HomeMy WebLinkAboutApplication Davis 08/09/2012 W..
n ,
?ORTANGELES
APPLICATION FOR APPOINTMENT TO BOARD, COMMISSION OR COMMITTEE
Board,Commission or Committee to which you are seeking appointment:
Planning Commission
Applicant Name and General Information
Thomas D. Davis
First Pv1I Last
13016 Vilest Fifth Street
Home Street Address
Port Angeles GLIA 98363
City State Zip
N/A N/A (360) 477-8006
Home phone Work phone Cell phone
amorano@olypen,com
E-mail address
Date of Birth (to be completed only by applicants for Public Safety Advisory Board for purposes of criminal
history check to ensure compliance with Port Angeles Municipal Code 2,26,020)
Certification and Location Information (circle ane)
Are you employed by the City of Port Angeles? Yes
Are you a citizen of the United States? Ye No
Are you a City resident"? es No
If so,how Ion 5 years
Do you own/manage a business in the City? Yes
Do you hold any professional licenses„registrations or certificates in any field? No
If so,please last, IFR Rated Aircraft Pilot FCC Commercial Radio License State
Fire .Marshall Incident & Strike Team Command Mana ement & Instructor
Certified. Amateur Radio Extra Class Licensed,ARRL Volunteer Examiner.
1.
Are you aware of any conflict of interest which might arise by your service on a City Board or Commission? If so,please
explain:
None
Work Experience- List most recent experience first,or attach a resume
Peninsula College Music Instructor izog 3/09
Employer Title From(M/Y) To(M[Y)
Instructor of Intermediate Guitar
Brief job description
Ridgetop Communications Owner/Operator 1.975 6/2002
Employer Title From(M/Y) To(M/Y)
Design, Install,Maintain Communications Systems Including 911 Dispatch
Briefjob description
El Dorado County Fire Dept . Engineer/Paramedic 6/1976 1/2000
Employer Title From(M/Y) To(M/Y)
Preserve Life & Pro perty, Communications Officer, Instructor, Ins pector
Brief job description
Education -List most recent experience first
Jr\
Consumnes College, Placerville, CA.Fire Science, EMS LJ No
Institution/Location Degree earned/Major area of study Graduated?
Fire Marshall Officer Training Series, Calif . gn No
Institution/Location Degree earned/Major area of study Gr-Muated?
Institute of Communications Electronics, CA.MSEE &es) N
Institution/Location Degree earned/Major area of study Grlffuated?
Charitable, Social and Civic Activities and Memberships- List major activities you have participated in
during the last five years
Aircraft Owners & Pilot Assoc. Air Safety & Training 400, 000+
Organization/Location Group's purpose/objective #of members
Brief description of your participation:Pilot safety programs,ongoing training,
Government Advocacy in regulatory, certification & safety policies.
El Dorado County Indian Council-Education & Cultural Preservation, 3, 000+
Organization/Location Group's purpose/objective #of members
Brief description of your participation:Chairman.Conduct weekly Board Meetincrs,work with
Federal,State & Local Government in preserving cultural sensitive Sites.
2
Questions
Why are you interested in serving on this particular Board or Commission?
I would like to serve my community by utiliziaq the many years of
experience in leadership and cooperation with other agencies in
service to the citizens of The City Of Port Angeles.
What in your background or experience do you think would help you in serving on this Board?
As Chairman of The El Dorado County Indian Council, I was responsible
for assessing land development applications to preserve historical and
cultural sensitive areas within El Dorado County before they were
approved by the County Planning Department .
What is your understanding of the responsibilities of this particular Board or Commission?
To review and make recommendations to the City Council on land development
actions and preparation of the City' s comprehensive plan and zoning
regulations, additionally making recommendations to individual City
departments for adoption of land use controls.
Please feel free to add any additional comments you wish to make regarding your application.
Having served the public for over forty years in a variety of roles
such as Boy Scouts,U.S.Coast Guard , Firef ighter/Paramedic, Urban Search
and Rescue, Indian Council Chairman,County and City Emergency Communi-
cations during disasters. I have acquired experience and knowledge that
is necessary to fill a Planning Commission position with confidence and
integrity.
Applicant Signature /t)atq
Submit completed forms to: OFFICE OF THE CITY MANAGER
City of Port Angeles
321 E. 5h Street
PO Box 1150
Port Angeles,WA 98362
In compliance with the Americans with Disabilities Act, if you need special accommodations because of a physical
limitation,please contact the City Manager's Office at 417.4500 so appropriate arrangements can be made.
3