HomeMy WebLinkAbout1829 1/2 W 12th StApplicacion Number
AppI icatior! pin number
Property Addrese
ASSESSOR PA.RCEI, NI}MBER:
Applicarion type description
subdivision Name
ProPerty u5e
Property zoning
ApplicaEion valuatiorr
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604t7-4735
18-00001071 DaEe 8/3L/tg
2',7 4456
1A29 1/2 W l2TH ST
R6-30-00-0-0-0000-0000
ET,ECTRICAI, ONI,Y
t,N(NOl,lN
REPORT STATE SALES IAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
Application desc
Generator load bank
Contractor
CITY OF PORT ANGEIES
PO BOX 115 0
PORT ANGEIJES WA 983620217
LEGACY TELECOMMUNICATIONS INC
PO BOX 360
BURI,EY NA 94122
(253) 858-0214
Permit
Addiiional desc
PermiE Fee
Issue Dale
Expiratio. Date
102.00
8/3a/18
2/21/te
ELECTRICAL ALTER COMMERC]AL
Plan Check Fee
Valuation
00
0
oty Unit Charge Per
1.00 102.0000 ECr{ EL- cot4M 0-200 TEMP sRV / EDR
Extens ion
102.00
Charged Credi ted Due
Permit Pee ToEaI
Plan Ctreck ToEaf
Grand ToEal
L02
LO2
00
00
00
t 02. 00
.00
102. 00
.00
.00
.00
.00
.00
.00
INSPECTION T\?E DATE:RESULTS:NSPECTOR:
DITCH
SERVICE
ROUGH-IN t )alte P ,'sP
FINAL qh ln 4F sr
COMMENTS:
PERMIT WILL E)(PIRE Slx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
0
IMULTI-FAIU LY / cotu I\IERCIAL
ELECTRICAL P ERTVIIT APPLICATI ON
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
36A.4{1.4'735 | www.cityofpa.us I electrrcalpermits@cityofpa.us
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Project Address:PSffiA 1??I 1l2W 12lh St Port Anqeles, WA 98363
Project Description Load bank 1 generator for Annual lvlaintenance
n i\ilultl-i:amily Residential El Commercial/ lndustlial / Public Building Square footage:
OWNER INFORMATION
Name Cifu of Pori Anqeles
Mailing Address Po Box 1150 Port Angeles, WA 98362-0217
Email bcobum@cifuofoa.us
Phone:360-565-3860
CTRICAL CONTRACTOR INFORIVATION.. ELE
Narne Legacy'felecornrtunications License: LEGACTLS2l
Mailing Adciress PO Box 360 Burlev, WA 98322 Expiration Date:
Email rhenry@legacypower.com Phcne:253-&58-0214
Item
Service/Feed er 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'l -600 Amp.
Service,/Feeder 60 l-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuil \i// Sen/ice Feeder
Branch Circuil U/O Service Feeder
Each Additional Branch Circuit
Branch Circuits i-4
TBmp. Ser,/ice/Feeder 200 Amp.
Temp. Service/Feeder 201400 tunp.
Temp. Service/Feeder 401$00 Amp.
Temp, Service/Feeder 601-1000 Amp.
Portal to Portal Hou y
Sign / Outline Lighting
Signal Circuitllimit€d Energy - Multi-Famaly
Signal Circuivli.nited Energy/First 1500 sf - Commercial
(Note; $5.00 for each additkmal 1500 sf)
Renewable Elec, Energyi sKVA System or less
Thermostat (Note: $5 for each additional)
Quantitv lqlel (Quantity x UnltCharge)lJnit Charoe
$132.00
$160.00
$225.N
$288.00
$410.00
$5.00
$74.00
ss.00
$86.00
$102.00
$121_00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
00102
$
s
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$1'13.00
$56.00
$
$
$102.00 rorAL
Owner as deliDed bi, RCW.'19.28.261: (1) Owner will oc{upy the structure for two years after this eleckical permit is finalized. (2) Owner is
required to hir-o an electrical contractor if above said properly is for sale, rent or lease. Permit expires afte. sL\ months of last inspection.
After reading the above statement, I hereby codify that I am the ownar of the above named proper(y or a lice.sed electrical contractor. I
am making th€ electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapte|i9,28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utillty S PAMC 14.05.050 regarding Aecaical Permit Applications
7t12t2a1\ Rich F{en
Date Print Name Signature (I Owner ! Electrical Contractor / Administrator)
,1{
[Electrical Permit Applicatjons may be submitted to City Hail or epermits@citycfpa.us or faxed to 36A.417 .47111
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