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3frI 17-4735
Application Number 20-60040882 Date 8/07/20
Aviation-pin number 648938 Rt�FfT STATE SALES
Party Addreps _ . 4400 CST WPS Qjj�/ eXCISe tax fOrrt, ;
PBS .PAR: L DER: R6-30-00-0-0-0000-0000, E
Appliciiiona type tescr ption CTRICAL o�rr.Y to the`City of Port Angeles
Subdiviiiion biame
(Lora don,Code 0502)
property* IIse
Property Boning '., _ PUBLIC BUfWI1 G$`& PARKS
Application valuation 0
___ _
Application desc
Generator 104d,baank
Owner' Contractor
CITY .QF PORT ANG$ S LEGACY TSLEGSFIUBIICATIONS INC
PO BOR"1150 PO SU 300
PORT ANGELES WA'993420217 BMUMY WA-98322
(253)..85$-0214 .
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Permit ELRCTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee 164.00 Plan Check Fee .00 4
Issue Date 8,/07/20 Valuation . :. 0,
Expiration Fate 2/03/21
Qty Unit Charge, Pez - Extension
1.00 164.b000 ECH EL COMM 401-f00 TWOOi.V/FDR 164.00 "
------- --------- -_ _. --- -- _.. _
Fee summary Cha*gei4 ,,. Paid Crecuted Due
------------- - - ,
Permit Fee Total,, 164.06 .00 .00"
Plan'Check`Total 00 - .00 00 >04
Grand Total 114.00 164.00 s00 <00
INSPEMON'I`YI'E .DAI' CULTS: IlVSI'I:C3'OR
DM
SER' CE
ROUGH-IN
FINAL ,
COMMENTS:
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Paw WILL Emu SIX(6)Mow**�"�`VM BCTION
Signature of owner or Electrical Contractor X Date:
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MQLT1 LY 1 MER!Q
ELECTRICAL P n
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321 E.54h Sty Pad Angehm,WA 9SM2 �
3b0.417,47351 ar :Cityrof0a.u9( AXL'
Pm,ject Addr�: Fairmount P/S South th C St._Portk iwkWA98362
proilactLoad bank t generator for Annual MaklWwwoe
0 Fa inly ReekkwyW 0 Corms rdW t 1 PWk Bukft Square loowW
+wane. q&5.��.�o i"�i.}A��y 1150
�}L+yd'Sh?i Ya PartWAq���y{���a �* eIt eis
drqM
Sox
Le
4 LEfiAC ILL >
t�4aarre� T
ong Addrew: PQ Ekzc 3W%gft WA Evtr dw DaW.
Eanad: PtKm.26 '4
Serm*F-eder 200 strap. $132.00 S
SerwtcaF er 20- Amp. #'SQ t3ll
Serv*cet'Fseder 401 Amp. SM.00 $
SeMceiF,:tef*ier 501-10 Arn.p. UN.00 $
3srricetFsecer over l 100 Amp. $410.00
Brarch c:�rcuit'Nt Service Feeder $00 $
_ _- 3ircc YdF Fewer $7*.M _ - _
Each Addificrai&wc h Circuit $5.00 S
Branch Circuits 1,-4 Woo $
Tamp-Sarr seder 20Q Amp. SI V-00 i
Temp.Sesv tFeeder 201-400 ram. $121-00 i
Tom.aerretFQes:er 45 i a Arrg. S584•.r�t $ -
,emp.Sere=catF 301-10'00 AMPS $r$
Portal to Poem i srly
Sign i Cuilimi Lig0ting
Signal Cirouitr iscaited Energy-Malt-Family $8 ou
31grat Circud i ed EnergyiF•trst ISW st-CorrtmrrrCW $IIB.w _ $
-Renewable E'9c.E 'SWIA SYstem or less $4t3
nwrmostat;'vote;35`or earn add o i) S55.Ot3 .3
S I6•.00 TaTAi.
asdefmed Oy RCW.l 3.28 261'0}OWWWM %NO YOM SMOr thus 01811ftel Parrvais d (2)Owrerfs
required to hire:an aiaclnCat cortfactcr f abme saved propertya for saw,rw*or six months of fast inspection.
After reading the above nt,f: ce*that f am fhe OXWW of the abOM rta MMd property or a 1 i
am T ang'dam ewcb=W kwadeffor or alteration•`a o4vv#anm*Ah I*aWebicat laws.M..E.C.,RCN.Chahar M25,WAC.Cesar 2M-
7he City of Port i Cade,end!,sty 14.05.3fi0 a,
815120 Rich Henry
Data Print (0 ()wfuer W Sedlical Ccrtuactor f rL trasx)
Sectrical Persnft Applications may oe subm*e d to city l-,atl or apern%tstc cityofpa.us or faxed to 360.417,471 tj
►gpl3Mati,on.Number 20-060004e5- Date 8/07/20 �s+
Wlift, pin number 950465 REPORT STATE SALES Ti'
Prop arty Address" - . c �1106 P ST CSIi your :�@ fax
AR 9901 AMACEL NUM19ER: R6-30-00-0-0-0000=0000=Application type description ELECTRICAL ONLY O ey'-Of
Subdivision Name
Property Use
Property Zoning . . . . . UNXNOWN
Application valuation 0
Application desc
Generator``load Bank
Owner Contractor n
-- -------- ---- ----- ------ ------_�------ -
CITY OF PORT-ANGELBS LEGACY TE3+8COM MUNICATIONS INC
PO BOX 1150 PO BOX 340
PORT ANGELES , WA-:903620217 SWUAk YEA 96322
(253) 855-0214
----------- ----- ----- -
permit . . B RICAL ALTER COM UCIAL
Additional desc ,
Permit Fee 02.00 Plax Check Fee. .00
Issue Date 8/07/20 Valuation 0
Expiration,Date 2/03/21
oty Unit Charge Per Extension
1.00 102.0000 ECH EL--COMM! 0-200 TEMP SRV' /-FDR, i 102.00'.
-- -- --Fee summary -- -Charged Paid" Credited --&a= -
----------------- --- ------ - r
Permit Fee Total 3.UB:00 101.00 .00 .00
Plan Check-Total :00 =.00 .00 00
Grand Total 10,,00 102 00 00 00
IIdSPECTION TYPE BATE: RFSiJ�.TS: INSPECTOR:
DMII
SERVICE
ROUGH-Ili
COMMENTS:.
PEMIT WILL EXPIRE SiX(6)MdMrtIS FROM LASg'll+§PEE` ON
Signattift Of avvn�r.c��:E1�c C0ut tOtX Date:
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MULTI-FAMILY / CC}MMERCIAL
SECT KM , 1T A PPLICAMON
PUWk Wo 4W UVifim Deputana N
321 E,Stb Stcvck Pat A ,WA M62 4
360.417.47351 wwwcityoAwugI a u:
project Ate: PS#14 1100 P St Port Argele3, WA 9M
pry pip : Load bank 1 gerorak c fbr Armual Maims i
0 Mu#W Rettfder" B C4Mmu drA J ktdu*W t PW*c ftd*q S*nm
Name. Q1y of Port i gi EmeA ors
MaikV Address; PO Sox 11SO from AMW*w,WA p 360-S65r,'i8et}
3
Name-. Legacy T License: LEGACTL821LL
Madirig Address: PO Box 3W Sudw,WA 98322 E,trpiradw Dtrbr
Emaff: rt_ram tccyp~.=n Phone:2634160.0214
Sen**Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.t10 $
Ser,poWFeeder 401-dM Amp. $225.00 $
SerAce/Feeder 601-1000 Amp. $28B.00 3
SenficeiFeeder(aver 1000 Amp.. $410.00 $
Branch Circuit Wt Service Feeder $5.00 S
Branch Circuit WIC Service Feeder $74.00 $
Each Additional Branch Circuit $6.00 $
Branch Circuits 1-4 $86.00 $
Tamp.Sem4cetFeeder 20O Amp. WZ 00 Z_ $ 1Q00
temp. 3&vicelFaeder 211-4A0 Amp. $121.80 $
Temp.Se-tvKx+Feeder 401-600 Amp. $184.00 $
Temp.Serticei7eeder 601-1000 Amp. $185.00 $
Portal fa°orfal Houdy $96.00 $
Sign Outftne Lighting $88.90 S
Signal Circuit/L;mited Energy-Murd-Fan* f 88.30 i
Signal-muivUni ted Energys(First iSCO of-Co mnerciel $96.00 $
(Nola;SEW for each addthar►al MO sf)
Rarewadle Sec.Energy:SKVA System or teas
'"hermaetai;Mote*S5 for Bach additiore!) M.00 $
S TOTAL
Owner as derined by RCW.IS.28-MI:(1)Owner wM occupy 1%st ucams for twro years Aw this a lectical permit Is*rafted.(2)Owner is
required co titre an ekK rtce!conVWW 4f arbove said property is for sale,rerrt or lease.Permit expires after six Mon tsa of East h+epectIm.
AfCsr reeding!fie a XPM staterrsent,!hereby cw*that f an the mew of the above ranted property or a loensed siectrk,ei cw&aclor.I
am ma WN fie electrical'instaWort or alteration in owtvdance,*h the eiectrteai taws,N.E.C.,RCW.Ch apW 1",WAC.Chapter 296-
468,The City I port Arigeies MunirxW rod*and tltglty Specdcations aid PAMC 14.05.050 regaidng Eksdrical p. .
8/5/20 Rich Hen
Date Print Nakitse ([l Owner R Electrical Contractor I Admkristratar)
Eleciricat ?armit Apof;caaons^nay be submitted to City FW or spem, ts@Cityofpat.us or axed to 360.417,471 fj
RMU
735
ion Opmber 20-00006890 Date 8/07j20
: lJyo
tiort pin number 453010 R1O
RT STATE SALES TAX
Address 321E 5TH ST ony ur$XCISo tax form
►S;�ES 3R PARCEI. NC>al88A- 06-30-00-0-1-7050-0000-
Application type description ELECTRICAL ONLY 10 the'City of PodAnge1DS.
subdivision Same
Pr operty We ��.+QG#1dC#!1 Ct3Ef@ 0 2)
. . . .
Property Zoning PUBLIC BUILDINGS_* PARRS
Application valuation 0
Application desc
------------------------------------------------
Generator L�tacT`Bares
Owner Contractor
--
CITY OF PORT ANGELES LEGACY TELECONKUNICATIONS INC
PO BOX 1150 PO BOX 360
PORT RNGELE5 WA 983620217 BURLEY WA 98322
(253) H88-0214
- `. ELECTRICAL ALTER-COMMERCIAL -- - --Permit . -
Additional desc .
Permit Fee 223.00 Plan Check lace .00
Issue Date 8/07J20 Valuation 0
Expiration Date 2f03j21
Qty unit Charge Per - Extension
1,00 102.0000 BCH ` EL- COMM 0-200-TEW` SRV PVR 102.00
l A0 121.1 0060 ECIg, EL- COMM 261-@00'T'A"P &RV 1aDR 121.00
-- _
Fee summary. Charged Paid Credited Due-
Permit Fee Total - 213:00` 213.00 - .00. .00,
Plan Check Total 00 .00 100 .00
Grand Total 223.00 223.00 .00 .00
:INSPEC' `ON`TYPE DATE: RESULTS: 1NSpECrO&
WCH
SERVICE
ROUGH-IN
FINAL
COMMENTS: _
pokrr WILL EXPIRE SIX(6)*ONT'14S FROM LAST INSPWMN
SignaWre`of owner or Electrical Contractor X „ _ Date:
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MULTIFAMILY/ CO�MME_RCIAL
F [ ti IT APPL IQAT QN
mUWifm D%=Ummt
321 E-5th Sheet,PortAegetes,WA 98362
360.417.47351 www eityofpa-ns j efecuicalpeamit yofpa.us 86
Project Address: Police Station 321 E 5th St Poit Angeles,WA 98362
Project Description: Load bank 2 generators for Annual Maintenance
❑ WAI-Famil1y ResideMfai El Canmerciai 1 UxbjWW/Pubic BWdfig Square footeige:
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Name: City of Port Angeles EmaB:
Mailing Address:PO Sox 1150 Port Angeles,WA 9=2-0217 36D 666-3860
Name: Legacv TafecorrinvlinicaGoins Lir9e: LEGACTL821 LL
Mailing Address: PO Box 360 Burley,WA 9W22 ExpilaSo t Data:
Email: rhenri@le Pawerccs n Phone:253- 8-0214
Rom l AQam QuaAk Tull Nor x UM
Service/Feeder 200 Amp. $132-00 $
3erric elFeeder 201-400 Amp_ $160.00 $
Ser ikWFeeder 401-6W Amp. $225.00 $
SarrcelFaeder 5-01-1000 Amp. UK00 S
Service/Feeder over 1000 Amp.
Branch Circuit WI Service Feeder $5.00 i
3ca ct Circuit WIC cow,;,- - eda $74 00 i
Each Additional Branch Circuit i5.00 $
Branch^Circuits 1-4 $86.00 $
Temp.SenacelFeeder 200 Amp. $102.00
Tend.Serrice/Faeder 201-400 Amp. $121.00 L_ $ 121.04
Temp.SeriicelFeeder 401-500 Amp. $164.00 $
Temp.Serrice/Fseder301-1000Amp. i185,00 $ .
Portal to Portal Niourfy $96.9t3 $
Sigr/Outline Ughting $88.00 $
Signal CircuitRamited Energy-t+Rultt-Famdy $88.00 S
Signal CircuiVUmited Energy/Fwst 15M at-Commercial $96.0Q
(Note:$5.00 far each additiortai 15M�#,
Renewable Elec.Energy:5iC/A Sysbert5 or lass $113A0 $
Thermostat{Note:$5-or each additional} $56-00 3
$223.00 TOTAL
Owner as dafined by RCW.19.28261_(1)Owner wig occupy the shirt ire for two years attar this electrical permitts Rnwized.(Z)Owner is
required to hire an electrical contractor if above said property is for sate,rent or:ease.Permit expires aitsr six months of tact inspection.
After,eading the above statement;t hereby cer*that i am the owner of the above named property or a licensed siectric;w contractor l
am making the eiectricai ins aliafion or of erallon at eompiiance with the electrical laws.NZC.,2CW.Chapter 19.28,WAG. r 296-
468,T'te City of PortAngefes Municipal;ode,and UNty and PX%AC 14.05.W0 regarding Electrigd Permit,Applicatims.
8i5i20 Rich Henry_ —�`
Sre(0Ow ContratorJAdinfstg Prn Name ator)
lectrical Permit Applications may be submitted to CGty Hall or epermits@cityafpa.us or faxed to 360.417.47111