HomeMy WebLinkAbout1100 P StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41.7 -4135
Application Nunrber
Application pin number
Proper!y Address
ASSESSO& PARCE! NUMBER I
ApplicaEion tlpe description
Subdivision Name
Property Use
Property zoning
ApplicaLion valuaiion
18 00001072 Date 8/37/18
475',7 72
110 O P ST
R6-30 00-0 0 0000 0000
ELECTRICAL ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)UNKNOWN
0
Applicat.ion desc
cenerator load bank
Contractor
CI"Y OF PORT ANGE]rES
PO BOX 1150
PORT ANGELES WA 9A36202\1
I]EGACY TELECOMMUNICATIONS INC
po Box 360
BURLEY WA 983 22
(253 ) 858,0214
Permit
Additionaf desc
Permlt !ee
Issue Datse
Expiration Date
102.00
8/3L/L8
2 / 2'7 /Le
Plan Check Fee
valuat ion
ET,ECTRICA! AhTER COMI"IERClAIl
00
0
oly u iL Charge Per
1.00 102.0000 EClr EL- coMM 0 200 TEMP sRv / FDR
Extension
102.00
Charged Paid Credited Due
Permil Fee TotaI
Plan Check ToLal
Grand ToEal
742
102
1A2
142
00
00
00
00
00
00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESI]LTS:INSPECTOR:
DITCH
ROUGH.IN qlLlB d si
FINAI q')i ln N \4€
COMMENTS:U
PERMTT WILLE)fIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of omer or Electrical Contractor X Datc;
Fee summary
SERVICE
IVIULTI-FAMILY /COMMERCIAL
TR AL ERt\/IT LICATIO
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4'13 5 | www.cityofoa.us I elechicalpermits@cityofpa.us
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lcol\t-l()/tar.N
Project Address PS#14 1100 P St Port Angeles, WA 98363
Load bank 1 erator for Annual MaintenanceProject Description:
n [,,lultt-Famiiy Residential E] commercial / lndustrial / Public Building Square footage:
Name Citv of Port Anqeles
Mailing Address;PO Box 1150 Port Angeles, WA 94362-0217
Email:bcobumrAcltvofoa- us
Phone:360-565-3860
ELECI. BICAL CONTRACTOR INFORMATION
Nan.re L,e.iacV --etecommunications License LEGACTLS2l LJ
Item
Service/Feeder 200 Arnp.
Service/Feeder 201-400 Amp.
SeMce/Feeder 401-600 Amp.
Se.,/ice/Feeder 60'l -1 C00 Anrp.
ServicelFeeder over 1G00 Amp.
Branch Circuit W SeMce Feedsr
Branch Circuit WO Service Feeder
Each Addiiional B{anch Circuit
Branch Circuits 1-4
Temp. Ser'./icelFeeder 2CO AmP.
Temp. Seryice/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-'1000 Amp.
Portal to Po,1al Hourly
Sign / ouiline Ligilting
Signal Circuit/Limited E ergy - [4ulti-Family
Signal Circuiulimited Energy/First 1500 3f- Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: SKVA Syslem or less
Thermostat (Nole: $5 hreach additional)
ouantitv Igte! (Quavrtity x Unit charge)
102.00
Unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$ 164.00
$185.00
$96.00
$88.00
$88.00
$96-00
0
$
$
$
$
$
$
n
$
$
$
$
$
$
$
$
s
$
$
$113,00
$56.00
l!2!Q9-romr
Owner as del,tned by RCW.19.28.261: (1) Owner wili occupy the structure for two ysars after this electrlcal penflit is finalized. (2iOwner is
required to hire an elgctrcal conlractor if above said property is for sale, reni or lease. Permit expires after six monihs of last inspection.
After reading the above statement, I hereby ce.ti8/ that I am the owner of th6 above named properly or a lic€nsed eleckical contraclor. I
am making ,re eiectical installatron or alieration in comptianc€ with lhe elecirical la\(s, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City o{ port Angeles Ilunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permil Applications.
7tQt2a1\ Rich !{en
Date Print Naite mture (n Owner p Electrical Contractor /Administrator)
Ma.ling Aodress: PO Box 360 Budey, WA 98322 Expiratlon Date:
-
Emajt. rhenry@legacypower.com Phone: 3!3999:9?f4--
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lEtectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360,417.4711]