HoudY Sign / Outline Lighting Signal CircuiULimited Energy - Multi"Family Signal Circuit/Llmited Energy/First 1500 sf - Commercial (Note: $5,00 for each additional 1500 sf) Renewable Elec, Energy: SKVA System or less Thermostat (Note: $5 for oach additlonal) Qugntitv Totel uantlty x Unlt Charge) $132,00 $160,00 $225,00 $2B8,oo $410.00 $5.00 $74,00 $5.00 .$86.00 $t oz.oo $121,00 $164.00 $1€5.00 $s6,00 $88:oo $88,00 $96;00 T"w a D $ $ cv $ o \lJ $ $ $ $ $ $ $ $ $ $ $ $ $11 3;00 $56;00 ' $ NL4L rorAL owner as defined by RCW,19,2B .261: (1) owner will occupy the structure for trivo years after this electrlcal permit is flnalized, (2) owner ls required to hire an electrical contractor iiabove said propeity is for sale, rent or lease. Permlt explres after six months of last inspection' After reading the above statement, I hereby certify that I arn the owner of the above named property or a licensed electrical contracior' I am making the electrical installation or alteiation in compliance with the electrical laws, N.E,i,, RCW. Chapter 19.28, WAC' Chapter 296- 468, The City of port Angeles Municipal Code, and Utiliiy Speciflcations ancl PAMC 14,05,050 regarding Electrical Permit Applications' Ken Sim son Print Name Signature ([ Owner B Ele ca / Administrator) [Electrical permit Applications may be submitted to city Hall or electricalpermits@cityofpa.us or faxed to 36a'417 '47111 PREPARED 9/06/22,11:38:13 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001109 223 E 4TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 86.00 TOTAL DUE 86.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Parking lot lights / Camera power NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 9/13/2022 22-1109 TAP OWNER CONTRACTOR Angeles Electric PROJECT ADDRESS 223 E 4th St Application Number . . . . . 22-00001108 Date 9/07/22 Application pin number . . . 558560 Property Address . . . . . . 223 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Water Heater ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLALLAM COUNTY ANGELES ELECTRIC 223 E 4TH ST 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 417-2429 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 9/07/22 Valuation . . . . 0 Expiration Date . . 3/06/23 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 MU I.FAMI / COMMERCIAL ELEC TR CAL PER,M ITAPP ICATION , Public Wcrrks ancl Utilities DepartmeLrt 32,1 E.5th Stleet, Port Arigeles, WA 9ti3(t2 360,4.t7,1735 | wrvw,a,us I el e<.:l:ri calpelm its(iDci tyofila.u s Project Address: Project Description: I Multi-Family Residential n Commercial / lndustrial / Public Building Square To Name Email: Mailing Address:Phone !oI 3 $ Name:Anoeles Electric. lnc. Mailing Address 524 E. First Street. Port Anqel wA 96362 License:AN GELE1460RS Expiration Date 21112020 Email ksimpson@olympus,net Phone:360.452-9264 Item Service/Feeder 200 Amp, Service/Feeder 201 400 Amp, Service/Feeder 401 -600 Amp, Service/Feeder 601 -1 000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W Service Feeder Bianch Circuit WO 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 -'1 000 Amp, Portal io Portal HourlY Sign / Outline Lighting Signal CircuiULimited Energy - Multi"Family Signal Circuil/Limited Energy/First 1500 sf - Commercial (Notei $5.00 for each additional 1500 sf) Renewable Elec, Energy: SKVA System or less Thermostat (Note: $5 for each additlonal) SqBntitY (QuantltY x Unit Charge) $132,00 $160,00 $225,00 $288,00 $410,00 $5.00 $74,00 $5.00 .$86,00 $t oz,oo $ 121 .00 $164,00 $185,00 $96,00 $88r00 $88,00 $96:oo o $ $ $ $ a $ $ $ o $ $ $ s $ $ $ $ $ + rc+ $113;00 $56;00 owner as defined by RCW,1 9,28 ,261: (l) owner will occupy the structure for hvo years after this electrlcal permlt is finalized ' (2) owner is required to hire an electrical oontractorilabovo said propeity is for sale, rent or lease. Permit expires after six months of last inspection' Afler reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical conlractor' I am making the electrical installation or alteration in compltance with the electrical laws, N.E,i., ncW' cnapter 19'28' WAC' Chapter 296- 468, The city of port Angeles Municipal code, and Utiliiy Speciflcations and PAMC t+,os,oso regarding Electrical Permit Applications' v TOTAL I Ken Sim son Electrical Contractor / Administrator) te Print Name Signature [Electrical permit Applications may be submitted to city Hall or electricalpermits@cityofpa,us or faxed to 36o'417 '47111 PREPARED 9/06/22,11:36:42 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001108 223 E 4TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 86.00 TOTAL DUE 86.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Water heater NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 9/13/2022 22-1108 TAP OWNER CONTRACTOR Angeles Electric PROJECT ADDRESS 223 E 4th St Application Number . . . . . 23-00000357 Date 4/17/23 Application pin number . . . 817126 Property Address . . . . . . 223 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Load bank ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLALLAM COUNTY LEGACY TELECOMMUNICATIONS INC 223 E 4TH ST PO BOX 360 PORT ANGELES WA 98362 BURLEY WA 98322 (360) 417-2429 (253) 858-0214 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 121.00 Plan Check Fee . . .00 Issue Date . . . . 4/17/23 Valuation . . . . 0 Expiration Date . . 10/14/23 Qty Unit Charge Per Extension 1.00 121.0000 ECH EL- COMM 201-400 TEMP SRV/FDR 121.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 121.00 121.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 121.00 121.00 .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 4/12/23, 9:20:53 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000357 223 E 4TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 121.00 TOTAL DUE 121.00 Please present reciept to the cashier with full payment 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 4/17/2023 23-357 TAP OWNER CONTRACTOR Legacy Telecommunications PROJECT ADDRESS 223 E 4th St