HomeMy WebLinkAbout112 Del Guzzi Dr 7 (3)Application Number .
Application pin nurnber
ProperEy Address
ASSESSOR PARCEL NUMBER :
Applicat io4 E)age descript.i.on
Subdivision Name .
Property Uae
Proper!y zoning
Applica!ion valuation
18 - 0000172? Date r1l13l18
355962
112 DEL GUZZI DR 7
o6- 30 - 12 -3 -4 - 9000- 0000-
EI,ECTRICAL ONI,Y
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMERClAL ARTERIA!
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicat.ion desc
TelecommuaicaEion cabling
Contractor
KT OLt'IrlPIC PLAZA LLC
S1O I.AKEWAY DR
BELLINGIiAM WA 94225
SYSTEM TECH WASHINGTON INC
2816 N I.'ADELIA
SPOKANE WA 99207
(509) 590 - 113 7
Permit
AddiLiona] desc
PermiE I'ee
Issue Dat.e
95 .00rt/ L3 /tg
s/L2/19
EI,ECTRICA], ALTER COMMERCIAL
Expiratioo DaEe
Qty Unir Charge
1. 00 96 _ 0000 ECH EL.TIMITED ].ST 15OO SQ FT
Valuation
.00
0
Extension
96.00
Eee summary Chaiged Pa id Credited Due
Permit Fee Total
Plan Check Total
Gra$d ToEaL
96 .00
.00
96.O0
96.00
.00
96.00
00
00
00
00
00
00
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST TNSPECTION
DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN tr)nl B x ..*a
FINAL ;)dlR.&#
COMMENTS:
Signa ture ofowner or Electrical Contractor X
INSPECTION TYPE
Date:
[/ULTI-TVIILY / CO MMER CIAL
E PE
I)ublic \\.trrks and LJtilities Deparnncnr
321 E. 5Ih Sreel, Port r\ngcles. WA 98i61
160..1 1 7.47--l-( l \,$,w.citrotpa.us l electricalperrnits(4rciryofpa.us
RECEIUED -o
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ETE'IRICAt
INSPICTIONS
Project Address 112 Delouzzi Dr Suite #7 Port eles WA 98362
Project Descripti s6. lnslallation of lelecommunication cabli ng to approx 5 faceplate locations
! Multi-FamilyResidential U Commercial/ lndustrial / Pubtic Building Square footage:835 sq ft
OWNER INFORMATION
Name: Edward Jon6s Email:
Mailing Address Phone:
Name System Tech WA License : SYSTETWSS6OB
Nlailing Address: 281
Ernail HShrewsbe
Item
Service/Feeder 200 Amp,
Service/Feeaer 20 1 -400 Amp.
Service/Feeder 40'i 600 Amp.
Service/Feoder 601.'l 000 Amp.
Service/Feeder ov6r 1oooAmp.
Branch Circuit W/ Ssrvice Feeder
Brahch Circuil W/O Seryjce Feeder
Each Additional Branch Circun
Eranch Circuits 'l-4
Temp SeNice/Feeder 2OO Amp.
Temp ServicdFeeder 201-4OO Amp.
Temp. Service/Feeder 401€OO Amp.
Temp. Service/Feederoo1-1 OOO Amp
Po,lal to Portal Hourly
Sign / Ouiline Lighting
Signal CircuirLimited
11-4-18 Bill Anderson
kane WA 99207 Expi ration Date: 92-19
Phone: 253-847-3683
$r3e00
$160.00
$22s.00
s288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$ t 02.00
sl21.00
$-
$_s-s_
I
s_s_
Charge)
$
s
$
$
s
Owner as defined by RCW19.28 261r (1) olvner will occupy the structure for two yea.s after this electrical permit is finalized. (2) owner isrequired to hire an electrical contractor jf above said propsrty is lor sale, renl or Isase. permit expires afte; six monlhs of lasti;spection.
After reading the above statement, I hereby certify that I am the gwner of the above named property or a licensed electricat contractor. Iam making the electrical installation or alteration in compliance with the electricat taws. N.e.i., icfai Cnapter r9.2g, wAc. chapter 29s468, rhe city of PorlAhgeles Municipslcode, and Utility Specifications and PAMC 14.05.0s0.egarding ilecrical permit Applications.
Date Print Name Signature (E Owner I Electrical Conlractor /Administrator)
PROJECT DETAILS
IElectrical Permit Applications may be submitted to city Hall or electricatpermits@cityoFa.us or faxed to 360.417,4711]
ELcoM
ELECTRICAL CONTRACTOR INFORMATION
$8E.m-
.$96.00
9113.@
656.00
$€0.00
s88.00
Signal CircuivLimited Energy/Fi6t 1.SOO sl- Conrr6.rcial
(Note $5 O0 fo; each addirbnat 1500 s0
Renewable Elec Energy: sKVA Sysrem or ls39
Tnermostal (Note: $5 for each aodtlional)
l ";=--, s 96.00
r 96.00 rorAL