HomeMy WebLinkAbout220 S Lincoln StELECTRICAL PERMTT
CITY OF PORT ANGELES
360-417-4735
COMMUNITY SHOPPING DISTR
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
B
JJJApplication Nunrber .
Applicati"on pi4 number
Property Address
ASSESSOR PARCEL NUUBER:
Applicat.iort. type descrj.ptsion
Subdivision Name . -
Property Use
Propertsy zooing
Application valuaEion .
t"8 - 00001?77 Date 11/21118
319670
220 S LINCOIN ST
06- 30- 00 -0 - 0 - 5470 - 0000-
EI,ECTRICT], ONLY
ApplicaEion desc
Cameras and D\R update
Contractor
SI'RAIT-VIEIi CREDIT T'NION
PO BOX 33 9
PORT ANGELES WA 983620054
HI TECH SECURITY INC
723 E FRONT ST
PORT ANGELES WA 983 52
l360) 4s2-2721
PETmiT ELECTRICAI ALTER COMMERCIAL
AddiEi.onal desc
Permit Fee 95.00 pLan Check Fee
Issue Date )-L/21-/1A Vafuation
Expiratior Date 5/20/L9
Permit Fee Total
Plan Check Total
Grand Totsal
96.00
.00
95. O0
95.00
.00
95.00
.00
.00
.00
00
00
00
00
0
Qty Unit Charge Fer
1.00 95.0000 Ec:{ EL-LTMITED 1ST 1500 SO FT
Extension
95.00
Fee summary Charged Paid Credited Due
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTTON
INSPECTION Tl?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN /2- -/'l -tO ,4P &)
FINAL /J - / 7-t8 rP
COMMENTS
Signature ofowner or Electrical Contractor X Date
t&
t\/Iil I-FAMILY COTMIMtrR(iIAI
ELECTR ICAL PERM IT APPLICATION
PLrblic Wbrks and Utilities Dcpartment
3l1 E. -sth Street. Port Anqeles. \\A 9E.!62
160.4 I 7.47-i-s I il,rvw.cirvofira.us i electncalperrnit,s@cityoipa.us
RECflUEB 3o
=
-co\
JJ
{
NoIl 15 ?0tU
EI$IR[rl-
r{sft[n0ils
Project Address
Project Description:Upgrade video surveillance, re place 10 cameras, add 5 cameras, u rade DVR
E Nlulti-Family Residential O Commercial / lndustriat / Public Building Square footage
Name: Strait View Credit Union Email
N.4ailing Address 220 South Lincoln phone. 360-452-3883
ELECTRICAL CONTRACTOR INFORMATION
Name Hi Tech Security, lnc
Mailing 466rss5; 723 East Front St
l-i6sn5s HlTECTS955BS
Expiration Date 1110t2019
Phone: 360452-2727Emailhitech@olvpen.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -4OO Amp.
Service/Feeder 401-600 Amp.
ServicelFeeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits '1-4
Temp. Se.vice/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40't-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuiVLimited Energy - Mutti-Family
Signal CircuiVLimited 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)
Ouantitv Iqlal(Quantity x Unit Charge)
96.00 TOTAL
unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$1M.00
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
96.00
$113.00
$56.00
owner as defined 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 nlaking 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 Port Angeles Municipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electrical Permit Applications.
1 1 I 161201 8 tt/ike Shirley Mike Shirley Digitally signed by Mike Shirley
Date: 2018.05.31 14:52:42 -o7'oo'Date Print Name Signalure (! Owner F Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
220 South Lincoln
OWNER INFORMATION
'l