HomeMy WebLinkAbout221 N Lincoln StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
COMMERCIAL ARTERIAL
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-s
Applicat.ion Number
Application pin number
Property Address
ASSESSOR PARCEI- NUMBER:
Application E!?e descripEion
Subdivision Name
ProperEy Use
Property zoning
Applicatsion valuatsio
19 -00000151 Dare 1/28/19
'7 7 7391
221 N LINCOIIiI ST
05-30- 00 -5 - 0 - 0100 - 0000-
EI,ECTRICAI, ONI,Y
Appficatsion desc
BanqueE room heat
BGP PA LLC ET AL
C/o BHGAH PA
LLC5 8 95 JEAN RD
I,AKE OSI4EGO
(360) 4s2-9215
BI,ACK D]AMOND ,ELEC?RICAI, CONTR
502 BI"ACK DIAMOND RD
PORT ANGEIES WA 98353
(360) s55-103soR 9703 5
Permit
Additional desc
PermaE |'ee
Issue Date
EJ,ECTRICA! ALTER COMMERCIAI
1-4 CIRCUfTS
85.00 PIan Check Fee
1/28/t9 vdfuation
7 /2't /t9Expiratiol1 Date
oty Unit charge
0
BASE FEE
Extension
86.00
Charged Pa 1d Credited Due
Permit Fee TotsaI
PIan Check Total
Grand Totsal
86.00
.00
86. 00
- 00
.00
.00
.00
. o0
.00
,
PERMM WILL E)<PIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN ilzo)n P BF
FINAI,-lahz P -sr
COMMENTS:
Signature of owner or Electrical Contractor X Date:
.00
86.00
.00
86.00
MULTI-FAIVIILY / COMTUERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Pon Angeles, WA 98362
360.4 17.4735 www-cityofpa.us electricalpermits@cityofpa.us
Kra L{o/w wJ(r^J ; zzl t\Dilta[
RECEIVED
iAN 2{ 20i9
!
(D
3
F
\
q
Project Address:
Project Description:rtr 6/r6:f lLt\-
[ lilulti-Family Residential E Commercial / lndustrial / Pubtic Building Square footage
O\A/NER INFORMATION
Name P G-^ I re Email:
ELECTRICAL CONTRACTOR INFORMATION
Mailing Address
Email:
License
Expiration Date:
Phone ?eo -4A t-31s7
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
ServicelFeeder 201400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 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. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Sign / Outline Lighting
Signal CircuiVLimited Energy - Multi-Family
Signal CircuiVLimited Energy/First '1500 sf - Commercial
(Note: $5.00 foreach additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
-2 -t C+J
Date Print Name
[Electrical Permit Applications may be su
Ouantitv Total(Ouantitv x Ljnit CharoellJnit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
ss.00
$74.00
$5.00
$86.00
$102.00
$121 .00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
- TofaL
Owner as defined by RCW.19.28.261 : (1) Owner will occupy the structure for two years after this eleclrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said prope(y is for sale, rent or lease. Permit expires after six months of last inspectaon.
After read ing the above statement, I hereby certify that I am the owner of the above named property or a lic€nsed electrical contractor I
am making the electrical installation or alteration in compliance with electrical laws , N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468. The City of PortAngeles l\,4unicipal Code, and Utility Specificati PAMC 14.05.050 regarding Electrical Permit Applications.S
ature Owner ! Electrical Contractor / Administrator)
to I or eperm its@cityofpa.us or faxed to 360.417.47111
ELcoM
Mailing Address: Phone:
--
Name;