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HomeMy WebLinkAbout404 Eclipse Ind Pkwy - Building 03/12/2014 17:05 FAX 360 452 9265 Anseles Electric 100001/0001 i i CITY OF PORT ANGELES PERIVIIT APPLICATION RECEIVED Building Division/Electrical Inspections Vi 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington, Ph: (360)417-4735 Fax:(360)417-4711 Date. 3/a / QXrRICAL _Multi- amily or Commercial" Commercial Addition 1 Alteratlon 1 Remodel 1 epair" "Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet c� n Job Address:_---- - --_ / 9Gl/5CLDtRS777bQt, TKw+/ aY < Building Square Footage: Description of above f,vfl 1:n _ ✓b� Ownerinf rmation Contractorilnform0on Narmn r3 r Name: _A Malling Address: McHI Ad s: 6-91f -- City: State:—4d&Zip: City: lot r State, WA4-- ZI ; Phone: :c�3 y1 Fax: Phone:4K2— 1QA. License#/Exp. License#1 Exp. Item Unit Chacgg Qyt Total(Qty Multiolied_by Unit Charnel ServicelFeeder 200Amp. $132,00 $ ServicelFeeder 201400 Amp. $160.00 $ Service/Feeder 401-600 Amp $225,00 $ Service/Feeder 601-1000 Amp. $288,00 $ ServicelFeeder over 1000 Amp. $410.00 $ Branch Circuits 1A $ 800 Branch Circuit W!Service Feeder $ 5.00 $ f Branch Circuit W/O Service Feeder $ 74.00 $ I Each Additional Branch Circuit $ 5.00 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201.400 Amp. $121.00 $ Temp.ServiceJFeeder 401-600 Amp: $164.00 $ Temp,ServicelFeeder 601-1000 Amp. $185,00 $ Portal to Portal Hourly $ 96.00 $ 5ignlOu0ine Lighting $ 88.00 $ Signal Circuitr Umiled Energy—Multi-Family $ 64.00 $ Signal Circuit/Umited Energy/First 1500 sf—Commercial' $ 96.00 $ Note: $5,00 for each additional 1500 si Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ $ _ATotal 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 9 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 296.4613,The City of Port Angeles.Munlcipall Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Pe it Applications. Signature of owner,electrical contractor or electrical administrator: ❑ © check croda card# anted; 3 a�ret►za�z i ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . , . . 14-00000303 Date 3/13/14 Application pin number , , . 439071 Property Address . . , . . . 404 ECLIPSE IND PKWY REPORT SALES TAX ASSESSOR PARCEL NUMBER, 06-30-IB-1-1-0000-0000- AppliCation type description ELECTRICAL ONLY on your excise fax form Subdivision Name , , , , , , to the City of Port Angeles Property Use Property Zoning , , , , . , , UNKNCWN (Location Code 0502) Application valuation , . , 0 ---------------------------------------------------------------------------- Application desc Lighting and power Owner Contractor ------------------------ ------------------------ BLUE MOUNTAIN LEASING ANGELES ELECTRIC 2095 BLUR MOUNTAIN RD 524 E. 1ST ST. PORT ANGELES WA 983629203 PORT ANGELES WA 9836'2 (360) 452-9264 -- - ------- ;-1---- --------------------- ---------- --- -- -- -- -- -- -- Permit ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 50.00 Plan Check Fee 00 `' Issue Date , , , 3/13/14 valuation 0 -Expiration pate . 9/09/14 Qty Unit Charge Per Extension A BASE PER 86.00 __. ______________________________ _----------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---- ---- --- ----------. ---------- ---------- Permit Fee Total 86,00 86.00 .00 Do n Plan Check Total 00 ,OD .00 .D0 V Grand Total .86.00 86.00 00 DO ' V INSPECTION TYPE DATE: RESULTS: 1SPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDrNG ip COUNTY OR MUNICIPALITY WASHINGTON STATE DEPARTMENT OF APPROVAL FOR Natural Resources Nat SURFACE MINING (Form SM -6) NAME OF COMPANY OR INDIVIDUAL APPLICANT(S) TOTAL ACREAGE AND DEPTH OF PERMIT AREA Same as name of the exploration permit holder. (Type or print in ink.) (Include all acreage to be disturbed by mining, setbacks, and buffers. and associated activities during the life of the mine.) (See SIN-SA.) Jonathan Shotwell Total area disturbed will be 3 acres Maximum vertical depth below pre- mining topographic grade is —27 feet Maximum depth of excavated mine floor is 521 feet relative to mean sea level COUNTY Clallam MAILING ADDRESS No attachments will be accepted. Legal description of permit area P.O. Box 2081 1/4 1/4 Section Township Range Port Angeles, Washington 98362 18 30N 06W i e g Telephone Proposed subsequent use of site upon completion of reclamation Storm water detention and infiltration Signature of company representative or individual applicant(s) Name and title of company representative (please print) Date signed Zenovic Associates Inc. TO BE COMPLETED BY THE APPROPRIATE COUNTY OR MUNICIPALITY: Please answer the following questions 'yes' or 'no'. Yes No 1. Has the proposed surface mine been approved under local zoning and land use regulations? t j 2. Is the proposed subsequent use of the land after reclamation consistent with the local land -use plan /designation? /'Jr�sf i, Zcr stric.. 1 Y'cL f�,� i. permi1tc. 1 U When complete, return this form to the appropriate Department of Natural Resources regional office. C_0,U Name of planning director administrative official jjfease print) Address Q r --c. Signature a 3 4,, a Title (please print) M a (1. 0 y r Telephone Date DNR Reclamation Permit No. 'lie 1 !/7) /91 /2 /2._ FOR DEPARTMENT USE ONLY: County or Municipality Approval (SM-6) Revised 1/01 Sue Roberds From: Steve Zenovic [steve @zenovic.net] Sent: Friday, December 21, 2012 3:11 PM To: Sue Roberds Subject: RE: Shotwell Sue Yes, primarily log yard debris processing (screening, sorting, reuse) and inert soil disposal on the south parcel The final grading is intended to create ponds that will provide appropriate management of storm water runoff from the processing site. On the north parcel, general industrial uses such as log storage, metal recycling, and bulk fuel (LP gas) storage and distribution are proposed. Again, the pond is intended to provide storm water management for any of the proposed uses. Let me know if you have any other questions. Thanks for your help. Steve From: Sue Roberds [mailto:Sroberds@ cityofpa.us] Sent: Friday, December 21, 2012 2:58 PM To: Steve Zenovic Subject: Shotwell Steve can you provide a brief description of use of the /and after reclamation" so that I can correctly respond to question #2) on the DNR paperwork? I assume it is more of the same, that is, industrial waste handling, but I should not assume. Thanks, Sue 1 D yy 0 92 A� Z D 2 0 a^ v ui o S P,"-$ wee j to r �iR a /4 T t �1 ee 5 lo r I I v. J 7l s p i i l i v 7 'L w 1I II I 1 Il r I 1U r 1 rv'�� II 01 'II 1 z °vm 11,11 /b P ��ih(f )t 1 11Id I� ,Iii yUl .1 �i 11: :1- �mI�id r��R W /1 11 e—f-ir J I IiI INII I {I 1 �j i /i r I 1 I V� I III 11 I i1 1 I II V�� I 111 It. 1ad 1 �ti 1 I �y I `i( j1 ���v1� I j��i{ e_JI I� it 1� 1 k II I r i �1 m o a 1 r r WW ny4i i g D u� A 7 I S i r ii l: \:),,-,,:q a L, I Y Id gain r 'IN la R;2 0 NF qm al I I 1 i .2 2 82 p S I I O Om F� y I I DO DO Dm�ll 4 I Z'f 3-- g 7 I A u o 1 1 u I o E C 51 !I I v g 8 a m of 1 N is ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 12- 00000006 Date 1/05/12 Application pin number 788508 Property Address 404 ECLIPSE IND PKWY REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 18 -1 -1- 0000 -0000- On your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning UNKNOWN Application valuation 0 Application desc 200 amp feeder Owner Contractor BLUE MOUNTAIN LEASING ANGELES ELECTRIC 2095 BLUE MOUNTAIN RD 524 E. 1ST ST. PORT ANGELES WA 983629203 PORT ANGELES WA 98362 (360) 452-9264 L1 97-1oS Permit ELECTRICAL ALTER COMMERCIAL Additional desc O Permit Fee 132.00 Plan Check Fee .00 Issue Date 1/05/12 Valuation 0 Expiration Date 7/03/12 Qty Unit Charge Per Extension 1.00 132.0000 ECH EL -COM 0 -200 SRV FEEDER 132.00 n Fee summary Charged Paid Credited Due 1" Permit Fee Total 132.00 132.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 132.00 132.00 .00 .00 a INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN J la FINAL 1114:1.- COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING OF pOR7AN ELECTRICAL INSPECTION WIRING REPORT NMI/ 417 -4735 C O RKS 2 DATE PERMIT INSPECTOR DATE. it -li2D OWNERR ONTR ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: Y A L IS V1 `p' L.LT S�zc.z� [QC. t'R u 4 re, tz, 1 \1P. 11bi3 Yi S1E- rg:r_v ro c&A-P i\-) e. %lb o3 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 01/04/2012 13:56 FAX 360 452 9265 Angeles Electric a0001,0001 ECEVE I ...1-AN 4 2011 citY-P.f19rtAnielOs PirmItAppficatIon iiiiiligniti*IiiinektititinipictiellS A.21 Ilial:. feWitOtOltke 1150 'ELECTRICAL 4 (4161401410 9 '.......:,:pooki09.Noixe SNI PECTIONS r Orr (to )4 g 4174711 Dale:: /2 I &•2 SinglO fumItytnyollng 7or .CdiiHrhercla? flithercialgtflo Alteration 1 Remodel Repair Plan May lie Required Please Complete Bectrkal Plan Review Infortrialion Sheet 11 0b•Adelte3S: ce P --I-(1°Sg -re* t4 BiilldlitSciilarer-ootage: CetaiDig- i .::.....)DOiriptIon 01.0i4e R ziki eiitAtit rk bi.emp rr;. r1,-.r.r L NO*: 1' i Name: .4•4 /Cite. •••:-MorloAddriss I Zr,•11111715P•7r21e17^.411:4- Ma Mikees; ..5 "...tomer ST--12.r, ,0 lig (A- stat d B:i.tE_ Zip: Cltr Stotc .41i2C_ ZIP 1 ..p/tone_Fatt Phone: AAC2--12.. V Piz aftrz i':..Llaeriiiit I Exp Lkerse Oi Exii ,*1441-.E.r vio AN I 6IT Total 10tv Muffiallpd by IP* Charael 10'; —..1-...;, 4._11. 8etvicereeder.200Mni. 4145i0 SendoeFooder 201400 AirO. 1204.60 1 SeN1ce/Faader401 424220 StivicefFeeder 6014000 Arne. ....4 372.60 Service/Feeder Or 1000 Nap. too 8 Blanch ClictitiS7 Sante Feeder r .43 S &ankh Chtult WIO Sok. Feeder ...L.-. 2.10 Each AddlImul OriMati Chat '.:4... 8 2_ Temp. Send:4 nadir 200 Arne Toro. derstomfied0201400 Arra). .114830 2—. Temp. Sirvise/Forier401/00.ArrO• Try. eirviordFe$4110,140C0 Amp. •4'45,90 Portal to Para/4N* '2240 2— atob WIN 1 9530 1310not Chaff Mutt berry Cominamiat. Addlemm11600 22.00 L..._—_,.. 800 Chisal Wilted Eitorgy. 1 2 Family Nang L.." 8 .11,00 VFW CattIV,UalletEnny MAgemby Deans .4 0910 2— thnetschAditormiOttirektivi r. ......1---- 1 .•:1 '9140 •_2____ 1 Ransiabls aserlill Ems* 21tvd slob= or Low ...„•1110:30 2 Ft* 1XO Imam a 4;:35.20 Ea* Addicaol MO $quara frt. or Polon of '1 7310 Each Oulteddln# cc Ceded Osage ,..,....ta Each liafardddirdf!OrotToP Thermostat 2............____,Tebil i., 4 i 32_ 7.. ...OWnHiris- dOn (1) Ovifiel rig OCOUP, et. ablictur. fqr AR Pao leer OW 'IWO* Pandas finalised la arty rrifdlifrito man e iggiligii Gan traelW 8 ..i'botfiutOitipilk# /*Ill of kap: firAllt 11,111111afbrat MOROI 011tIthapdbit ..,.•1 &boys ammo% I hereby ceolfy that! am the owner of the OM named properly ors Eolnsod eleotakel amtrachx. I am. fill; the olootdoldireond. on or :.•7ittifilfoklateit~itheeleatiktillairs, MEC, RCW. Chapter illerwA.C. choe,$$$446, The ow 'ef.Port Angeles litintelpal Dcua .i.$1ite item :of teener; elooldeal cootrador or elect:1W administrator Cloak 6•.•."___ l°2- mv .i cam Ovi/ *4 1 i i i ELECTRICAL PERMIT r a CITY OF PORT ANGELES 360- 417 -4735 Application Number 11- 00001120 Date 10 /11 /11 N Application pin number 439520 REPORT SALES TAX d Property Address 404 ECLIPSE IND PKWY ELEC2 ASSESSOR PARCEL NUMBER: 06- 30- 18 -1 -1 -0000 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning. INDUSTRIAL HEAVY Application valuation 0 Application desc. 125 amp feeder from shop to office. Owner Contractor BLUE MOUNTAIN LEASING ANGELES ELECTRIC 2095 BLUE MOUNTAIN RD 524 E. 1ST ST. PORT ANGELES WA 983629203 PORT ANGELES WA 98362 (360) 452 -9264 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 194167 Permit Fee 119.90 Plan Check Fee .00 Issue Date 10 /10 /11 Valuation 0 Expiration Date 4/07/12 Qty Unit Charge Per Extension .00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER .00 g 41‘ 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Fee summary Charged Paid Credited Due 1r Permit Fee Total 119.90 119.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 119.90 119.90 .00 .00 C l. INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH `ti I O t Z I 'A 66 1 SERVICE ROUGH -IN I( `K A I FINAL r a j i Z- I '3 C OMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BU1LDING ELECTRICAL PERMIT 2 t CITY OF PORT ANGELES 360- 417 -4735 Application Number 11- 00001120 Date 10 /10 /11 Application pin number 439520 REPORT SALES TAX Property Address 404 ECLIPSE IND PKWY ELEC2 our excise tax form ASSESSOR PARCEL NUMBER: 06- 30- 18 -1 -1- 0000 -0000- on Y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning INDUSTRIAL HEAVY Application valuation 0 Application desc 125 amp feeder from shop to office. Owner Contractor BLUE MOUNTAIN LEASING ANGELES ELECTRIC 2095 BLUE MOUNTAIN RD 524 E. 1ST ST. PORT ANGELES WA 983629203 PORT ANGELES WA 98362 (360) 452 -9264 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 194167 Permit Fee 73.50 Plan Check Fee .00 Issue Date 10 /10 /11 Valuation 0 Expiration Date 4/07/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 Fee summary Charged Paid redited Due Permit Fee Total 73.50 73 0 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 .73.50 .00 .00 0 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH O `l II We a SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 10/06/2011 15:56 FAX 360 452 9265 Angeles Electric Z0001/0001 h a a RECEVELI .,,ty• OtPortAngeles Palmit Application OCT 7 2011 toff .4.41, •BLindllitiOifikingliitOdinIPSOOni r3 ...3211istInthiliiiii4P.0.111c 1150 ELECTRICAL ..A 041041;iii 0 'POrtmie*W____a01410.40/3112 INSPECTIONS i ?irtlisoptirmsF 4174711 Date: 19 .,...1&; SINIO Ffil*Affliba .1. -gi M Or COMMOICIar minemitil Addition Alteration Remmiet 1 Repair Ran Reviww May lie Required, Please Complete Electrical Plan Review informal* Sheet 1 JOb Address: V A -44 6148 Banding Sou are Fvotage: D:150100n 01 ebOvii ig_'.Z. A a1,.,;,, et_ Ai i a.....1.4....L, a .......i A I I .11 r''!`.!,. rins i',• Name: Name: 44/1641.0.8 f -evee 4 '...meiling Agnew: .A' ...f... MallingAddrees: .524' fryie-cr Sr My: r/t State: Adol A City 44.141.418 State Am- Zip: fl 2%L Phone: Fax Phone:, Ms 4' FOX 4 .UCIASEC# 1 Exp. License 0 gxp 4 1 ief.a OS linlitbertie At „..4_otal I Otv Multiplied bv Unit Mame) 11920 147" Senrce/Feeder 200 Amp. 4s.50 1 Service/Feeder 201400 Amp. 4204.60 Service/Feeder 401-600 Amp. .1262.20 1 Senerat/Fredw 801-1000 Arre. .3 372.60 8 ServietWeede aver 1000 Amp. 2.60 Branch Clreuttiff Senice Feeder 73.50 1 Branch Groat Wi0 SerAce Feedw 2.60 Eadi Addalene latch Orate S. 02.70 Trip. SaMii Flair 200 kr.. 1.110.$0 1 limp 13enicaf s' 201400 Arto. .1 145.70 Temp. lienrkefeeder.401100 Mg. Teas. Sentsfeeder 10140X Amp. 95:90 1 Pored to Porlditautti 85.20 $ Sign/Odin. Lighting 9510 i 99n Matt/ UMW Energy -Ccarnerciakkkleans11503 $4.00 Signal Circlet/ anted Energy 1 32 Freda Deena Opel Made Lkalted•Enefp -1441fanly Dearing 119.90 Menutrabiredliane Carirealon I 10220 Mamba Ektelficel Seaga 6KVA System or Less .1 II 0:30 Feet 1300 equate Ft *3520 8 Each AddliandeXo &pan FL cr Potion ei 1 73.50 Eath Outbuiding et Dached Gasp 30;-..... .r.........• ankgrOSectealua e__; Thaaastat Toed ftnarasdannad bi RCii f Mai: (V ewer will amaPY th• liftmen tarb.svivamafterMia sharks! penah finallnd. p) Orme is nmdid to AA. an stsdrkel contractor II abeivaskritialiaiti **Mk Rater ham Peng explmo Outfit months et lastinspetlem 00110dIng the alas **aft I by osdify that I am the owner eta above awned property ore lamed deetticd weenier. I am rel: the electrIcWhateutwe Of Wittaidailit !Weill**. et) the electricellaws, tLEC, RCN. Chapter 19.2s,WAC. ChePter sows, The Gear Of Port Angeles Munal Code, -Mealtime ot owner,electitel contractor or electrical adminietrator CI Cots 1 4, ,404 a) r'''redit Card/ OA '10 I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Service 500 amp to feed 4 60 hp motors Owner BLUE MOUNTAIN LEASING 2095 BLUE MOUNTAIN RD PORT ANGELES WA 983629203 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000037 713802 404 ECLIPSE IND PKWY 06 30 18 1 1 0000 0000 ELECTRICAL ONLY UNKNOWN 0 Contractor ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 ELECTRICAL ALTER COMMERCIAL 140152 160 00 1/13/09 7/12/09 Qty Unit Charge Per 1 00 160 0000 ECH EL 401 600 SRV FEEDER Charged Paid Credited 160 00 160 00 00 00 00 00 60 00 160 00 00 DATE Plan Check Fee Valuation Date 1/13/09 RESULTS fiv WA 98362 Due 00 00 00 00 0 Extension 160 00 Signature of owner or Electrical Contractor X Date INSPECTOR. 1AP 14 ,1 01/12/2009 17 17 FAX 360 452 9265 Angeles Electric X City of Port Angeles Permit Application Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 96362 Ph: (360) 417.4735 Fax: (360)417.4711 Date: 1 2 Single Family Dwelling Mylti- Family or Commercial* ✓Commercial Addition Alteration I Remodel Repair' Plan Review May Be Required, Please Coy�lete Electrical Plan Review Information Sheet Job Address: Ce/V netA, 'joY' i tlls Building Square Footage: Des lion of above Unit Charoe 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 9Y ,D s& Ae xfst via �,/►�il: x .p f lit( 3# ZWIrraili RECEIVED JAN 13 2009 UMW DEPT Owner information Contractor Information Name: _Ft✓i✓ 16* Name: Mailin d ss: /tD Mailing ddress: City g State: Zip: City g /4 State: Phone: :AUAa Phone: 4T2 License Exp. License Exp. Signature of owner, electrical contractor or electrical administrator Date: 000 Total (car Multiplied by Unit Charm) Servic e/Feeder 200 Amp. sa Service/Feeder 201 -400 Amp. /46 Service/Feeder 401.600 Amp. Service/Feeder 601 1000 Amp. ServicelFeeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit 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 Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Total Q0001/0001 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. After reading the above statement, I hereby certify that 1 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. Application Number Application pin number" Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Construct truck wash d,wn /Oil Owner BLUE MOUNTAIN LEASING 2095 BLUE MOUNTAIN RD 1 PORT ANGELES WA 983629203 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 1 00 Unit Charge 55 0000 120 0000 Permit Fee Total Plan Check Total Grand Total T•\Policies \1102.15R 1/05] PW ENGINEERING REVIEW STORM 135665 1300 00 1'0/03/08 '4/01/09 Charge Per 1349 175 00 10 4/01/09 Per EA EA 475 00 00 475.00 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 32] EAST 5TH STREET PORT ANGELES, WA 98362 08 00001204 004208 404 ECLIPSE'IND PKWY 06 30 18 1 1 0000 0000 PUBLIC WORKS UTILITES UNKNOWN 0 water BASE FEE Signature of Contractor or Authorized Agent Paid separrator ll SANITARY SEWER HOOK UP 475 00 00 475 00 Contractor STORM DRAIN C/B SAN SEW ADD DIR CON R J SERVICES INC 514 IRVING JACOBS RD PORT ANGELES WA PORT ANGELES (360) 457 1420 Plan Check Fee Valuation Plan Check Fee Valuation Special Notes and Comments Plans reviewed under Chapter 5 Stormwater Urban Services Standards and Guidelines! Modification to owners on site permits with DOE may be required Fee summary Charged Credited 00 00 00 Date Date 10/03/08 WA 98362 Due Extension 300 00 00 00 00 00 0 00 0 Extension 55 00 120 00 Separat and void i f work required for a euthor work, s not Shoreine, ESA, within 1 utilities, 0 days if construct on or work is suspended or abandoned null and void 1 work yr after the the wo rk k as co the last for a period of 180 days after work as commenced or if required; application a nd know the not same to be an cor e days All pro isions of inspection I hereby certify that I have read and examined this app paws e din governing this type work will be e of any whether local al law h regulating construction or the performance of presume to e to give a authority to violate or cancel ncel the provisions con ucti.n. Signature of Owner (if owner is builder) Date PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE FA.9Mpt mimmum 24 HOUR NOTICE. IT IS UNLAWFUL TO COVE* INSULATE OR CONCEAL AN Y:WOR C BEFOREINSPECTEIYANi) ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMITCARD AND APPROVED PLANS,AT JOB SITE PW UTILITIES (EngineeringrDivision) WATERLINE /.METER SEWER:CONNECTION SANITARY STORM SITE DRAINAGE CURD& GUTTER TAPoliciell.02 1 L. t 312.i1/8j INSPECTION TYPE DATE ACCEPTED COMMENTS -SITE.EROSION 00 PARKING! L'sW%i tZ DRIVEWAY' APPROACH rDACICPLOWDEOCE- 417-481 YES NO I 4. r. FIRE S" 4174653' rl 1 r r 4 1 L: S r kig1DEICii1'AV iiiiioi- iE N 'Cogiviiii: ---ATE- t. *ig:;,1i..;:ii .4'4, r .L.t4J 'V r .1 t -t, "....t, 1 `-'3 ,N 'r". A..rfr r., ''r kCONSTRUCTICiNiRAW-/S :,<,..,z, CON'tki.r abbii. -RM. ENGINEERING 417-.48( PW'/ ENGINEERING' TLANNING..DEPT. 417-4750 1 'PLANNING DEPT .1 FIRE DEPT. I BUILDING 1 ;I t. 4 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner BLUE MOUNTAIN LEASING 2095 BLUE MOUNTAIN RD PORT ANGELES WA 983629203 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Fee summary COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION ;21 EAST 5TH STREET PORT ANGELES, WA 98362 05 00001275 017325 404 ECLIPSE IND PKWY 06 30 18 1 1 0000 0000 ELECTRICAL ONLY UNKNOWN 0 Contractor ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 ELECTRICAL ALTER COMMERCIAL ANGELES/ 800A FEEDER 67827 ANGELES ELECTRIC 277 70 Plan Check Fee 1/06/06 Valuation 7/05/06 Date 1/06/06 WA 98362 00 0 Qty Unit Charge Per Extension 1 00 277 7000 ECH EL COM ALT 601 1000 SRV FDR 277 70 Char Paid Credited Due Permit Fee Total 2 77 70 277 70 00 00 Plan Check Total I 00 00 00 00 Grand Total 277 70 277 00 00 DITCH ROUGH -IN /COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO I1 /A' D6 1 ELI 1 1 1 1 1 1 1 1 1 COMMENTS PW- 1102.1514 96J DATE PERMIT INSPECTOR �12� o --2:73 OWNER/CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT 417 -4735 ADDRESS 1 4b 1-1 spsA ►4 APPROVED DITCH ROUGH IN /COVER SERVICE FINAL NOT APPROVED 0 0 CORRECTIONS NEEDED _6'r US 's L F YI L t 1 -1 t 12 T)c N4. c- 34 o 36 P 191.1 'Tv Q c r.13'rPrL- 1 GJ w► rtal C,1,1Zw_ 0_4" 1 An g Di Sr's`C' i /Off ilD„ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC, (360) 452 -1381 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 61'oRKS y� /z&/ DATE PERMIT INSPECTOR k /0 -627 4 OWN R ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: 4 arc 1 )M V S) N 1�G /10. 1 2 pr (..5 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE h L C u(QNS at{ e N UR��f�� ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATE PERMIT INSPECTO G /0-0`7 3 OW■ER /CONTRACTOR it t c y5 a %.z..4s 1 fz( ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL •CQ,CRECTIONS NEEDED Ll S I) p EauiFri-o-rr ��U IF& 1 ?s TR n AWD 1 r°<<u) 2 DR TN A )0 tgLwDre-D 11.4 -nK K gc, ILO 3 /�rLtS I.UFtL ).1 a ignJ 1V thjl• g-60i) yz,1*. to Ps cZn L e61 -5r1 'F)4 (SP/ 7 n-i Or4 I irJ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 11(3/29/2010) Trent Peppard L &I Questionnaire -2009 from Angeles Electric, Inc. From 'Ken Simpson ksimpson @olympus net> To <julie leet @intertek.com> <melissa.arnell intertek.com> Date 3/29/2010 1 52 PM Subject: L &I Questionnaire -2009 from Angeles Electric, Inc. CC 'Trent Peppard' Tpeppard @cityofpa.us> Field Evaluation Questionnaire Please return to the Attention of Melissa Arnell By Email to melissa.arnell @intertek.com By Fax to 503 626 -7328 GENERAL PRODUCT INFORMATION Test Standard (If Known) Product Name Superior StackerManufacturer Superior IndustriesProduct Description Moveable vertical conveyor for wood chipsSerial Number 7651 Model Number 42x130 TS 07Approximate Dimensions 42' high by 130' IongNumber of Devices to Test Are they identical? Manufactured in what Country USAIs Product New or Used? New in 2007Proposed evaluation Date April 1 2010 PRODUCT RATING INFORMATION Electrical Ratings (V Hz, A) 480 -volt, 60 Hz, 200- ampsls the Product Cord Connected? Hardwired with some cable to allow for movementls product(s) installed in a classified location? (i e Class I or II /Div 1,2)No AUTHORITY HAVING JURISDICTION (AHJ) INFORMATION Have product(s) been found Non Compliant By Jurisdictional Authority /Inspector? (y /n)Non listed as determined by City of Port Angeles Electrical Inspector Trent Peppard Name and Phone of AHJTrent Peppard 360- 417 -4735 office, 360- 808 -2613 cell Tpeppard @cityofpa.us In order to process the quotation for your Field Evaluation Project, please answer the following questions as completely as possible Your quotation will be sent within 24 hours of receipt of the completed questionnaire CUSTOMER INFORMATION EQUIPMENT LOCATION (If Different) Company NameAngeles Electric, IncCompany NameEvergreen Fibre Inc.Address524 E. First StAddress404 Eclipse Industrial ParkwaySuite /Bldg Suite /Bldg Address (C /S /Z)Port Angeles WA 98362Address (C /S /Z)Port Angeles WA 98363Contact Name Ken SimpsonContact Name Mike HermannPhone 360- 452 -9264 461 1764Phone 360 -452 2670 460- 1512Fax:360 -452 -9265 Fax: Email to send Report to ksimpson @olympus net, Tpeppard @cityofpa us Page 1 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 10 00000273 Application pin number 827152 Property Address 404 ECLIPSE IND PKWY ASSESSOR PARCEL NUMBER 06 30 18 1 1 0000 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Extend feeder 2 circuits for lighting Owner Contractor BLUE MOUNTAIN LEASING 2095 BLUE MOUNTAIN RD PORT ANGELES WA 983629203 ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 Qty Unit Charge Per 1 00 119 9000 ECH EL 0 200 SRV FEEDER Fee summary Charged Paid Credited Due INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS DATE Date 3/22/10 WA 98362 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 162628 Permit Fee 119 90 Plan Check Fee 00 Issue Date 3/22/10 Valuation 0 Expiration Date 9/18/10 Permit Fee Total 119 90 119 90 00 00 Plan Check Total 00 00 00 00. Grand Total 119 90 119 90 00 00 Extension 119 90 RESULTS INSPECTOR. G(15/10 21)/ll `J 1 a:Rut knit 414 d Signature of owner or Electrical Contractor X Date 0 Q x 03/19/2010 09 02 FAX 360 452 9265 Angeles Electric Q30001/0002 16% City of Port Angeles Permit Application Building DivhbnIElectrial Inspections 321 East Fifth Street —P.O. Box 1150 Pod Angeles Washington, 98362 Ph: (360)417-4735 F :.(360) 417 -0711 Date: -,f z) 1 2 Single Family Dwelling Famtiy or Commercial' _ComMercial Addition Alteration Remodel Repair Plan Review May Be Req,_PJease C m ete Ele Job Address: Building Square Footage: Description of above 1AJ."Th I 6.I14-1Tl!'1 (p M SDPUtM twrteflrifri on 'Name: Mailing •cress: 410Y i City $fat Phone: 4 r7 License I Exp. Unit Charne 119.90 $145.50 204.80 262.20 372.50 S 2.60 73.50 2.80 92.70 $110.30 1 148.70 $167.90 95.90 88.20 95.90 63.90 63.90 $119.90 $102.30 $110.30 S. 35.20 73.50 10,30 56:00 Ian Review Information eet RECENED MAR 19 2009 ELECTRICAL INSPECTIONS s C ctor f rmation Name: O ..le's" ry Mailing Add T City: �'r State: /4. Phone: Z^11�6 ax: 757 ?ah License CEP. Exp. 41 4. QQ1 otal Qty Multiplied by Unit Charge} SeMoeFeeder 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 WIO Service Feeder 'L Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201400 Amp. Temp. Service/Feeder 401400 Amp. Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly Sign/OuBne Lighting Signal Circuit/ Limned Energy Commercial. Additional 1500 $5.00 Signal Circuil/ Limited Energy 18 2 Family Dwelling Signal Circuit Limited Energy Multi•Famiy Dwelling Manufactured Home Connection Renewable Electrical Energy SKVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each SwimmiigPONor Hot Tub Thermostat Total Ef edit Card Si Piro Owner as defined by RCW.19 28.281: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner Is required to hire an electrical contractor H above saki property is for sale, rent or Mass. 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 properly or a licensed electrical contractor. I am making the electrical installation or 'bonbon In compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296-4613, The City of Port Angeles Municipal Cods, and Utility Specinattons. Signature of owner, electrical contractor or electrical administrator Cash Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation 08-00001370 Date 10/29/08 592550 404 ECLIPSE IND PKWY 06-30-18-1-1-0000-0000- ELECTRICAL ONLY UNKNOWN o Application desc 1000 amp service chipper Owner Contractor BLUE MOUNTAIN LEASING 2095 BLUE MOUNTAIN RD PORT ANGELES WA 983629203 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 137083 Permit Fee 264.00 Plan Check Fee Issue Date 1 0/29/0 8 Valuation Expiration Date 4/27/09 .00 o J:.. Of .L Qty 1. 00 Unit Charge Per 264.0000 ECH EL-COM ALT 601-1000 SRV FDR Extension 264.00 ~ ~ ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 264.00 264.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 264.00 264.00 .00 .00 Z- "C? .-<J l' (... -(. ~ ~ .. ..-- SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00001293 Date 10/09/08 049994 404 ECLIPSE IND PKWY 06-30-18-1-1-0000-0000- ELECTRICAL ONLY UNKNOWN o Application desc Shop Wash bay Owner Contractor BLUE MOUNTAIN LEASING 2095 BLUE MOUNTAIN RD PORT ANGELES WA 983629203 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 -L. o -L Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 136127 Permit Fee 58.00 Plan Check Fee Issue Date 10/09/08 Valuation Expiration Date 4/07/09 .00 o Qty 1. 00 Unit Charge Per 58.0000 ECH EL-COMM ALT <5 CIRCUITS Extension 58.00 t: c i(f ~ ~ Fee summary Charged Paid Credited Due -------- ----~--- ---------- ---------- --~------- ---------- Permit Fee Total 58.00 58.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 58.00 58.00 .00 .00 ~ 7. 'CJ . ~ ~ ""',"'1" -. SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL c1o/ OMMENTS: ,-~ '~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DTVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 9R~62 Application Number Application pin number '. Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000708 Date 945856 404 ECLIPSE IND PKWY 06-30-18-1-1-0000-0000- ELECTRICAL ONLY 6/18/07 UNKNOWN o / Owner Contractor BLUE MOUNTAIN LEASING 2095 BLUE MOUNTAIN RD PORT ANGELES WA 983629203 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL ANGELES/ SERVICE TO HY PUMP 104695 ANGELES ELECTRIC 175.00 plan Check Fee 6/18/07 valuation 12/15/07 .00 o ~ ~ ~ Qty 1. 00 Unit Charge Per 175.0000 ECH EL-COM 201-400 NEW SRV FEEDER Extension 175.00 \'\\ (\ \' " & ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 175.00 175.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 175.00 175.00 .00 .00 ...... ~ \) ~. If'I ~ t COMMENT-SfACTlON NEEDED J .f") ELECfmCAL PERMIT INSPECTION RECORD . . "\' CALL 417-4735 FOR ELECTRICAL INSPECTIONS. 'PLEASE PROVIDE A MINIMUM 24 HOUR NQTICE. IT IS UNLA WFUL TO COVER. INSl!f:::.4]:~~.~8,~C!'iCEAL ANY WORiBEFORE rtIS INSPECTED AND ACCEPTED. ".-. .A,. - ":~. ~"<',,:" ":'~" .~,~:;;...:.- . ," ~.:.,v\ ~(?~f~i*~~:..r:>!>li~, < !'.:" ~. .,-;';; ':;\.':'~L, "::". ~. ';~' '. .:""-!. :'.:.r.. . "'~ ...... -"ro~.,_~, KEEP PERMIT CARD'AND APPROVED'pLANS AT JOB SITE . lNSPKCTION TYPE DATE COMMENTS NO ,'....: " . .,!' ",' '. ,:::~ 1: .:'" . . . . . ....GE;NE~ COJ\iME)IIT$: . .'" ~~-~.... :~:'l' I..' "~"n. ':.:'. ' ,~ . . -2.; .i~~~~g~'\~~,'" - .,,;.,.,,": ,'-"'" : ',A-' . ~, .:, ";):'\;-.'{'if;..;<i,: &'':~;::\ .;;:-:i;; ':~ :~;{, :: . pw:II117,1 5 (4196] "." "';-''i~.''. -~~~~. ',,:,i!"~}~~~;}~;j::~;t:.. ' :. !'1~';:-::;::;~'~" . .'.... ,:.,~.... .~ . ,;' ., . ~. ~,~:- . . '~ ~ CITY OF PORT ANGELES . PUBLIC WORKS - ELECTRICAL DIVISION J21 EAST 5TH STREET. PORT ANGELES. WA 98362 Appllcatlon Number Application pin number Property Address ASSESSOR PARCEL NUMBER; Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000137 Date 347188 404 ECLIPSE IND PKWY 06-30-18-1-1-0000-0000- ELECTRICAL ONLY 2/13/07 UNKNOWN o Owner Contractor BLUE'MOUNTAIN LEASING 2095 BLUE MOUNTAIN RD PORT ANGELES WA 983629203 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL ANG.EL./ 1000A SVC 94938 ANGELES ELECTRIC 322.00 Plan Check Fee 2/13/U7 Valuation 8/12/07 .00 o ~ ~. Qty 1. 00 unit Charge Per 322.0000 ECH EL-COM 801-1000 NEW SRV FEEDER Extension 322.00 ~\ \J \' '" 0{ ~~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 322.00 322.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 322.00 322.00 .00 .00 '-.... ? -........... D ~ ~ ~ U COMMENTS/ACTION NEEDED ELECI'RICAL PERMIT INSPECfIONRECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE COMMENTS INSPECTION TYPE GENERAL COMMENTS: NO " ......". ~:",...,.~~ PW-II02.U 14'96/ Job wired by S" G' ~ ~1 -.;;;'" ELECTRICAL \VORK PERMIT APPLlCAT10i'i 08~1370 DOwner Electrical contractor Dame: License number Date 'Expires o New o Re.!~idential ~AdditiUIl d6 I Purchaser's mailing address ,ONCEI E<; ,I ,rTRir INt. 524 EAST FIRST PORT ANr;FI FS WA 98362 State ZIP ,4t7UQ> /~t)*'1 ,Si5 - Telephone number FAX number \.N -l 0' City Premise. ner', name 'aa ~~;r,-If...C- ~ PKw7 fA- Phone Dumber to} schedule ioap!..ction: ~_ /672- Owner as defined by RCWJ9.28.26J:(l) Owner wi/l occupy the rtruchm! for two years after this electrical permiJ is finalized. (2) OWner is required to hire an electrical contracto!" if above laid 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. 1 am making the electrical instaJ. lation or alteration in compliance ?lith the electrical laws, N.E.C.. RCW. Chapter 19.28, WAC. Chapter 296.46B. The City of Port Angeles Municipal Code, and Utility Specifications. Check # VISa Mastercard Discover Card # _ _ _ _'---.C!lJL _---.f!itl6:.-_ _ __ dor or electrical administrator x Date: Expiration Date of card ~r:atL08d Add LOAD CHANGES o Baseboard K!N [JFumace K!N Q Heat Pump Ton [J Fan.Wall K!N n LAR ~verhe Service o Te ervice nderground Service Voltage ff~./' . Phase [J 1 Service Size: ~.KJV Feeder Size: -~-)110 ,. SAME DAY INSPECTION. CAI.I. BEFORE 7:00 AM 360-417-4735 DlJe Appl'Oved Fly n.tO! Approved By SERVICE llt~ fee ~ Date API' vcd By -"-... ROUGH-IN TIlERMOSTAT 1~ III fJoA FINAL ." ~,/ /' FEEDER DITCH lolz.",/~ W '- Dale Apptotcd. By Date Approvcd.By/ Inspection Date Area, Building or Equipment Inspected AcHon Taken Electrical Inspector 10/;;~ /n'f -. ()~ ;If B:rA . '. .. 100011000 ~ ~TJl~aI3 sala~uv S906 OS~ 09C XVd OC:91 9000/90/01 ELECTRICAL INSPECTION WIRING REPORT 417-4735 'r j(, kJ APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 JA-.- . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: 12,<i.MO\)~ ALL \IN.l)~t....j) ~Uf.cTR lc..A L- .,;- /t)l) ,PJ\.~ _~ M c:.. 11.f .() ~ . no . P S€.AL NEL.- 'A'1/ IJI'JIhED /lD oiL It- e>?EN LN-t. 5> NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 10/09/2008 07:11 FAX 360 452 9265 lRlt!tiE ~lcff~1O I4J 0001/0001 cg-I ZO,3 ~ ~ ...,... OCT 0 9 2~ECTRICALWORKPERMITAPPLICATION Job wired by lectrical Contractor (J Owner Electrical contractor name License number Date Expires ANGELES ELECTRIC. INC. 524 EA~I rlll:;1 PORT ANGELES. WA 98362 State ZIP o New o Residential ~IAdditiOD ~ .l. ~ vi Premises o~'~ D.ame ,~ 1f!:?V1IL~61-1-1 t:::lMr Address t!;;;"tf~ ~ City (j//f-- - ; Pboae Dumber to Icbed Ie inspectio / Owner as defined by RCW.19.28.26/:(I) Owner will occupy the structure for two years after this electrical permit ;s finalized (2) Owner is required to hire an electrical COn/Toctor if above said property is for sale, rent or lease. Alter 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. Chapter 296~46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signa tOTe or ~ , &kJ _Nw t;Ju/ $;v./) ~P1'1e. f~ ~ ~. ~&N Purchaser's mailing address City ~ Telephone number FAX number (J Cas~ Check # ~tCard V"", Mastercard Discover CW#___~_~_-~_~___ x Date: Expiration Date "fcard o LOAD CHANGES ",~"'- Cl Baseboard KW CJ Furnace KW o Heat Pump .......:. Ton LAR o Fan-Wall KW ~- Service r:J Temp Service CI Underground Service Service InformatlDn Voltage h? Phase 0 1 Service'Size: WIn~ Feeder Size: .~ -if :u SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 /' ROUGH-IN /' THERMOS'OO' /' SERVICE {b/~/J& "li.P , D.I< ^PPrOved By , ". ApproV<<! By Date Approved By /' /' FEEDER FINAL DITCH t2-/1 /Cfi! ~ to hI tn- W D,le AppcDvcd By D.I< '- Date Approved B,. Inspection Area, Building or Equipment Inspected Action Taken Electrical Date r Inspector I i II 6-n;;-207 7,51AK (^~ FROK ANGELES ELECTRIC INC 360 452 9265 P_ 1 ...' Job wired by 5- ;- ~ ......... ELECTRICAL WORK PERMIT APPUCATl0N' , DOwner 1Mt"'l! dcsl.:riplioll If6 C/","cial 1:1 Residential ~w 1:1 Altered/Addition Purt:hascr's Mailing addrc!:s ANGELEg-iEt'ttm1t;'INC. Dat. Expire, ~,~ ~A$T FIR~T PORT ANGELES, WA 98352 electrical contractor /lame City State ZIP .AI~J ~~/1~ ~JL #t~ ~-rge-, - 2,/0 q Telephone number I"AX numb,,1' Pnm;,e' ";J~~ hg,~ ^"_.,~~. ~~~ City tJl~ ~5 'Pbone lIumber to .,chedul i 'clioo: Ow(1tr as defined by RCWJ?28.261:(J) Owner will oCCIlpy the Str1ICtJUC jor two yeoi-s.p.jicr this el(~ctrical permit is finalizec]. (2) OWI:ef' L1' requin;:d eo h.ire: un dl!dricrlJ (YI1l,,.af:toY if ahove said property is lor $tllf':, rent or lecue. After reading the above statement. I helcby certify that I am the Qwner of the above J\a,,'cd propcny or a licensed electrical contractor. ( am mllking the: clectric3.1 in!ttal- ladon or alterct.tion in cOfl'l.pllAI\CC with the elcclricallaws, N.H.C., RCW. Chaplt:T 19.28, WAC. Chapter 296-46D, Thc City of Port Angc1c:; Mu.nicipal Code. and. Utility Specificutions. Sig.natllre of. her. electr. o Ca~ Cheek # ~djtCard Visa Mastercard... Discover Card# ____-.JJd__-_I'iq;:_-______ ndOT Date: cll n~. Expiration Date ofeard Inspc:clion fc~ $ 7::::. Q.~lXi.l'.e..loformatjon Voltage tffpk PhaseD'~ Service Size: ;l _:~ Feeder Size: 1.11{ x Electr" I Load o LOAD CHANGES o Baseboan;:l KW o Furnace KW o Heat Pump _ Ton _ LAR o Fan-Wall KW --'?~~ ~ o Overhead Service a Temp Service Cl Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN I TIJERMOSTAT Dale Approved ay D,,\~ f41proved By FlNA~ DUCH D,t tJ A['\Jm...edl:lv D:.lle APJlro...ell By SERVICE Olll~ AppTo...nJBy FEEDER Ull.te A.J!pI'\....edBy Inspection Dille At~a, Building or Equipment Tnsptcted Action Tukcn Ukclric3J lnspccto( -- t) RECEI ~ t " f i/~ bIUU-,f---1 ?'{ 6 ('v{;. , W-C-375B/GEN July 22, 1975 SUPERSEDING Fed. Spec, W-C-375A December 11, 1962 FEDERAL SPECIFICATION CIRCUIT BREAKERS, MOLDED CASE; BRANCH CIRCUIT AND SERVICE RECEIVED (GENERAL SPECIFICATION) JUN 1 5 Z007 approved by the Commissioner, General Services Administration, agencies. This specification was Federal Supply Service. for use of all Federal UGHT DEPT. 1. SCOPE AND CLASSIFICATION 1.1 Scope. This specification covers molded case circuit breakers which fall within the general parameters specified in table XV which are specifically designed to provide service-entrance, feeder, meter-service, or branch circuit protection and rated at not more than 4,000 amperes and 600 volts ac, 60 hertz (Hz). \ 1.2 Classification. Circuit breakers furnished u~der this specification shall be of the following types, as specified, (see 3.1 and 6.7.5): Types: I II III - IV Uncompensating thermal magnetic Ambient compensating thermal magnetic Magnetic Fused 1.2.1 Part number. The circuit breakers shall be identified by a part number constructed as follows: WC375/01-001 (Specification number, slash sheet, and dash number) 2. APPLICABLE DOCUMENTS 2.1 The following documents of the issues in effect on date of invitation for bid or request for proposal, form a part of this specification to the extent specified herein. NN-P-71 Federal Specifications: QQ-S-781 PPP-B-566 PPP-B-585 PPP-B-601 PPP-B-621 PPP-B-636 PPP-B-640 PPP-B-676 PPP-T-60 PPP-T-76 Federal Standard: Pallets, Material Handling, Wood, Double Faced, Stringer Construction. Strapping, Steel, Flat and Seals. Boxes, Folding, Paperboard. Boxes, Wood, Wirebound. Boxes, Wood, Cleated-Plywood. Boxes, Wood, Nailed and Lock-Corner. Boxes, Shipping, Fiberboard. Boxes, Fiberboard, Corrugated, Triple-Wall. Boxes, Setup. Tape: Packaging, Waterproof. Tape, Pressure-Sensitive Adhesive Paper (For Carton Sealing) . . . . W-C-375B/GEN 6.5 Warning. Potentially hazardous situations are inherent in some of the test procedures specified in this specification. Precautions should therefore be taken to insure that test personnel are adequately protected and observe the necessary safety measures at all times. 6.6 Definitions. 6.6.1 Tripping time. Tripping time is the total interval of elapsed time from the instant of applying a given overcurrent to the circuit breaker to the completion of the interruption of the circuit. 6.6.2 "0" and "CO" operation. The "0" and "CO" operations are defined as "0" closing the short circuit on the closed circuit breaker and "CO" closing the circuit breaker on the short circuit. 6.6.3 Stabilize. The temperature of a device is considered to be stable when three successive temperature readings taken at not less than 10 minute nor more than 20 minute intervals indicate no temperature change. 6.6.4 Ambient temperature. Ambient temperature is considered to be the temperature of the air surrounding the device under test. Measurements shall be taken by thermocouples or thermometers placed not more than 12 inches from and in a plane horizontal to the center of the device under test. 6.6.5 Independent trip. A multi-pole circuit breaker so designed that one pole trips independently of the other. TABLE XV. Classification of ratings. Poles Range of current trip [4] I I Interrupting rating Class I I Syrmnetrical Volts ac I amperes [1] 60 Hz I lOa [2J I 5,000 120/240 lOb I 5,000 240 lIa I 7,500 120 lIb I 7,500 240 12a [2J I 10,000 120/240 12b I 10,000 240 12c I 10,000 277 13a I 14,000 277 13b I 14,000 277/480 14a [2J I 22,000 120/240 14b I 22,000 240 15a [2] I 65,000 120/240 15b I 65,000 240 16a [3J I 100,000 480 16b [3 ] I 100,000 480 17a [3 ] I 200,000 600 I ,- 18,000 240 18a H 14,000 480 I L- 14,000 600 I ,- 22,000 240 19a H 18,000 480 I L- 14,000 600 I ,- 25,000 240 20a H 22,000 480 I L- 22,000 600 1 or 2 15-100 2 or 3 15-100 1 15-100 2 or 3 15-100 1 or 2 15-100 2 or 3 15-225 1 15-100 1 15-100 1, 2, or 3 15-100 1 or 2 15-100 2 or 3 70-400 1 or 2 15-100 2 or 3 15-225 2 or 3 15-225 2 or 3 15-600 2 or 3 70-2000 2 or 3 15-100 2 or 3 70-225 2 or 3 70-225 '0"' I ,-- 42,000 240 21a H 30,000 480 2 or 3 70-800 I L- 22,000 600 See footnotes at end of table. 26 2-07-207 2, 13PM FROM ANGELES ELECTRIC INC 360 452 9265 P.l .\D~ cy . ~.." , . .. ~"iil~~ ELECTRICAL WORK PERMIT APPLICATION Job wired by lectrical Contractor 0 Owner o Re.idential P-.lcctrical contractot name: A 5--t-v II f' ;,.6'H - P",rcb,,:;er~:; mailing address UCCl'ISC number DalCExpircli Cl New Cl Altered/Addition !J:QECU;;y /tfoo ~ ~/~ City State liP Tdephone number FAX number City ?/J Phone number to scbedule iuspectiun: ~3 Owner Q.t defined by RCW.J9.18.16J:(J) OWlie' WU/ OCCupy Ihc' SIr-flC/Url' for two years after this electrical pe.r"II'j is flna/i:t:.tl. (2j Owner i:; requirftd 10 hire an dee/rica! corrrractor if above said properly is /or .~~h~! rellt (),. leas(!, After reading the above statement. 1 hereby certify that 1 <1m the owner of the above named property ar a licensed elecrrical contractor. , /l.m making the electrical instal- lation Or ",Iteration in compliancc with the c!cctric:\) laws, N.E,C" RCW, Chapter t9,2S. WAC. Chapter 29G~4G.B, Thc City or Port Angeles Municipal Code, and Utility Specifications. Signature p-Der~ d X #~ o CrO Check # e-CreditCard Visa Mastercard Discover Card II - -~/ - 94€-. ". _. _ _ _ ---tZ-"'- _ ..L L _ _ _ ,.- __ .,._ ClOY or ele-elrical adtnidi. trat Date: Z (S/'!6 Expiration Date of card In')pCl~n fee Jf!!'J1') $ ~'2.2.-~ S.lUrl\1~J.nformalion Voltage ~~. Phase 0 1 3 ServIce SIze: ~ Feeder Size: ~~..Jt?.. Elec rical Load Add,!; D NO lOAD CHANGES Cl Baseboard KW o FurnacQ KW o Heat Pvmp Ton Cl Fan-Wall KW ns r r IdC?O~ )JIi'.A; ~F/H~ LAR o Overhead Service D T Service nderground Service SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE O;aLe Apj'll'twed Hy D4lc ....pprovcdI/.y D~te ^I"IIT(\Vc:ilBy LJ~ FINAL ~ " I/;' lrrCD / FEEDER ";I ',j'':i! ~'? kD '1---,X7 \. I)t\ic: 1)1I.1c: ....ppf(wl;'<.l By D~lc ^Pl'ro"'~"" ~y .-/ -- I\p"...."'cl1 By lnspection Mea, Building or Equipment Inspected Action Taken Elcctrical Date lnspectol" ;2-9-1} 1 ~;Ze:,oL4J a;o - A:J,(} uJc. 'o!"'! Ii r,1YI 0 D.~. . . .. --~,--- - . . . - ] L::;;7J d. 7;i7;""} ---c- 7 """7 12-23-205 6,.19PM FROM ANGELES ELECTRIC INC 360 .152 9265 P_2 ~ oS} 0' Job wired by S"" .. . - '! \'1- ,," -.... ELECTRICAL WORK PERMIT APPLICATION' DOwner Inslal~ description nonlmercial 0 Residential Electric,l coW"'O' n~GELES ELECTRIC~~: numbe' 'in FA~T FIRST P"",h""e,'s mailing adPllllT ANGELES, WA 98362 Date f.:xpircs DNew [J A1teredl Addition City Slate ZIP el~ /n , B~aL /fPV 1!tA/h t/~ FAX number rrem;.es owner's name e-1/1fre66lV1. h~ . Address of iosprdion bCUPStt- W/:UJ;7;l'JI'/L fJAK,K ? /f " 4/)&/ ~,o~E- 1,.(J'~.f...- i7!'e:'uc cd I. ~,.tJn: c.jb~ Is/TW-ty OW7!er as dljined by RCW. 19,18.26l:(I) o,...'nf'r will (/('cup>, the ,~tN.l.C1U,.e jnr fwO year!. afll~f' thi.~ electrical pf!rmU is jiflu/izeJ. (2) Owner i.~ required to hire em d('ctril:(J/ cnlltractor if abO'j.'e ..wicl p"(Jpl~rly is jor -"ale. rent or ll-asc:. After r~ading the ubovc statement, J hereby CC11it)r that l am lhe owner of the ah()ve D<lmc:d property or a licensed electrical contractor. I am making the electrical instal- lation or altcralinn in compliance with the electrical law!'>. N.E.C.. RCW. Chaph:r 19.28. WAC. Chapter 296-468, The City of PUTt Angeles Municipal Code. and Utility Specitications. Sit:nature or own.er. electrical contractor or electrical adminls 2toC City ~ ~ M4<j ;Vea>. 70 ~2Iv'b /JI/!, Ff:-e ,4MOUAJI /#0> ~C'.JtUP1JM/ AS t..;E. ho. o Cash 0 Check # o Credit Card VIsa Mastercard Discover Card# _____~ _.pL-C-_-____ x Date: /. Expiration Date of card .ts }-T7. 70 In io e $ EleCtrical ,"oad Additions and or subtractlCW_li D NO LOAD CHANGES o Baseboard ._ KW o Furnace KW o Heat Pump _ Ton _ LAR [J Fan-Wall KW D Overhead Service [J Temp SeNlc. o Underground Service Service InformatlQ.!l Vo"ag. ~v Phase[J 1 3. ~ Service Si~e: 8"00" --, ---:. Feeder Size: 3o<T1p.sz>ftQ? SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 /' ROUGH-IN TIIERMOSTAT /' SERVICE , l).:otc ^Fprov~aJ. By 1)l\tC ^l'PflIvcd By "- 0," ~",veIlBJ' j /' FEEDER l'lNAL DITCH / -/8 -0' vkbJ . '. D.-Ie ^'I'provoed By ./ '-- """ Approved By / [)<lIC ^rpro..-.c:-d By ../". Tt\spcctiotl Area. Building or equipmc:nt In:..pCt::ted Actiob Taken .Electrical DlI.tc Inspector J.-:J IM_ /1C" #1/, /'/71 A) A'J L i'J.ft/) !f:,"A , /f/J/U/>, ,r; /k_ -/J , 0 f ( , V" c - Lr/J /. zh7/ b 12/26/2012 09:45 FAX 360 452 9265 Angeles Electric CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections ! 321 East Fifth Street —P.O. Bog 11501 Port Angeles Vl4asliiggton, 95362 Ph: (360/) 417 -4735 Fag: (360) 417 -4711 l Date: _ Multi -Famy o Commercial C" ommercial Additl n 1 Alteratlon 1 Remodel 1 Repair* * Plan Review May Be Required, Please Complete Electrical Job Address: Building Square Footage: -� f Description of above Owner Information Name: ' Mailing Address: City: State: Zip: Phone; W) ax: License #I Exp, Item Unit Charge Service/Feeder 200 Amp. $132.00 ServicelFeeder 201.400 Amp. $160.00 ServioelFeeder 401 -600 Amp $ 225.00 Service./Feeder 601 -1000 Amp. $ 288.00 ServicelFeeder over 1000 Amp, $ 410.00 Branch Circuits 1-4 $ 88.00 Branch Circuit W1 Service Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 74,00 Each Additional Branch Circuit $ 5.00 Temp, Service/ Feeder 200 Amp, $102.00 Temp. ServicelFeeder 201 -400 Amp. $121,00 Temp. ServicelFeeder401 -600 Amp. $164.00 Temp. ServicelFeeder 601.1000 Amp , $185.00 Portal to Portal Hourly $ 96.00 Sign /Outline Lighting $ 88,00 SignaiCircuit/UmRodEnergy — Multi- Family $ 64.00 Signal CirculY Limited Energy 1 First 1500 sf — Commercial $ 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - SKVA System or Less $113.00 Thermostat - $ 56.00 Review Information Sheet A4u*/ W Contractor Information Name: Mail! Addr s s 1 . City, oC Stale: ,!�F— Zi Phone: Pax, YM License # 1 Exp, 1 f t Total Lori Multiplied by Unit Charge) $ $ $ $ $ $ § Total owner as defined by RCW.19.28.261: (1) Ovmer will occupy the stru re form years after this electrical permit is finalized, (2) Owner is required to hire an electrical contractor )f above said property is for sale, rent orJease, Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner �f the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical caws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296.46B, The City of Port Angeles Municipal Code, and Wity Specifications and PAMC 14.05.040 regarding Electrical Pe 1 Applications. Signature of.owner, electrical contractor or electrical administrat�j ❑ ❑ check ' cnditCard0 W j�jLF_ x Dated: / OV012012 ELECTRICAL INSPECTION WIRING REPORT WORKS L 417-4735 TAT -T 7 PERMIT INSPECTOR 9 ��e- ---- - f OWNER CONTRACTOR ADDRESS APPROVED NOT APPROVED .......... .... DITCH ........ 0 ROUGH IN/COVER ............... I-] 0 .... ............... SERVICE ......... I I ........ 1:1 0 ........ I L ........... FINAL ........ ......... . . 0 CORRECTIONS, NEEDED: 0 2 �;,y r?- c, mc --, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ELECTRICAL INSPECTION 0.0�' WIRING REPORT -10 417-4735 -T PERMIT INSPECTOR [OWN R CON17RACTOR AD[)HLSS 0 APPROVED NOT APPROVED El.................... DITCH- -.. .. I . .......... 0 2- �- .......... ROUGH IN /COVER ... ...... 0 11 .................... SERVICE ............ L... '' _ [] 1:1 ..................... FINAL ....... ............ 0 CORRECTIONS NEEDED: 05��- osl 47! 3) OTZ- Col- A t? c) EMERY 41. "'wav NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ® DO NOT REMOVE — ELECTRICAL INSPECTION GT�p 4N WIRING REPORT Rxs 417-4735 DATE: PERMIT NSPFCTOR -6,jzqh-3-�� IQ)-Z-,,)L3 7 OWNEn CONTRACTOR A k ADDRESS APPROVED NOT APPROVED 0 ...... .......... DITCH .................... 0 Q ................ ROUGH IN/COVER ............... 0 0 ... ............... . SERVICE . ................ -0 0 ..................... FINAL .................... CORRECTIONS NEEDED: -67--�.J4 l �V_ 140 L xE�A,. mm cou&7- -you- sw-k fzob�m NO 5 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — Application Number Application pin number . . . Property Address ASSESSOR PARCEL NUMBER; Application type description Subdivision Name Property Use Property Zoning , . . , . Application valuation , . . ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 12- 00001654 Date 12 /31/12 076778 404 ECLIPSE IND PKWY p6-30-18-•1-1- 0000 -0000- ELECTRICAL ONLY UNKNOWN 0 Owner C.pntractor ' BLUE MOUNTAIN LEASING DITCH ANGELES ELECTRIC ®� _ 2095 BLUE MOUNTAIN RD CD 524 F. 1ST ST. PORT ANGELES WA 983629203 PORT ANGELES WA 98362 (360) 452 -9264 ---------------------------------------------------------------------------- Permit , , , , . . ELECTRICAL ALTER COMMERCIAL Additional desa BRANCH CIR 1 -4 + 6 Permit Fee 116.00 Plan Check Fee .00 Issue Date 12/31/12 valuation . , . . 0 Expiration Date 6/29/13 Qty Unit Charge Per Extension BASE FEE 86,00 6.00 510000 ECH EL -ECH ADDNT BRANCH CIRCUIT 30,00 Fee summary Charged Paid Credited Due Permit Fee Total 116,00 116,00 OD .00 Plan Cheek Total .00 ,00 .00 00 Grand Total 116,00 116,00 ,00 00 n M V INSPECTION TYPE REPORT SALES TAX RESULTS: on your excise tax form DITCH to the City of Port Angeles ®� _ (Location Code 0502) CD INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH ®� _ CD SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE. SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X ' GIEXCHANGEII3 UILDING Date: 6 V Jun 17 13 07:58a Straits Electric 3604520741 p,1 RECEIVED CITY OF PORT ANGELES PERMIT APPLICATION JUN 1 7 2013 Building Division/Electrical Inspections 321 ]East Fifth Street —P.O. Box 1150 /Port Angeles Washington, 98362 ELECTRICAL, . Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSI IdONS Date: 1 "� _ _ Multi-Family or Cornmercfai* * Plan Review Job Address: I Building Square Footage- Descdplion of above Owner lnfo atiori Marne: 4- Mailing Address: city State: Zip: Phone Fax: License #/ Exo, omplele Electrical Plan Review Information Sheet Item Service /Feeder 200 Amp. ServicelFeeder 201.400 Amp, ServicelFeeder 401 -600 Amp Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit'N15ervice Feeder Branch C}rcuit W10 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 Slgn/Cutline Lighting Signal Circulid Limited Energy - Multi- Family Signal CirculY Limited Energy,' First 1500 sf - Commercial Note: $5,00 for each additionai' 1500 sf Renewable Electrical Energy - SKVA System or Less Thermostat Note: $5 00 for each additlonat T -Slat Unit _Charge $ 132.00 $ 160,40 $ 225.00 $ 268.00 $ 410.00 $ 5.00 $ 74.00 $ 5.00 $ 66.00 $102,00 $121,00 $154.00 $185.00 $ 90.00 $ 88.00 $ 64.00 $ 96.00 $113.00 $ 56.00 Contracto I fa m igny� Name: MaIng Address: City: tale; -tAjq Zip: Phone: Fax: License 9I Exp. 94 Total (Q4 M�ultial.ied by Unit Charge) $ $ $ $ S $ Total Owner Owner as defined by RCW,f 9.28.261: (1) Owner will occupy the structure for two years after fhis 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. l am making the ele trical installation or alleration in compliance with the electrical caws, NEC.. RCW, Chapter 19.28, WAC. Chapter 296 -463, The City of Port Ang a Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications, owner, electrical contractor or electrical administrator: ❑ cash o check Credit Card # Dated: 0110112012 'AQ I ?oRrqV, ELECTRICAL INSPECTION WIRING REPORT RKS $L 417-4735 DATE:_ -,---Tp FRMTft INSPECTO CPS 9—:7 )a b 7koy APPROVED NOT APPROVED 0 .... ............... DITCH ......... 1. ... ❑ ❑ ................ ROUGH IN/COVER ............... ❑ 0 ................ ... SERVICE ..... ............. ❑ 0. . ....... ...... ... FINAL .................... ❑ CORRECTIONS NEEDED: its)&t43-) L. 7!Tgz-&tn IL of 1) (56kP na.-r^L- jFaAtqr,, a-P 4-og, Lon-pg��� wo-p cioer,-m-kn NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS "m 11,6111, Lal AVA"kTi RITP. ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417-4735 Application Number , . , , , 13-00000657 Date 6/17/13 Application pin number , . . 919379 DITCH Property Address . . 403 ECLIPSE TND PKWY A ASSESSOR PARCEL NUMBER: 06-30-17-2- 3-0000 -0000- Application type deecription ELECTRICAL ONLY Subdivision Name . . . , . . .Property Use . . . . FINAL Property Zoning . , . . . . , UNKNOWN Application valuation . . . . 0 Application desc 200 amp service and 2 circuits Owner Contractor LARESTDE INDUSTRIES STRAITS ELECTRIC PO BOX 7016 PO SOX 2914 ISSAQUAH WA 950277016 PORT ANGELES WA 98362 (360) 452 -9104 ------------------------------_-__------------------------------------------ Permit . . . , . . ELECTRICAL NEW COMMERICAL Additional desc . Permit Fee . . . . 142.00 Plan Check Fee .00 TBSue Date . , . . 6/17/13 Valuation , . .' 0 Expiration Date 12/14/13 Qty Unit Charge_ Per Extension 2.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 10.00 1.00 132,0000 ECH EL -COM 0 -200 SRV FEEDER 132,00 ------------------------------------------------7--------------------------- Fee summary Charged -- ------ -- - --- ---- - - - - Paid Credited ---- - Due --- -- Permit Fee Total 7.42.00 - - - -- ---- - - - - -- 142,00 .00 --- - - - - - -- .00 Plan Check Total .00 ,00 00 ,00 Grand Total 142.00 142.00 ,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 j SERVICE lei ROUGH -IN FINAL 1 b, COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or EIectrical Contractor X Date: G:IEXCHANGE1BUILDING V V V V 09/15/2015 09:44 FAX 360 452 9265 Angeles Electric CITY OF PORT ANGELES PERAHT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Boa 1150 / Port Angeles Washington, 98362 Ph: (350) 417 -4735 Fax: (360) 417 -4711 Date: _eMultl- Family or Commercial" "Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 0 Building Square Footage:. , . Descdption of above ` I Q0001/0001 Owner Information Name: JgVeAWAW Ffb& (!— Mailing. d ss:. Z7 — City State: Zlp: Pail _- "L Phone Slate: Zrp: License #! DO. Fax; �' A i Ae Item Unlit Charge Service /Feeder 200 Amp. $132.00 Service/Feeder 201.400 Amp. $160.00 Service/Fee& 401.600 Amp $ 225.00 ServicelFeeder 601.1000 Amp. $ 288.00 Ser&WFeeder 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 14 $ 86.00 Tamp. Service! Feeder 200 Amp, $102.00 Temp. Service/Faeder 2014W Amp. $121.00 Temp. Service/Feader 401.600 Amp. $1600 Temp. $ervice/Feader 601 -1000 Amp. $185.00 Portal to Portal Houdy $ 96.00 Slgn/Oufte UghUng $ 88.00 Signal CireulU Uinited Energy — Multifamily $ 64.00 Signal CIrouB! Umited 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 Contractor Information Name: Malling d _- "L Clt): Slate: Zrp: Phone: _ Fax; �' License #!Ex gty Total Noltippv i i t $ �r $ $ $ a $ a $ S $ $ $ $ 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. Signature of owner, electrical contractor or electrical admtnbstrator: ❑ ceah ❑ ON* Cmdrt Cwd r B - x Gated. `� ` DtlatrTD12 C� y i/q V ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . . . 15- 00001157 Date 9/16/15 Application pin number . . . 983869 Property Address . . . . . 404 ECLIPSE IND PKWY ELEC3 ASSESSOR PARCEL NUMBER; 06-30-LB-1-1- 0000 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . . . . . INDUSTRIAL HEAVY Application valuation . . . . 0 Application desa 200 amp service repair owner `` Contractor ------------------ - - - - -- ------------------ - - - BLUE MOUNTAIN LEASING - -- ANGELES ELECTRIC 2095 BLUE MOUN'T'AIN RD 524 E. 1ST ST. PORT ANGELES WA 983629203 PORT ANGELES WA 98362 ROUGH -IN (360) 452 -9264 Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desC . . COMMENTS: Permit Fee . . . . 132.00 Plan Check Fee .00 Issue Pate 9/16/15 Valuation . . . . 0 Expiration Date 3/14/16 Qty Unit Charge. Per Extension 1.00 132.0000 ECH EL -COM 0 -20D 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 132.0.0 132.0.0 .00 .00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or EIectrical Contractor X Date: CrZXCHANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . , . . 15- 00000976 Date $/04/15 Application pin number 544128 RESULTS: Property Address 404 ECLIPSE IND PKWY DITCH ASSESSOR PARCEL NUM5ER: 06-30-18-1-1- 0400 -0000- .Applica.tion type description ELECTRICAL ONLY Subdivision Name . . . . , , Property Use , , . . . . . , Property Zoning , , . . . . . UNKNOWN ROUGH -IN Application valuation , . . . 0 Jf Application desc Fuel tanks ----------------------------------- -- °___.._---------- - - - - -_ ..___._-------- - Owner Contractor SLUE MOUNTAIN LEASING ANGELES ELECTRIC COMMENTS: 2095 BLUE MOUNTAIN RD 524 E. 1ST ST, PORT ANGELES WA 983629203 PORT ANGELES WA 98362 (360) 452 -9264 ------------------------- ---------- - °_------- _---- - - -.._ _ - -_ Permit . , , , . . ELECTRICAL ALTER COMMERCIAL -_ .__---- - -__ -_ Additional desc 1 -4 CIRCUITS Permit Fee 96.00 Plan Check Fee .00 Issue Date 8/04/15 Valuation 0 Expiration Pate 1/31/16 Qty Unit Charge Per Extension 'BASE FEE 86.00 2.00 5.0000 ECH EL -ECH ADDNT BRANCH CTRCUTT 10.00 Fee summary Charged Paid Credited - ---- ---- - - - - Due ----------- - - - - -- ---- - - - - -- -- -- - -- Permit Fee Total 96.00 96.00 00 ---------- .00 Plan Check Total ,00 .00 Grand Total 96.00 95.00 .00 .00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN Jf FINAL COMMENTS: PERMIT WILL EXPME SIX (6) MONTI-IS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:T -XCHANGRBUILJ)ING Ct "1 -.1 ON 08/03/2015 13:31 FAX 360 452 9265 QTY OF PORT ANGELES PEMT An Building- DivisionMectrical Inspections 321 East Fifth Street -- P.O. Box 11501 Port A Ph: (36Q)4174735F= (360) 417-4711 Date: r V ' Plan Review May Be Required, Please Complete JobAddress: Building Square Footage: Oeseriptionof above Owner.lnfa ton Name: C6 Qtp— e e_ Maning Addre e: k6ta d de Cl State Zip: Raw ax 1�✓`.�711S UM Service/Feeder= Amp, $ $ 132 ServWFeeder 201400 Amp. $ $18L Serv1celFeeder4014W Amp $ $221 Servlcefteder 8ot•1000 Amp, $ $29 SeNIWFeeder over 1000 Amp, $ $41( Angeles Electric E R AUG 4 21115 TION ELECTRICAL INSPECTIONS W shington, 98362 *amlly, or Commercial' Plan Review Information Shoat b Contra r lnforroWon Nome MallinQ d City: State: ' Vp: P arc License t I EV 0 Multiplied Tiatal (W 3 i -- s s�.A s . i S s� S $ ea Total Owner as defined by RCW.19.2820: (1) OwnerWIl occupy a $ ucture for two yeairar -after this elecWcal permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sa rent or lease. Pemtiit-04ras afar ebt rn0nthe of last lri "CI10n. After reading the abays statement, I hereby certify that I am owner of the above named property or ae licensed electrical contractor. I am maWn. g the electrical Installation or alteration in compliance with the a ctrical laws, blIC., RGW. Chapter 19.28, WAC. Chapter 296.46B, The.City of Port Angeles Municipal Code, and UtOlty Spedt3cations and PAM 4.05.050 regarding Electricel Parmlt Applloations. Signature of owner, electrical contractor or elnWcal &,,dn latrator. ❑ �Cash ❑ eheok � ndlt Coed 0 -�/ �..5r 011e11ze12 Owner as defined by RCW.19.2820: (1) OwnerWIl occupy a $ ucture for two yeairar -after this elecWcal permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sa rent or lease. Pemtiit-04ras afar ebt rn0nthe of last lri "CI10n. After reading the abays statement, I hereby certify that I am owner of the above named property or ae licensed electrical contractor. I am maWn. g the electrical Installation or alteration in compliance with the a ctrical laws, blIC., RGW. Chapter 19.28, WAC. Chapter 296.46B, The.City of Port Angeles Municipal Code, and UtOlty Spedt3cations and PAM 4.05.050 regarding Electricel Parmlt Applloations. Signature of owner, electrical contractor or elnWcal &,,dn latrator. ❑ �Cash ❑ eheok � ndlt Coed 0 -�/ �..5r 011e11ze12 Ge POR74*,Q. ELECTRICAL INSPECTION _ WIRING REPORT 417-4735 Vl ARKS l!' I)A7E' PE F� WT lk INSPECTOR OWNER OWNER CONTRACTOR ADDRESS L4n L� t= c, c� r 1 7 APPROVED NOT APPROVED [I .................... DITCH .............. . - - 0 Cl ................ ROUGH IN/COVER .............. 0 ...... ............ . SERVICE ........ ... 0 Q ... ................. FINAL .... ......... )5� CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS mmijamomme I M .,q-4 kyj Lelrj, ELECTRICAL CITY OF PORTANGELES 360-417-4735 Application Number 16-00001013 Date 7/07/16 Application pin number. 059078 Property Address . . . 404 ECLIPSE IND PKWY ASSESSOR PARCEL NUMBER: 06-30-18-1-1-0000-0000- Appl.icat.ion type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . . . . UNKNOWN Application valuation . 0 Application desc TEMP SVC/ N. PEN. BI— Owner Contractor BLUE MOUNTAIN LEASING NORTH PENINSULA ELECTRIC 2095 BLUE MOUNTAIN RD 761 FRESHWATER PARK RD PORT ANGELES WA 98362920.3 PORT ANGELES WA 98363 (360) 477-1764 Permit ELECTRICAL ALTER COMMERCIAI, Additional desc . . Permit Fee . . . 102.00 Plan Check Fee 00 Issue Date . . . 7/07/16 Valuation 0 Expiration Date . . 1/03/17 Qty gait Charge Per. Extension 1..00 102.0000 BCH '-EL- COMM 0-200 TEMP SRV / FDR 102.00 Fee summary Charged Paid. Credited Due Permit Fee Total 102.00 7.02.00 .00 .00 Plan Check Tota]. .00 .00 .00 00 Grand Total 102.00 102.00 .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_ _ Daae: G:\EXCHANGE\BUILDING CITY OF AP1,1,1CAIrION 1 "iOM Building 321 East Fifth Styr et - P.OVWx 1150 o', Tlob-t Angc4cs Wasliingifon, 98362 Plrn (360) 4,17, -4735 Fax. (300) 41.7 4711, Mato, ""Mold -Family or Commercial' Plan Review May Be Requii,ed fIlfaaseComplglte Flutrical Plan Roview Information Sheet Job, Addrow guilding Sfjware Foorag, A 0' (7, .. . . . .... IeS'1100) o�Iwo J . ......... . Owner Informatio? Contractor Infonm9ion —'s . . . ..... . c, Addo-,, Zip - ate p, A J, "Rax, . . .... ... S Llcerum ft exp,,i, % Korn U p 1 t C h L4! Y. (i SorAce/Rx6o,f 200 Arno. 0 Ser,JceVF(,,ed'ei 201-400 Anip 160100 Sc,,rv[ce/Fce,der4iI 3001 Arnp $225,00 SeMcaiFeede9'601 1C.,00Amp, $288,00 crier '1000 ftp, $410,00 Brarwh Cirruft VVI SpiAce Feede( $ 5,110 Briancn Ckpd VVY0 Se-,rke, Feeder $ 74,00 Each AdSonal Branch (JrcuR Elr,wicri Gkc(As '14 86.00 I'eryip, Servick,,; Feqdor200 hnp1 102,00 Toqip, 201400 Anip, 121,00 401 RG Amp $ �64M) Ternp, Serv�6cpi'Fepder 601-'1 i100 Anip Pofa,d to Portal Hmirly $ 96,00 SnlOotkle $ 88 00 8,0lorP,ruiV Lh-Wed Er)er(Dy $ 64,00 Sugn�ol CirculU Uffille'd Energy( Rrsf X61,, O sf Cu ni r ra i t l $ 9 ,00 V50 to Pach additio� iai5()�) st Renewable Eledek.,al Enoq 5 S�i � $ U GO y— IKVA no�,,-,, Lem Thoi ri'Tslat, $ 15 6,00 Nok,�: V5,00 for twi,,Ji @d,,MJwioI F -Mot 0mier as deffiied tw RCWA9,28,26,�`I(1) Ova er'*d I oox;upy Inn sh1,iokire for 4g^r6z yearz aiter [tris pleoldcal pfmrdflifinnhzed, (2) Gvstteri.,�reqjirec� k) h1fe air,ekdrk;al contrador if above- s,,A property 'os for salp, rojit orlease. PeriNt exph'es ager sux nqonths of kaE,ln5peclJN�, Aftff reading ibe above slat(,.), rent, I herecy that I earn the owner of the above nxned prope[ty or a olcolncal an'u maklog the electrical installation or all�'arMiui in compkince wl M ti,ue electrical laws, N,E,C,, RM Dmpler 19, 8, YVAG, Chapii 2964.63B, The City of rIcA Angeles Morflclpab Oade, and Utilily Gpco;iIk,,atiDjjs and i': AMC 14,06,050 reW,)rIng Elad.Ncai Florrni[Appkabolns, SignatUre of owner, aftictricM coniractor or electrical administrator: D Ca"'Al 0twGII 1d call d Application Number . . . . . 23-00000477 Date 5/10/23 Application pin number . . . 939318 Property Address . . . . . . 404 ECLIPSE IND PKWY ASSESSOR PARCEL NUMBER: 06-30-18-1-1-0000-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . INDUSTRIAL HEAVY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Panel and welding plugs ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BLUE MOUNTAIN LEASING OLYMPIC ELECTRIC CO INC 2095 BLUE MOUNTAIN RD 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 460-1512 (360) 457-5303 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 306.00 Plan Check Fee . . .00 Issue Date . . . . 5/10/23 Valuation . . . . 0 Expiration Date . . 11/06/23 Qty Unit Charge Per Extension BASE FEE 86.00 12.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 60.00 1.00 160.0000 ECH EL-COM 201-400 SRV FEEDER 160.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 306.00 306.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 306.00 306.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us ELCOM MULTI-FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □Multi-Family Residential □ Commercial / 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 Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp.$132.00 $ Service/Feeder 201-400 Amp.$160.00 $ Service/Feeder 401-600 Amp.$225.00 $ Service/Feeder 601-1000 Amp.$288.00 $ Service/Feeder 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 201-400 Amp.$121.00 $ Temp. Service/Feeder 401-600 Amp.$164.00 $ Temp. Service/Feeder 601-1000 Amp.$185.00 $ Portal to Portal Hourly $96.00 $ Sign / Outline Lighting $88.00 $ Signal Circuit/Limited Energy - Multi-Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial (Note: $5.00 for each additional 1500 sf) $96.00 $ Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat (Note: $5 for each additional)$56.00 $ $ 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, 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 (□Owner □Electrical Contractor / Administrator)Permit #: [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] PREPARED 5/08/23,14:11:19 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000477 404 ECLIPSE IND PKWY FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 306.00 TOTAL DUE 306.00 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 9/14/2023 23-477 TAP OWNER CONTRACTOR Olympic Electric PROJECT ADDRESS 404 Eclipse Ind Pkwy