HomeMy WebLinkAbout824 S Lindberg Rds
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
applica!ion Number
Applicalion pin number
Property Address
ASSESSOR PARCE! I.['MBER:
AppLicalion t'],?e descriptsio.
subdivision Nane
Properry Use
Properry zoning
Appl j.cation valualion
21-0000082I Date
4 3 8116
824 S TINDBERG IID
06-30-12 -3 - 3 - 0000- 0000-
ELECTRICAL ONIY
1 /A8 /2t
0
Applicalion desc
circuits
PENINSUIJA GOLE & COT'NTRY CLUB
PO BOX 528
PORT ANGEIJES IiA 983520112
NORTH PENINSULA EIECTRIC
751 FRESI{WATER PARX RD
PORT ANGELES WA 98363
13601 477-\764
Perni.t
AddiEional desc
Permit Fee
Issue DaEe .
Expiration DaEe
89.00
7 / 08/21
L/04/22
ELECTRICA-I, ALTER COI4I4ERCIA],
PLan Check Fee
valuation
00
0
Qty Unit Charge Per
1. 00 74 . 0000 Ect{ Et3.00 s.0000 Ecn EL
COMM BRANCH CIR WO/ S/F
ECI{ ADDM BRANCH CIRCT'IT
Extension
?4.00
15. 00
Fee summary Charged Paid crediled Due
PerndE Fee Total
Plan Check Total
Grand Total
89.00
.00
89 ,00
89.00
.00
89 .00
.00
.00
.00
00
00
oo
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RFSULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAI
COMMENTS:6;s-
PERMTT WILL EXPIRE STX (6) MONTHS FROM LAST TNSPECIION
Signa ture ofowaer or Electrical Contractor X
C:\EXCHANCEIBUILDINC
Datc:
tU U LTI.FAIVI I LY / COM M ERC IAL
ELECTRICAL PER MITAPPLICATION
T
I
N
ss
N\00
Projecl Address
Pro.iesl Description 4 added/6 lered circu ts
E Mulli-Family Resiriential 0 Commercial i lndustrial / Public Building Square footage
. l-r:l::i:rt . :rI.i-:1. :i^ jr.:; i..'-;..;,:t..,r,.,,..,..t. . tf , i,..'..;:...i,':-',.....:''',l.:.;,,,,.
' ,,,i1,'.::...-.:l:i .. --r, .r::j,.-. '- '. . :-:;" !. . -"r "+1-",:' ;...:1.:.".1 i,r:-...1ij.;-i::.l:.l
Email: northpenrnsu aelect. c@yahoo com PhOne: 360 477-1764
Item
Service/Feeder 200 Amp.
Servic€/Feeder 20 14{}0 Amp.
SeMc./Feeder 401 600 Amp
Service/Feeder 601-l 000 Amp
Service/Feeder ove 1 000 Arrp.
B.anc$ Circuit w/ Service Feoder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits lq
Temp. SeNice/Feeder 200 Amp.
Temp ServicdFeeder 201 -400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 1000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - Mutti+amily
Signal Ciroriulimited Energy/Fir3t 1 500 sf - Corffnercral
(Nole: $5-00 for each addit'ronal 1500 s0
Renewable Elec. Ene.gy: 5KVA Syslem or bss
Themostat (Note: $5 for each additional)
Quantitv IOEI (Ouantity x Llnit Charge)Unit Charge
$132.00
$160.00
$25-00
$288-00
$410.00
$s 00
$74.00
$5.00
$86.00
$102.00
$121.00
s164.00
$185.00
ss6.00
$88-00
$96_00
$
$
$
$
s
$
0
$
$
$
$
s
$
!
$
$
s
$
74 00
15 00
$113.00
$56.00
$ 8e 00 ToTAL
Owner as delined by RCW'19.28.261: (1) Olr/ner will occupy the struqtu.e for two years affer thjs elecfrical pennit is fina$zed. (2) Owner is
required to hire an electrjcal contractor if above said property is for sale, rent gr lease- Permit expires after six rnonths of last inspection.
After reading the above statemgnt. I hereby certify that I am lhe owner of the above named property ar a licensed electrical contractor. I
arn making the eleclrical installation or alteration in compli8nce with the eleclrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296,
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Eledrical Permit Applicatons.
Ki%berLri Raa W1lkerJrly 47.2021
Date Signature (E Owner E Electrical Conkactor / Administrator)
lElectical Permit Alplications may be submitted to City Hallor electricalpermits@cityofpa.us or faxsd to 360.417,47111
Public Works and Lltilitics l)cpartment
12 I t.. 5th Street, Port Angeles, WA 98162
360.4 17.4735 i wwrv.cityofpa.us i electricalpermitsf@ci}'ofpa.us
Name. peninsuacorcrqb Email; _
Mailing Address: s2. s l ndo€rq Road Phone: 360 a575501
Name: \odh P6.nsJra Lred c LiCenSe' mnhp6e3omz
Marling Address: 760 F,esh$ arer oaft Expiration Date: _
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