HomeMy WebLinkAbout1912 W 18th St (6)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
PIIBI,IC BU]LDINGS & PARKS
0
N
I
Ns
Application Number
ApplicaEion pin number
ProperLy address
ASSESSOR PARCEL I.IUMBER I
Applicatsion t),pe descriptsion
Subdivision Name
Property Use
ProperEy zoning
Application valuation
21-00000209 DaEe
5s8568
1912 W t81H ST
05 - 30- 00 -1- 1- 1900- 1000-
EIIECTRICAI ONTY
2 /22 /2L
ApplicaEion desc
video moniEor
PORT OF POR? ANGELES
PO BOr 1350
PORT ANOETES WA 9836202s1
ANGEIES ELECTRIC
524 E. 1ST S1'.
PORT ANGEf,ES
{350) 452-9254
wA 98352
Addi t ional
Permits Eee
Issue DaEe
E4)i raE ion
E],EC?RICAL ALTER COMMERCIAI
1-4 CIRCUITS
86.00 Plan Check Fee
2/22/2L valuaEion
8/2\/2LDatse
00
QEy UiiE Cnarge Per
BASE FEE
charged Paid CrediEed Due
Permil Eee ToEaI
PIan Check Total
Grand Total
85 .00
.00
85.00
86. 00
.00
86.00
00
00
00
REPORT SALES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION Tl?E DATE:RESLTLTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAT
COMMENTS 6k
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
C1EXCHANGABUILDING
Date:
0
Extension
86.00
.00
.00
_ 00
I
tUULTI.MILY / COMMERCIAL
ELECTR LPE IUITAPP C ATIO N
Public Works and Utilities Department
321 E. 5th Stleet, Port Angeles. WA 98162
360.417 .4'735 | rvww.city elcotri c a[permits(r)cityofpa.u s
Project Address:
Project Description:
n N4ulti-Family Residential Commercial/ lndustriali Public Building Square footage:
Emall:
i\y'ailing Address Phone
Name ; Anoeles Electric, lnc License:ANGELEI46ORS
Mailing Address:524 E. First Street. Port Anoeles , wA 96362 Expi ration Date: 21112920
Email: ksimpson@olymgus.net Phone: 360,452-9264
Q*, g
{iQ1*'.A._-
Is,..-p
Item
Service/Feeder 200 Amp.
Service/F6eder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-'1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Servico Feā¬der
Branch Circuit W/O Service Feeder
Each Additional Branch Circult
Branch Circuits'1.4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Podalto Portal Hourly
Sign / Outline Lightinq
Signal CircuiULim jted Energy - Multi-Family
Signal Circuil/Limjted Energy/First 1500 sf - Commercial
(Note; $5.00 for each addltlonal 1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostal (Nole: $5 for oach additional)
Qua x Unlt Charge)
$132.00
$160.00
$225.00
$288.00
$41o.oo
$s.00
$74.00
$5.00
,$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$8e.00
$96:00
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$
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$
$
$
$
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$
$
$
$
$
$113r00
$s6.00 $' * Jdl) ,o'o.
Owner as defined by RCW.19,28.261: ('1) Owner will occupy thB 6Vucture for two years after thls electrical permit is flnalized. (2) Owner is
required to hire an elactrical contractor il abovB said property is for sale, rent or leas6, 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 propedy or a licensed el6ctrical contractor. I
am making the eleclrical installation or alleration in compliance with lhe electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Spscilications and PAMC 14.05.050 regarding Electrical Permit Applications.
Ken Sim son
te Print Name Signature (Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.4'17.471 1j
Name:
/