HomeMy WebLinkAbout2506 W 19TH ST - Building (2) ti
- ELECTRICAL PERMIT �
CITY OF PORT ANGELES '
360-417-4735
Application Number . . 18-00001106 Date 7/18/18
Application pin number . . 556814
Property,Address . . 2506 W 19TH ST REPORT STATE SALES fii4)C
ASSESSOR PARCEL NUMBER: 06-30-00-1-1-1900-5008-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . to the City of Port Angeles
Property Use . . . . . . .
Property Zoning . . . . . . INDUSTRIAL LIGHT (Location Mode 0502)
Application valuation . . . . 0
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Applicaton desa
Keg cleaner circuit
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Owner Contractor
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_ PORT OF PORT ANGELES BLACK DIAMOND ELECTRICAL CONTR
PO BOX 1350 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee 74.00 Plan Check Fee .00
Issue Date . . . . 7/18/18 Valuation 0
Expiration Date 1/14/19
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ SIP 74.00
Y Fee summary Charged Paid Credited Due
Permit Fee Total 74.00 74.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 74.00 74.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
CON04ENTS:
PERMIT WILL EXPME SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
1
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3
El cOl
MULTI-FAMILY 1 COMMERCIAL -
ELECTRICAL PERMIT APPLICATION 4
Public Works and Utilities Department �. 0�
- 321 E. 5th Street, Port Angeles, WA 98362 t
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address:
Project Description: AM a acw f
❑ Multi-Family Residential ❑ Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: ADS Ur- Email:
Mailing Address: Phone: 79
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone: 5' 7
PROJECT DETAILS
Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder201-400 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 $_ l
Branch Circuit W/O Service Feeder $74.00 -- $ —p
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-M+utti-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 $ "'`�C�
$ ( 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, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor. 1
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 Specification and PAMC 14.05.050 regarding Electrical Permit Applications.
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Date rint Name S. a ure Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submittedftoCW' Hallor electricalpermits@cityofpa.us or faxed to 360.417.4711]