HomeMy WebLinkAbout110 E 3rd StApplication Number . .
Applicati.on pin nurber
ProperLy Address
ASSESSOR PAITCEL NUUBER:
ApplicaEion lype description
Subdlvision Name .
Property Use
Property Zoning
Application valuatj.on ,
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMUNITY SHOPPING DISTR
0
19- 00000313 DaIe 3 /OS /!9
393125
110 E 3RD ST
o6-30- 99- 0- 0- 6910 - 0000 -
ELECTRICATJ ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ConEractor
SAI'EWAY STORTS INCc/o cPTs
1371 OAIC,AND BL\TO, STE 2OO
WALNUT CREEK CA 94596
/.425) zOL-6420
ANGELES ELECTRIC
524 E, 1ST ST-
PORT A}IGELES
l36A) 4s2-9264
wA 94362
EI,ECTRICAL ALTER COMMERCIA',
1.4 CIR DISIIWASII{ER
86. o0 Plan Check !'ee
3/05/19 valuarion
9 / 0t/a9
BASE FEE
.00
0
Extensi.on
86.00
Qty Unit Charge Per
Eee summary charged Paid credited Due
Permit Fee Total
Plan Check Total
Grand Tolal
86. 00
.00
85 .00
86.00
.00
86.00
00
00
00
.00
.00
.00
PERMIT WILL E)(PIRE SIX (6) MONTHS TROM LAST INSPECTTON
INSPECTION TYPE DATE:RESLILTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN q lu J,ts ,P -Etr
FINAI qln'l n #B)
COMMENTS:
Signature ofowuer or Electrical Contractor X Date:
Permit
Additional desc
Permit Fee
Issue Date
Expi.ration Date
Ollner
O2/28/2079 16:17 F.{I 360 452 9265 Angeles Electric
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.4 I 7 .47 35 | www.cityofoa.us I electricalpermits@cityofpa-us
ProjectAddress:3u
Project oescripton:
E Muhi-Family Residential Commercial /strial / Public Building Square footage:
Name:Email:
Mailing Address:Phone
@0001/0001
RECEIVED
l,AR 01J0,9
ao
3
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ril
o
OWNER INFORT\TATION
Name:Anoeles El c. lnc
Mailing Address:524 E. First Street, Port Angeles , wA 98362
Ucense: ANGELEI460RS
Expiration Date:2t1t2020
Phone:3604 52-9264
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Email:ksimDson@ olvmbus ,net
ELECTRICAL CONTRACTOR INFORIVATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Servica/Feeder 201-400 Amp.
ServicdFeeder 401 -600 Amp.
Servic€/Feeder 601 -1 000 Amp.
SeMceffeeder over 1 000 Amp .
Branch Circuit w/ Service Feeder
Branch Circuit WO servico Feeder
Eacfi Additional Branch Circuit
Branch Ckcuits 1-4
Temp. Service/Feedor 200 Amp-
Temp. SeruicelFeeder 20140O AmP.
Temp. Service/F6edeli40'l -6@ Amp.
Temp. Service/Feed€i 601-1 000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circu itllimitsd Ene
sis nal Circ'l.JiuLimited
(Note: $5.00 for each
Renewable Elec. Energy: sl<VA
Thermostat (Note: $5 for each addltional)
ldt.cnrrse
sl32.00
$160.00
$225.00
$288.00
$410.00
$s.00
$74.00
$5.00
s86.00
$r02.00
sl21.00
Ouantitv trOhl (Ouantlty x Unlt Ch.rge)
$
3
$
$
6
$
$
s
$
s
$
-vF-
oO
$
$
$
Print Name Signaure (E Owner / Administrator)
TOTAL
Owlter as def ned by Rcw.19.28.261: (1) Owner wilt occupy tha strucure for two yeals afrer this eloctical Psrmit i8 finaltsad. (2) O ner l8
requked to hire an elearical contractoi iiabove said propeiy ie for sale, rent or h€sa. Psmlt erQir$ afiEr sh montht of tast inspsdion'
After reading the above statement, I heBby carriry &al I am th€ owner of lh3 above namsd propofty or a licens€d €lectr{cal conrador' I
am matins iie etechical instalbtion or attsratior in com6ianca wilh lhe eleclrical latv6, N.E.C., RCW. ChaptBr 1928, WAC. Chsptor 29&
eOg. ft
"
iity "t
port Angelgs Munlcipal Code, and l.fti[t/ Specificatlons aod PAMC 14.05.050 regarding Elactloal Psrmit Apdlcaliom'
D
lElectdcat permit Applications may bo submitsd to City Hall or elactricalp€mits@cit)rotsa.us or lued lo ?6A.47 '47111
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