HomeMy WebLinkAbout1908 O StApplication Numbe!
Application pin number
Property Address
ASSESSOR PA.RCEIT NUMBER:
Appf icatsiorl type description
Subdivislon Name
Property Use
ProperEy Zoning
Applicatsion valuaEion
ELECTRICAL PERMTT
CITY OF PORT ANGELES
360417-4735
INDUSTRIAJ] IJIGHT
0
18 - 00001721 DaEe L1l08/L8
373692
1908 0 ST
o6 -3 0- 00 - l.- 1- 1900 - 1000 -
EIJECTRICAI ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
0s
f,
N
Applj.cation desc
cym renovation
Cont!actor
PORT OF PORT ANGEIJES
PO BOX 13sO
PORT ANGEIES IdA 9A3520251
SAFARI ELECTRIC IJI,C
653 6 KITSAP WAY
BREMERTON
(360) 813-3s0s
wA 98312
Permi E
Additional desc
Permit Fee
Issue Date
Expiratsion Date
EIJECTRTCAL ALTER COMMERCIAL
1.4 CfRCUITS
86.00 Plan Check Fee
l7/Og/ta Va]ualion
s/07/t9
00
0
Qty Unit Charge Per
BASE FEE
Extenslon
86.00
Fee suimary Charged Paid CrediEed Due
Perm] ! !'ee .toLa1
Plan Check ToEal
Gra[d ToEa]
86. O0
.00
86. O0
86. 00
.00
85.00
. oo
.00
.00
00
00
00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN t l,r)rz R T}P
FINAL t )p/n &-A>
COMMENTS:
Signature of owuer or Electrical Contractor X Date :
$r5&."T'EY
H=7."
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOTAPPROVED
DITCH
ROUGH IN/COVER
C-r> I
APPROVED
tr
n
tr
tr
COFIFECTIONS NEEDED;
l,LqX) L
NOTIFY INSPECTOH WHEN CORRECNO},IS
AEE COMPLETED HTHIH 15 DAYS
- DO NOT REMOVE-
t)
DATE:
7D -t1z\
OWNER
CONTRACTOA
ADDBESS
*fgtzs E; -ta-fvzt 1-
tM U LTI-FAIV I LY / COIM tM ERC IA
ELECTRICAL PERIV IT APPLICAT
Prolect Address '1908 South O St. Port Angeles, WA 98382
Project Description Gym Renovation
E Multi-Family Residential E Commercial / lndustrial / Public Building Square footage
Name: Port Ol Port Angeles Email
Mailing Address Phone
[rlsms; Safari Electric LiCense. sAFARELss2lrc
Mailing Expiration Date
p[6;19 360-813-3505Email
Item
Service/Feeder
Service/Feeder
nit Charge)
ServiceiFeeder 401400 Amp.
Service/Feeder 60'l -'1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp
Temp
Temp
Portal
S gn/
gnal CircuiVLimited En
gnal CircuiULimited En
(Note: $5.00
Thermostat (Note: $5 for
86.00 rorAL
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 heleby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
86.00
$
$
$
468, The City of Port Angeles Municipal Code, and Utility Specifications an
',u
1 4.05.050 r,g$-rijnS{lectrical Permit Applications
..!
==&u _-.r'
d PAMO
(SatDate Print N"r actor / Administrator)'"i
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360,417.4711]
Public Works and Utilities Department l,l!'' ii
321 E. 5th Street, Port Angeles, WA 98362 EttCIRltAt
360.41'7 .4735 | wr.vw.cityofpa.us I electricalpermits@cityotpalN8PEl'IflNS
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OWNER
ELECIRICAL CONTRACTOR I NFORMATION
Renewable Elec. Energy:
Unit Charqe Quantitu
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00ge6.oo 1
$'1 02.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
996.00
7t1At2A2A
q
q
(
q
q
q
q
$113.00
$56.00