HomeMy WebLinkAbout118 N LIBERTY STl - Building v,-
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�AL PERMIT -
CM M RT ANGELES
361 7=4735
Application Number . . 19-00001461 Date 9/20/19 —
Application Pin number 161428REPORT STATE SALES TAX
Property Address . . . . 118 N LIBERTY STA on your eXClSe tax form
PARCEL' NUMBER;' Q6-30-0d-7-5-0100-0000
Application type description ELECTRIM - ONLY to the City of Poli Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning . . UNKNOWN
Application valuation 0
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Application desc
RM
Remodel
Owner Contractor
"-CHRISTINA NYWIS .. ANGELES ELECTRIC
;. -i21Z 524 E., 16T ST.
T ANGELES WA 993620225 PORT ANGELES WA 98362
1360) 452-9264
Permit . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan heck Fee .00
Issue Date . . . 9/20/19 Valuation 0
Expiration Date 9/18/20
Qty Unit Charge Per Extension
a
8s.00
BASE FEE
- -- - -- - --- ---- -
Fee summary Charged Paid Credited Due
Permit Fee Total 86:00 211 86.00 .00 .00'
Plan Check Total .00 .00 .00 .00
Grand Total_ 86.00 86,00 .00 00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH-IN ?
NINA44 ft
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PERMIT'W" fPatE SIX(6)M9NIMS FROM LAS`"INSPEC WN
Signature Ott caner or Elbetric al Contractor X Date:
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09/20/2019 08:28 FAX 360 452 9265 Angeles Electric 00001/0001
ELcOml
MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMI_TAPPLICATION F �=
Public Works and Utilities Department
It�t
321 E. 5th Street, Port Angeles,WA 98362
364.417.4735 ( www.cityofpa.us electricalpennits@cityofpams
Project Address: /��
Project Description: vt
O Multi-Family Residential 0 Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Q Z-0 Email:
Mailing Address: Phone:
ELECTRICAL • •• INFORMATION
Name: Angeles Electric, Inc License: ANGELE1460RS
Mailing Address: 524 E First Street, Port Angeles, WA 98362 Expiration Date: 2/1/2020
Email: ksimpson@olympus:net Phone: 360-452-9264
PROJECT
lid Unit Charge Qg$pt Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder20.1=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.
Temp.Service/Feeder�6D1-1.000 Amp. $ 3
Portal to Portal Hourly -
--
Sign/Outline Lighting
Signal Circuit/Limited Energy Mulf6an�ily
Signal Circuit/Limited Energy/First 1sfinercd'al6 $F
(Note:$5.00 for each altrcaraat l5ta
Renewable Elec.Energy:5KVA System of less $
Thermostat(Note:$5 for each additional)
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, l 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,TheCityof Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Dag Print Name IFSignature(o Owner[ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofipa.us or faxed to 360.417.47111