HomeMy WebLinkAbout222 N Lincoln St Hse AELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'/35
CENTRAL B1]S INESS DISTRICT
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ApplicaEion Number
ApplicaEion pln number
Property Addres6
ASSESSOR PARCEL NUMBER:
ApplicaEion E}?e descripEion
Subdivision Name
ProperEy Use
Property zoning
Application vafua!ion
2 L- 00001087 Dale a/3t/2t
6't 57 92
222 N I,INCOI,N ST HSE A
06- 3 0-00- 5 - 0 - 0020 - 0000-
EIECTRICAI ONIY
Applicatsion desc
Service for basements office space
HARBORTOWNE LI,C
84 HUNTERS GATE LN
PORT ANGEIJES(aoa) 22s-7394
ANGELES EtEC?RIC
524 E. 1ST S?.
PORT }NGEtES
l36A) 452-9254
wA 98352 wA 98352
Permit
Additional desc
Permi! Fee
Issue Date
Expiration Date
.00
0
Qty Unit charge Per
4.00 5-ooo0 ECI{
1 . 00 132 .0000 EcH
BASE FEE
EL-BRANCH CIRCU]T W/F'EEDER
EL-COM O-2OO SRV FEEDER
Ext.ension
85 .00
20.00
132.00
Charged Paid Cr:ediEed Due
Permit Fee Total
Plan Check Total
Grand ToEal
238.00
.00
238.00
238
238
00
00
00
PER\IIT WILL EXPIRE SL\ (6) MONTHS FROM LAST IN
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X
INSPECTION TYPE DATE RESL'LTS
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Date
ELECIRICA], A],?ER COMMERCIAL1-4 CIRCUITS
238.00 Plan check Fee
I / 31/27 valualioR .
2 /2'7 / 22
.00
.00
.00
.00
.00
.00
INSPECTOR:
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t\4 ULTI.FAMILY / cot\4tvt ERCIAL
ELECTRICAL P E R I\4ITAPPLICATION
, Public Worl(s and Ulilities Department
32 I E, 5th Stleet, Pofr Arlgeles, WA 98.162
360.411 .4735 | rvwwcityofpa.us I eiect:r ioalpelm its(Dcityo{l:a.u s
Pmject Address:ZLL N,H96 N
Prolect Description:
E Multi-Family Residential E Commercial/ lndustrial / Public Building Square foolage:
(-Emall:
l\4ailing Address:Phone:
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1116ms; Angeles Electric, lnc
nature (tr pEt
License:ANGELE146ORS
IslSl (Quantl charge)
TOTAL
Administrator)
Item
Sorvice/Fe€der 200 Amp.
Service/FeedeI 201400 Amp,
Service/Feeder 40'l -600 Amp,
Service/Feeder 601 -1000 Amp.
Sorvice/Feeder ov€r '1000 Amp,
Branch Circuit W Servic€ Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits'1-4
Temp. Service/Feeder 200 AmP,
Temp. Service/Feeder 201-400 AmP.
Temp, Service/Feeder 401-600 AmP
Temp. SeryiceiFeeder 601 -'1000 Amp.
Portal to Portal HourlY
Sign / Outline Lighting
Signal CircuiVLimited Energy - Multi.Family
Slgnal Circuil/Llmited Energy/Flrsl 1500 sl' Commerdal
(Note: $5.00 for each addltlonal 1500.sf)
Renewable Elec. Energf 5KVA System or less
Themostat (Note: $5 for €ach addltlonal)
Ken Sim on
Date
Unlt Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
.$86.00
$102,oo
$ 121 .00
$164.00
s185.00
$96.00
$88:00
$88.00
$96:00
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$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$'113;00
$56:00
Owner as defined by RCw.19,28.261 : (1 ) owner will occupy the structure for two yeals after thls 6lectr cEI permil ls frna lized (2)Olvnor is
requ;r6d to hir€ ao electrical contractor i/atove said propeity Is for sale, rent or lease. Pormit gxpiro6 aflgr six months of last inspBction
After teading ths above straiernent, I hereby cedify that I am tho owner of the above named properly or a llc€nsed elecirical conlractor' I
am maktno the electricat insta:terton or alie/stion ti compltance wlth thB electrical lews, N-r.i,, ncW cnapter 19,28, WAc' chapler 296-
ffi,fi:.t,,ff;;;;g.-r""'rrr..i"iprr c",1", and uritiiy speciflca oirs and pAMc 14.oB.o5o regardthg Etectrical PE.mlt Appllcations.
IElectr]cal Pernrit Applications m ay be submitted lo city Hall or electricalpermits@cityofpa us or faxed to 360 417 '47111
Name:
N4ailing Address: Expiration Date:21112020
-Email: ksimpson@olympus,net Phone: 360=452-9264
-t
Print Name
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-1735
ApplicaEion Number
ApplicaEion pi:1 number
Prope!t.y Address
ASSESSOR PARCEI NUMBER I
Application type deserip!i.on
subdivision Name
ProperEy Use
ProDerty zoair,g
ApplicaEion valuatioll
21-00001087 Date I /31/2r
615792
222 N IJINCOLN ST I{SE A
05-30'00-5 - 0 - 0020 - 0000 -
EIECTRICA! ONLY
CENTRAL BUSINESS DISTRICT
0
Application desc
service for basemelE offlce space
ELECTRICAL ALTER COMMERCIA!
I.4 CIRCUIIS
218. O0 Plan Check Fee
8/3\/2L valuatsion
2 /27 /22
I{ASBORTOII',NE L]-C ANGEI,ES E1,ECTRIC
84 EUNTERS GATE ],N 524 E. 1ST ST"
PORT ANGELES WA 98362 PORT ANGELES WA 98362
- l!l1l ill_::: - - t:::t i:'_"'1n ..
Additional
PemiE Fee
Issue Dale
Expiration DaEe
.00
0
oEy UniE charge Per Extrension
85.00
20.4o
132 .00
4.OA
1.00
5.0000 Ect{
132 .0000 ECH
BASE FEE
E],-BR.ANCH crRCUrT W/EEEDER
EL-COM O.2OO SRV FEE]]ER
Charged Paid credited
PermrE !'ee 10ta1
PLan Check Total
Giaad ToEal
238.00
.00
238.00
238. C0
.00
23A.AO
00
o0
00
00
00
0c
REPORT SALES TAX
on yaur excise tax form
to the City of Port Angeles
(Location Code A502)
INSPECTION T\?E RESULTS INSPECTOR:
DITCH
SER\'ICE
ROUGH.IN
FINAI
COMMENTS
PERMIT W1LL EXPIRE SD( (6) MONTHS FROM LAST INSPECT1ON
Signature of owner or Electrical Contractor X
C:\EXCHANCRBUILDING
Date:
Due
DATE: