HomeMy WebLinkAbout110 E 3rd St (4)-!N
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Applicalion Nwnber
ApplicaLion pin nuidoer
Property Address
ASSESSOR PARCEL NUMBER:
Applicatsion E}?e descriptsion
Subdivision Name .
Propertsy Use
ProperEy zoning
ApplicaEion valuaEion
2t-oooaLt2't Date
546434
110 E 3IID ST
05 -30 - 99-0-0-5910 - 0000 -
EIECTRfCAI ONI,Y
9 /09 /2a
COMMUNITY SHOPP]NG DISTR
0
Application desc
Pharmacy circui!
SAFEWAY STORES INC
c/o cPTs
1371 OAXIAND BI,VD, STE 2OO
WALNUT CREEK CA 94596
1425) 2Ar642A
D&R ETECT'R]C
PO BOX 74
PORT ORCHARD
\360) 443-22A1
wA 98366
PermiL
Additional
PermiE Fee
Issue Date
74 .00
e/09/2L
3/08/22
ELECIRICA]J ALTER COI4MERC]A],
Plan Check Fee
valuaEion
.00
0
Expiratsion Date
Oty Units charge Per
1. 00 74 . 0000 Eclr EIJ-CO}!'l BRANCH CIR WO/ S/E
Extsension
?4.00
Charged Paid creditsed Due
PermiE Fee ToEal
Plan check Total
Grand Total
?4 .00
.00
74.A4
74 .0O
.00
74.O0
.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
ROUGH-IN
FINAI
COMMENTS:
PERMIT WILL EXPTRE SL\ (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:'EXCHANCE\BUILDINC
Date:
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MULTI.FAMILY /COMMERCIAL
ELECTRICAL PERMIT APPLICATION
lublic Works and {.1'.i}iti*s I)cplrtrttcnl
ll i F,. 51il SIrcci. P()rt .,\ngeles. \\',\ 9rl('l
j60..+17.4:-.i-i:urr.'rt.cino[]rit.us lcie(:tlic,]lpcrrnit\,(.cityolpa.lls
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'-.JPro.iec{ Address 110 E 3rd St Port Anse les, WA
Project Dsscription:lnstall 1-120v circuil at pharmacy
D Multi-Family Residentlal E Commercial / lndustrial / Public Building Square footaga 500
Name Safeway lnc
Mailing Address 250 E Park Center Blvd Boisa to 83706
Email:
Phone
ELECTRICAL CONTRACTOR INFORMAT]ON
Name:D&R Electrical Services LLC License: DRELEE'826BE
Mailing Address: PO Box 74 Port Orchard, WA 98366 Expiration Oate:
Email anhei .com Phone: 36G271-3112
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Servic€lFeeder 2()O Amp.
ServicelFeeder m1-400 Amp.
Service/Feeder 401600 Amp.
S€rvic€y'F6eder 601- 10O0 Arnp.
Service,/F9ede. orr$ t@0 Amp.
Branct Circrrit w/ Sewlco Feoder
Branch Circuit WO Servlca Feeder
Each Addltional Branch Clrcuit
Branch Circuits 14
Temp. SeNic€/Fesdsr 2m Amp.
Tomp- Servica/F€€ds. 201 400 Amp.
Temp. Service/Feeds 401€00 Amp.
Temp. SeMc€/Fooder 60'l-1000 Anp,
Ponal to Portal Houriy
Sign / Ouiline LEhtjng
Signal Cirqliulimited Energy - Multi-Family
Ouantltv trqEl (Qu.ntlty r Unh Chargq)
$132.00
$160.00
$225.00
$288.00
$410.00
95.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$18s.00
$96.00
$88.00
$88.00
$s6.00
s113.00
$56.00
$
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Signal Cirarit/Limited Enorgy/Fi6t l5O0 si - Comrnsrdal
(Note: $5.00 tor each additiooal 1500 sf)
R6n6wable Elec. Energy: sKVA System or teas
Thsrmostat (Note: $5 for each additional)
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Owner as defined by RCW.19.28.261: (l ) Orrn€r will occupy the stuclure for two y6ars afr€r this dectrical permit is finalized. (2) Owner is
roqulrcd to hi€ an elBcttical contractor if abovo said pmporly is ld sala, renl or leas6. Pemit expires afl6r six months ol last inspeclion.
Afrer reading lhe above statorhent. I hereby certify that I am th€ owior of the abovo nam6d p.operty or a liconsed electrical contractor, I
am maklng ths eleclric€l lnstallation or alteration in compllanco with the eloctrical laws, N.E.C., RCW. Chaptgr 19.28, WAC. Chapt€r 296.
468, The City of PortAnosl€s Municipal Code, and Utillty Specmcations and PAMC 14.05.050 regarding Electical Pormit Applications.
J.
09t18t21 B nan Heim
Dale Print Name (El E Electrical Contractor / Adminastrator)
[Electrical Permil Applications may be submitted to City Hall or electricalpermits@cityoipa.us or faxed to 360.417.4711]
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