HomeMy WebLinkAbout204 S Lincoln St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
COI4MUNITY SI.IOPPING DISTR
0
Application Number . -
ApplicaEiol pin number
Property Address
ASSESSOR PARCEI NUIVIBER:
Applicatsion t)?e description
subdivision Name
Property Use
ProperEy Zoaing
Application valuaEion
22-0OOOO353 Date 3/25/22
694535
204 S LINCOI,N ST
05- 3 0- 0 0 - 0- 0 - 54 00- 0000 -
ELECTRICAI ONI,Y
Applicatsion desc
CLALLAM TITLE COMPANY
PO BOX 248
PORT ANGELES WA 98352
HI TECH SECURITY INC
723 E ERONT ST
PORT ANGELES WA 98362
\360) 4s2-2721
Additional desc
PermlE t'ee
Issue Date
Expiratioa Dale
96.00
3 /25/ 22
9 /21/22
ELECTRICA! ALTER COMMERCIA!
Plan Check Fee
Valuation
00
0
QEy UniL charge Per
1.00 96.0000 EcH EL-IJrMrrED 1ST 1500 SQ FT
Extension
96.00
eharged Paid CrediEed Dile
Pernit Eee Total
Plan check ToEal
Grand ?otal
96.00
.00
95.00
95.00
.00
96 .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 TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI
COMMENTS:
PERMIT WILL EXPIRE STX (6) MONTHS FROM LAST INSPECTION
Signahrre of owner or Electrical Contractor X
O1EXCHANGRBUILDING
Date
t\4u I-FAMILY COTVIVERCIAL
ELECT RICAL PERM IT APPLICATION
Public Works and Utilities Depa(ment
321 E. 5ih Street, Port Angetes, WA 98362
3 6A.4 17 .47 3 5 www.cityofpa.us I elcctricalpermits@cityofpa. us
I
Project Address 204 S Lincoln
Project Description lnstall an 8 camera lP video surveillance system
E Multi-Family Residential gl Commercial / lndustriat / Public Building Square footage
Name: Clallam Title Email:
Mailing Address 204 S Lincoln Phone:360-457-2000
Name Hi Tech Security ,lnc
M a iling 466rsss. 723 East Front St
fi6snsg; HITECTS955BS
Expiration Date 111012023
Phsng 360452-2727Emajl. hitech@olypen.com
Item
Servlce/Feeder 200 Amp.
Servlce/Feeder 201 400 Amp.
Service/Feeder 40'1-600 Amp.
Service/Feeder 601- 1 000 Amp.
Service/Feeder over 1000 Amp.
Branch C rcuit W/ Service Feeder
Branch C rcuit W/O Service Feeder
Each Additional Branch Circuit
Branch Clrcuits 1-4
Temp. Servlce/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp
Temp. Service/Feeder 601-'1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Slgnal CircuiVLimited Energy - Muttr-Family
Slgnal CirculULimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Ouantity fglal (Quantity x Unit Charge)
00
llil-chrlsg
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$ 1 2'r .00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
96.00 roral
Owner as delined 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, I 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-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
31312022 Mike Shirley Mike Shirley Digitally signed by tr4ike Shirley
Datei 2018.05.31 14,52:42 -Ol'O0'
Date Print Name Signature (! Owner p Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
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.OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
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