HomeMy WebLinkAbout4400 C ST WPS - Building (2) ELECTRW AL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00001074 Date 8/31/18
Application pin number . . . 698204
Property Address . . . . . . 4400 C ST WPS REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: R6-30-00-0-0-0000-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . . . 0
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Application desc
Generator load bank
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Owner Contractor
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CITY OF PORT ANGELES LEGACY TELECOMMUNICATIONS INC
PO BOX 1150 PO BOX 360
PORT ANGELES WA 983620217 BURLEY WA 98322
(253) 858-0214
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL-
Additional desc
Permit Fee . . . . 164.00 Plan Check Fee .00
Issue Date . . . . 8/31/18 valuation 0
Expiration Date 2/27/19
Qty Unit Charge Per Extension
1.00 164.0000 ECH EL- COMM 401-600 TEMP SRV/FDR 164,00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 164.00 164.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 164.00 164.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
CONDAENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
ELcOm `� MULTI-FAMILY COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street,Port Angeles,WA 98362
360,417.4735 1 www.cityofpa.us I e1ectricalperrnits@cityofpa.us
Project Address, Fairmount P/S South C St Port Angeles, WA 98362
Project Description: Load bank 1 generator for Annual Maintenance
D Multi-Fai-oily Residential El Commercial/Industrial/Public Building Square footage:
--6-w IVI
NER IINFOR' 'ATION
Name: City of Port Angeles Email: bcoburnQcftyofPa.us
Mailing Address: PO Box 1150 Port Angeles,WA 98362-0217 Phone: 360-565-3860
ACTOR INFORMATION
ELEC ic�CcoNiR
Name: Leqacy Telecommunications License: LEGACTL821LJ
Mailing Address: PO Box 360 Burley,WA 98322 Expiration Date:
Email: rhenry@legacypower.com Phone: 253-858-0214
rl"V
Item Unit Charce Quantity J9tAJ(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service[Feeder 201-400 Amp, $160.00 $
Service/Feeder 401-600 Amp. $225.GO $
Service/Feeder 601-1000 Amip. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W1 Service Feeder $6.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Cirruits 1-4 $96.00 $
Temp.Sawice/Feeder 200 Arnp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp. $1614.00 s 164.00
Temp. Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign I Cutlino Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note:$5.00 for each additional 1500 sf)
Renewable Elec.Energy:5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56.00 $
$ 164.00 TOTAL
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure fortwo years afterthis 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 prop"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 PANIC 14.05.050 regarding Electrical Permit Applications.
7/12/2018 Rich Henry
Date Print Name !E�Jgnature([] owner J? Electrical Contractor I Administrator)
(Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]