HomeMy WebLinkAbout1239 Campbell AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RES]DENT]AI HIGE DMISITY
0
Application Nunber . .
Applicai:ion pin numlcer
Proper:ty Ad&ess
ASSESSOR PARCEI NUMBER:
Applicatsion tsype descriptsion
subdivision Name
Propertsy Use
ProperEy zoning
Application valuation
2r-00001336 DaLe !o/t9/2L
793880
123 9 CAIY]PBEtL A\rE
05 3 0- 14 -5 -3 -0355 - 0000 -
ELECTRICAL ONLY
Applicatsion desc
Replace meter pack
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGEITES
(360) 452-9254
\tA 94122 wA 94362
Per:miE
Additional desc
Permit Fee
Issue Date -
Expiration Date
150.00
10 /a9 / 2r
4/r'1/22
ELECTRI CAL ATTER COI'IIIERCIAL
Pfan check Fee
Valuatsion
00
0
Oty Unit Charge Per
1. 00 150 . 0000 ECII EL-COM 201-4 OO SRV FEEDER
Extersion
150.00
Char.ged Paid Credited Due
Permli Iee -tota-l
Plan Check Total
Grand TotsaI
160
160
150.00
.00
160.00
00
00
00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE RESULTS INSPECTOR:
DITCH
SERVICE ro)nlzr N ?f&
ROLIGH.IN
FINAL
a/
PERMTT WILL EXPTRE SIX (6) MONTHS FROM LAST
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDINC
toN
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Campbe115899 L],C
1425 Broadway 37
SEATTLE
I
COMMENTS:
Date:
M ULTI-FAMILY / C OMMERCIA
ELECTRICAL P ERIVI TAPPLICATION
. PLlblic Worl<s anri Utilities Departme.nt
32I E. 5th SLrcer, Fo A[geles, WA 98.]62
.\60.4 l7.47 35 | rvrvrv.cityofpa.us I elceri icalpcr.mits(Dciryofpa.us
Project Address:
tion
ulti-Family Resldential Commercial / lndustrial /blic Building Square footage:
-E
o
3.
$
N
\.il
${I(.-
Pro
Name Email:
Mailing Address: . .. phon€:
Name:Anqeles Electric, lnc,
Malling Addresst 524 E. Flrst Skeet, Port Anqe les, WA 96362
License:ANGELEI46ORS
Expiration Date:21112020
Phonet 360=452-9264Email:ksimpson@olVmpus.net
Ouantitv Igllal (Ouantlty x Unlt Charge)
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$$_
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$..--
$_
$-_-$_
$___-*
$--
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$--
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$_$_
Servlce/Feedor 200 Amp,
Service/Feeder 201400 Amp.
ServiceiFeeder 401 -600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder oyer 1000 Amp.
Branch Circuit W Servlce F6eder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp,
Temp. Servlce/Feeder 201-400 Amp,
Temp. Servlce/Feeder 401-600 Amp.
Temp, Service/Feeder 601-1 000 Amp,
Podalto Portal Hourly
Sign / Oulline Lighting
Signal Circuit/Limited Energy - Multi.Family
Signal Circuiullmited Energy/Flrst 1500 sf - Commercla'l
(Note: $5.00 Ior each additional 1500 sf)
Renewable Elec. Energy; SKVA System or less
Thermostat {Note: $5 for each additional)
$132.00
$130.00
$225.00
$238,00
$410,00
$5.00
$74,00
$5.00
.$86.00
$102.00
$121 .00
$164.00
$1€5.00
$9€,.00
$8€,00
$8e.00
$96i00
-r
$'113;00
$56:00
$
$' E fi* r,r,at
Owner as deflned by RCW,19,28.261: (l)Owner willoccupytho strutture for two years afterthls electllc€l permit is llnallzed (2)Owreris
required io hire an €lectricel conkactor jf abovo ssid property is for sale, ront or lEase. Permit expires attsr six months of last lnspoctlon,
Atter reading the abgve statement, I hereby oertify that I am the owner of lh6 above named property or a licensed elsctrical contrsclor. I
am makang the electdcal ifl$tallatlon oralteration in compliance with lhe eleotficallaws, N.E.C,, RCW, Chapter 19.26, WAC Clrapt6r 296-
468, The City of PortAngeles [4unicipal CodB, and Utilily Specif]calions and PAF,4C 14.05,050 regarding Electrical P€rmit Applicatlons.
Ken Sim son
Print Name Signature (E B cal Contractor / Adminislrator)a
IElectrical PermitApplications may be submitted to City Hall or electricalpermits@cityofpa,us or faxed to 360.417.47111