HomeMy WebLinkAbout824 S Lindberg Road - Building (2) ELECTRICAL PERMITm,
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CITY OF PORT ANGELES
360=417-4735
Application Number 16-00001907 Date 1/03/17
Application pin number . . 243592
Property Address 824 PROSHOP S LINDBERG RD REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-13-2-2-0110-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning UNKNOWN (Location Code 0502)
Application valuation . . . 0
Application desc
POE camera system
Owner Contractor
PENINSULA GOLF & COUNTRY CLUB SECURITY SERVICES NW
PO BOX 628 PO BOX 660
PORT ANGELES WA 983620112 PORT TOWNSEND WA 98368
(800) 859-3463
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . . 101.00 Plan Check Fee . . .00
Issue Date . . . . 1/03/17 Valuation . . . . 0
Expiration Date . . 7/02/17
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00
1.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 5.00
Fee summary Charged Paid Credited Due
Permit Fee Total 101.00 101.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 101.00 101.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN irL l ! c41
FINAL )7
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
12/29/2016 THU 10: 14 FAX 360 797 8482 Security Servicee N Pr 0001
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RECEIVED ;'•.,-*---'-''''''..-z,:'-- l
CITY OF PORT ANGELES PERMIT APPLICATION /411111614011
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Building Dil4sion/Electrical Inspections ti ;? ': ;, l O
321 East Fifth Street—P.O.Boz 1150/Port Angeles Washington,98362 �' "'- '� --- I
Ph:(360)417-4735 Fax: (360)417-4711 ELLTii ELL; OI; ,,
Date: 12.-29—/6 X,Multi•FamllyCommercial
*Plan Review ay B Rtguired,Please Complete Electrical Plan Review Information Sheet
Job Address: :ifs .L.J 1D/�C-126 I¢D _
Building Square Footage: _ -,'0 1xj
Description el above fier.40 C.oic.4t' ',QO. ,D "'7-�e✓SIT*4— Car"Ll ee,Th t/Ix r/W,c 6" 44, ,
Owner /formation 2_I / 89-444.6. Contractor Information
Name:-!4042s r INSJy4 ror4i- � Name: �
+r'
M .Add 4-4,004313r0240 MalIli� �kCo
City.' '•' State: ; Zip: `T3 CItyfii r Stele:L+
_ Zip 3 "
Phone: ' '/ Fax: Phone: 1-516, Fax: tFrt
license 0/Exp. ,-.4 License 0/Exp. Srsc,z�+t✓.04)0C,:/03 /.
Item Unit Charge gtt Total/Qty Multlolied by UnitChecne)
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-Mule-Family $ 64,00 S
Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf . .O Q
Renewable Electrical Energy-5KVA System or Less $113.00 5
Thermoetat $ 56.00 $—
Note:55,00 for each additional T-Stat ee
$ lG'ir 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 B 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 296488,The City of Port
Angeles Municipal Code,and Utility Specifications end PAMC 14.05.050 regarding Electrical Permit Applications.
Slgnartur , • sr, ; —rical contractor or electrical administrator: 0 Cash Chock
// 0 credit card r _
K ' f Dated: / 2 9 ' 01101!2012
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