HomeMy WebLinkAbout939 CAROL/NE ST - Building ELEGTRICkL PERMIT
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App4u tion'Number . . . 19-00000156 Date 1/30/19 �--�—
Application pin number . . 910200 R&MT STATE SALES TAX
Property Address . . . . 939 CAROLINE ST
ASSESSOR PARCEL NUMBER: 06-30-00-1-0'-3325-0000- on your excise tax form
Application type description ELECTRICAL ONLY tQ t/1@ City Of Port Angeles
Property Use, .
Subdivision NameLocation Code 0502)
Property Zoning . . . . PUBLIC BUILDINGS.&'PARXS
Application valuation . . 0
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Applica
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Applcation'deae
UPS upgrade
Owner Contractor
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PUBLIC HOSPITAL DISTRICT #2 VECA ELECTRIC CO INC
939 CAROLINE ST 5614 7T AVE S
PORT ANGELES WA 98362 PO BOX $0467
(360)` 417-7170 SEATTLE WA 48108
(206) 436-5200 -
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Permit .' . . ELECTRICAL'ALTER ---
Additional desc
Permit Fee . . 2,60.00Plan Check Fee .00
Issue Date 1/30/19 Valuation . . . 0
Expiration Date 7/29/19
i
Qty Unit Charge Per Exteneion
1.00 160.6000 BCH EL-COM 201-400 SRV FEEDER 160.00
------------------ - ------ -- -- - ------- --Fee summary Charged Paid Credited Due
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Permit
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Permit Fee Total 160.00 160.00 00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 16,0.00 160.00 .00 00 `
1NSPEETION TYPE DATE. RESULTS: wsprCTOR
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FINAL'
PERMIT WILL; 7Q'TRE SSC(6)bMM FROM LAST IN§PE TION
Signature of 4* or Electrical Contractor X Dater
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MULTI-FAMILY / COMMERCIAL
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department SAN 29 ?019
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us ', electricalpermits@cityofpa.us C
Project Address: %LAMl f L ME_9 C—) fZ C(�q 5 J
Project Description: VP15 L;FGFIIINIP t':
❑ Multi-Family Residential V Commercial/Industrial/Public Building Square footage:
O r INFORMATION r a
Name: Email: 0Lq,9A t 1( AAp1b t'�b ci% : +
Mailing Address: 't 3(1 (-AE:i-1 -i'U7 kJA yP>�, Phone: f;c =1 7 (,71—
ELECTRICAL
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CONTRACTOR INFORMATION
Name: C' Ihl(..- License: A_(Ac c I.
Mailing Address: 7-,yE � t. f A- 4� I Expiration Date: iii f_ ii
Email: Phone:
PROJECT
item Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $ I l;c
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 $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 $
$ 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-
468,The City of Port Angeles Municipal Code, and Utility Specifications nd PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature(❑ Owner Y1 Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]