HomeMy WebLinkAbout4400 C St - BuildingCITY OF PORT ANGE LES PERMIT APPLICATION ELUMICAL
Building Division/Electrical Inspections w3PFCjj0A9'3
321 East Fifth Street —P.O. Box 1150 1 Port Angeles Washington, 98362
Pit: (360) 417-4735 Fax: (360) 417-4711
Date: A-�Uli--
* Plan Review May Be R
Job Address: —F—Ccl f-m-
Building Square Footage'---,,
klulti-Family 4 im el•Cial* 0
Please Complete Electrical Plan
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Sheet 9% C-
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Owner Information Contractor Information
Name:
Mailing Address:
zip: Zip:
el
Phone; ex.,
UlGense 9 1 Exp.
License N f Xp AQ7T- 00- V-
temm Unl #Char Total Multiplied hxMft2AW21
Service/Feeder 200 Amp. 13100
ServlcelFeeder 201-400 Amp, $160,00
ServicefFeeder 401-600 Amp $225,00
SeNivefFeeder 601.1000 Amp. $268.00
—
Service /Feeder over 1000 Amp, $410.00
Branch Circuit W1 Servioe Feeder $ 5,00
Branch Circuit W10 Service Feeder $ '14.00
Each Additional Branch Circuit $ 5-00
Branch Circuits 1-4 $ 86.00
Tomp, Service/ Feeder 200 Amp, $102-00
--
Temp. Service/Feeder 201-400 Amp. $121,00
Temp. Service/Feeder 401-600 Amp. $164,00 $
Tamp, $ervloe/Feeder601 A OOC Amp $186,00
Portal to Portal Hourly $ 96-00
Sign[Cutlins Lighting $ K00
Signal CircuiU Limited Energy — lvlulti-Family $ 64.00
Signal Circuit! Limited Energy I First 1500 sf — Commercial $ SHO
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $113.00
Thermostat $ 515,00
Nofe: $5.00 for each additional T-Staff $ 00 Total
Owner as defined by RCVV.19.28,261: (1) Owner will 0(;Qupythe s1rucWre for two years after this electrical permit isfinalized. (2) Owner is required
to hire an electrical contractor if above said property is "for sale, rent orlease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I ant 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, KEG., RCW, Chapter 19.28, VVAC- Chapter 296A613, The Gq of Port
Angeles Municipal Code, and Utility Specifications and PAMC. 14,05,050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor of electrical administrator: ❑ cash 0 Check
credit car"
Dated;
LNG
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . . .
14- 00001232 Date 10/10/14
Application pin number . . .
960640
INSPECTOR:
Property Address , . , .
4400 C ST WFS
ASSESSOR PARCEL NUMBER:
R6-30-09-0-0- 0000 -0000-
SERVICE
Application type description
ELECTRICAL ONLY
Subdivision Name
ROUGH -IN
Property Use
Property Zoning , . , . . . ,
PUBLIC BUILDINGS & PARKS
6b
Application valuation . . , .
0
COMMENTS:
Application desc
Generator load test
Owner
Contractor
CITY OF PORT ANGELES
LEGACY TELECOMMUNICATIONS INC
PO BOX 1150
PO BOX 360
PORT ANGELES WA 983620217
BURLEY
WA 98322
(253) 658 -0214
Permit . . . . . , ELECTRICAL
ALTER COMMERCIAL
Additional desc , ,
Permit Fee 185,00
Plan Check Fee
00
Issue Date . , , . 10/10/14
Valuation , . .
, 0
Expiration Date . , 4/08/15
Qty Unit Charge Per
Extension
1100 . 185,0000 E'CH EL-
COMM 601 -UP TEMP SRV /FDR
185.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 185.00
185.00 .00
,00
Plan Check Total .00
.00 00
00
Grand Total 185.00
185.00 .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
6b
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING