HomeMy WebLinkAbout3501 Bldg J W 18th Stl u
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Applicatsion Number
Appllcation pin number
Proper!y Address
ASSESSOR PARCEL NUMBER:
ApllicaLion t!'pe descriptsion
subdivision Name
Proper:ty Use
Pr,operty Zoning
ApplicaLion valuation
18 00 001075 Date 8/31/t8
839450
3501 BLDG J W 18TH ST
07-30 0t 2 2-0000-0000-
EIECTRICA]T ONLY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'.735
PUBIIC EU]IDINGS & PARKS
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicaiion desc
ceneralor load bank
Contractor
CITY OF PORT AIIGEI]ES
PO BOX 115 0
PORT ANGEI,ES
LEGACY TEI]ECOMI'{UN]CAT]ONS lNC
PO BOX 360
BURI,EY WA 9A322
(2s3) 858-0214
wA 943624217
PermiL
Additional desc
Permits Fee
Issue Date
Expiratsion Date
185.00
8/3t/tB
2/2'7 /!9
ELECTRTCAI] AITER COMMERCIAL
Plan Check Fee
Valualion
00
0
Qty Unit Charge Per
1.OO 185.OOOO ECH E! COMM 501 UP TEMP SRV/FDR 185.00
Charged Paid Credited Due
Permit. Eee Total
Plan Check Total
Grand ToEal
185
185
185 00
00
00
00
00
00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN ?-tt-ts *A ,@
FINAL ?-/l-/8 lf
COMMENTS:
Signature ofowler or Electrical Cotrtractor X Date
n6)
-FAI\TI M
ELEC TRICAL PER IVIITAPPLICATI ON
Fublic Works and Utilities Departmont
321 E. 5th Sreet, Port Angeles, WA 98362
360.417.4735 | www.cityofta.us I electricalpermrts@cityofpa.us
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iTAWTP 3238 W 18th St Port Angeles, WA 98363
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q
Project ACdress
Load bank 1 qenerator for Annual MaintenanceProject Descriplion
I IVulii-l- nr::il)/ Residential E Commerciall lndustrial/ Public Building Square footage
Citv of Port A
/ailjng Address;PO Box 1150 Port Anqeles, WA 9836?-0217
Email:us
Phone:360-565-3860
LECTRICAL CONTRACTOR INFORMATION
Nan're i-eneay I elecommunications License :LEGACTLS2
Item
Service/Feedet 200 Amp.
Service/Feeder 201 -400 Amp.
ServicelFeede. 401 -600 Amp.
ServicelFeeder 601-1000 Amp.
Service/Feeder ov€r '1000 Amp.
Branch Circuit W Service Feeder
Branch Circqit w/O SeMce Feeder
Eaeh Additional Branch Circuit
Branch Circuits '14
Temp. Seryice/Feede. 200 Amp-
Temp. Service/Feeder 201-400 Amp.
Temp. ServicelFeeder 40 1-600 Amp.
Temp. SeryiceiFeeder 601-1G00 Amp.
Portal to Poi..al Hourly
Sign / Outline Lightjng
Signal Circuiyllmit€d Energy - Multi-Family
Signal Circr,rit/Limited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec- Energy: SKVA System or less
Thermostal (Note: $5 for each addliional)
Ouantitu
185.TOTAL
After reading the above statement, I hereby certitrr that I am the owner of the above named property or a licensed electrica, contractor. I
arn making lhe e eckical installalior or alteration in compliance with the electrical laws, N.E-C., RCW. Chapter'19.28, WAC. Chapter296-
468, Tie City of Port Angeles Municipal Code, and Utility Specilications a 14,05.050 regarding Eleckical Permit Applications.
7t12t2a1\ R.ich Hen
Date P|int Name ture (E OwnerE Eiectrical Contractor I Administrator)
Llnll Charde
$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
f-olal (Ouantity x Unit Charge)
0085
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
s113.00
$56.00
Owner as deiined by RCW.19.28.261: (1) Owner will occupy the slructure for two years after th;s elect.lcal permit is llnalized. (2) Owner is
required to hire an electical ccntractor if above said property is for sale, rent or lease. Permit expkes after six months of last inspection
lElectrical permit Applications may be submitted to City Hall or epenxits@cityofpa.us or faxed to 360.417.471 1I
':
Name:
Mailing Address: PO Box 360 Burlev, WA 98322 Expiration Date:
-'"-
Emait. rhenry@legacypower.com Phone: 253-858-0214
W:;-ii*t. PRoJE9JDETAILS