HomeMy WebLinkAbout102 E 5th Stee
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Appllcatlon Nu$lcer
Applicalion piit nudber
ProperLy Address
ASSESSOR PARCEL }'IWBER:
Applicatsion t)?e description
Subdivision Name
Property Use
Property Zoning
Applicatioo valuation
18 00001c57 Date 8/3a/18
'709442
102 E STH ST
06 l0 00 0 1 5730 u000
ELEC]RICAL CNLY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4135
COMMUN]TY SHOPP]NG DISTR
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Potl Angeles
(Location Code 0502)
Applicatsion desc
Generator Ioad bank
Contractor
C]TY OE PORT ANGELES
PO BOX 1150
PORT ANGEI]ES lIA 983 62 0217
IJEGACY TEIECOMI'II]NICATIONS INC
PO BOX 360
BURLEY WA 983 22
(253) 858-0214
Additional
Permit Eee
Issue Dale
Expiration
desc
,ua"
121.00
8/3a/\a
2/2"7 /19
ELECTRICAL ALTER COMMERClAI,
Plan Check Pee
valuation
00
0
Qty Unit Charge Per
1.00 121-0000 EcH EL coMM 201 400 TEMP sRv/FDR 121.00
Eee summary Charged Paid Credited Due
Permlt Fee Total
Plan Check Total
Grand Total
00
00
o0
00
00
00
00
00
00
!2t
127
72L
72L
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN ?-tt-ra lP *dL)
FINAL j-tl- /B w
COMMENTS;
PERMM WILL EXPIRE SIX (6) MONTHS FROM I-AST INSPECTION
Signature ofowner or Electrical Contractor X Date
IU U LTI-FAN/I ! LY / COMTU ERCIAL
ELECTRICAL PERhIIT APPLIC
Public Works and Utilities Departrrent
321 E. 5th Street, PofiAngeles, WA 98362
360.417.4735 | www.cityo$a.us I electricalpermits@cityofua.us
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Pro.ject 446y635; Fire Station 102 E sth St Port Angeles, WA 98362
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ll [/tult!Famiiy Residential E] Commorciall tndustrial / Public Building Square fqotage
Name: City of Port Anqeles
Mailing Address: PO Box 1150 PortAngeles, WA 98362-0217
Email: baqburn@cityofua.us
phone. 360.565-3860
ELECTRICAL CONTRACTOR INFORTVATION
Name Leqacy Telecommunications License: LEGACTLS2l LJ
Mailing Adcress: PO Box 360 Burlev, WA 98322 Expiration Date
Email rhen r,/@leqacypower.com Phone: 253-858-0214
PROJECT DETAILS
Item
Service/Feeder 200 Amp-
Selice,/Feeder 201 -400 Amp.
Service/Feeder 401-600 Amp.
Seruice/Feeder 601-1CGo Anp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit \y'Ulo Service Feedet
Each Additional Branch Circuit
Br6nch Circuits 1-4
Temp. Servlce/Feeder 200 Amp.
Temp. Servrce/Feeder 20'1-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Serrice/Feeder 601-1000 Amp.
Portal to Podal Hourly
Sign I Outline Lighting
Signal CircuirLimited Energy - Multi-Family
Signal Circuivlimited Energy/First 1500 sf - Commercial
(Note: $5.00 ror each additional 1500 s0
Renewable El6c. Energy: sKVA System gr less
Thermostat (Note: $5 for each additional)
Ouantltv Total (Ouantitv x Unit Gharoelt,nlt Charo€
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$'121.00
$164.00
$18s.00
$96.00
$88.00
$88.00
$96.00
1
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$
$
$
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$
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$113.00
$s6.00
121 .0A rorAL
Owner as defined by RCW.19.28.26'1: ('l) Owner will occupy the structure lor two y6ars after this eleckical permit as finalized, (2) Owner 1s
required to hi.e an electrical contractor if above said properly is for sale, rent or lease. Permit expires after six months of tast inspection.
After reading the above statemenl. I hereby certi{y that I am the owner ofthe above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in cor0pliance with the eiect callaws, N.E.C., RCW. Chapter 19,28, WAC. Chapter296-
468, The City of PortAngeles Municipal Code, and Utility S PAMC 14.05.050 rBgarding Eectical PermitApplications
7112t2018 Rich Hen
Date Print Name igna re(n Owne. E Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hali or epermits@cityofpa.us or faxed la 360-417 .47111
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Project Description: Load bank 1 generator for Annual Maintenance
OWNER INFORTUATION
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