HomeMy WebLinkAbout1509 Columbia StApplication Number
Applicatlon pin nunber
ProperEy Address
ASSESSOR PARCEL NUI4EER :
ApplicaLj.on type descripLion
Subdivision Name
Property Use
Property zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
PUBLIC BUII]DINGS & PAR(S
0
18 000010?3 DaEe 8/31/18
556958
1509 COLTIMBIA ST
06- 30 00-5-7.0100 00c0
ELECTRICAL ONLY
\N
s
t^,
Applicalion desc
cenera!or load bank
ContracEor
CITY OF PORT ANGELES
PO BOX 115 0
PORT ANGEI,ES WA 98362021.'7
IEGACY TEIECOI,TMUNICATIONS INC
PO BOX 360
BURT,EY WA 98322
(253) 858-0214
Permit
Addltional desc
I ssue Date
Expiration DaLe
154.00
B/3L/tB
2/27/Ls
ELECTRTCAL ALTER COMMERCIAL
P1all gheck Eee
VaIuatsioIl
00
0
Qty Unit Charge Per
1.00 154.0000 ECH EL COI"IM 401-600 TEUP SRV/FDR r64.00
Fee summary charged Paid Credited Due
Per:mit Fee Totsaf
Plan Check Tota]
Grand Total
164
154
00
00
00
00
00
00
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN 1- to- /6 .e k2
FINAL f.to- t6 ffi "eeCOMMENTS:
PERMIT WILL EXTTRE Slx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contactor X Date
164.00
.00
164.00
IVIU tc oiutvlE C IALt-FAh/lt
ELECTRICAL PERIUITAPP ICATION
Public Works and Utilities Department
321 E. 5th Shee! Port Angeies, WA 98362
360.417.4735 j www.cityofpa.us I electricalpermits@cityofoa.us
Eo:lI
O\Jt\
R
\NWW CSO 1509 E Columbia St Port Anseles, WA 98362Project Address:
Load bank 1 ge nerator for Annual MaintenanceProject Description
D IViulti-lrar,.rly Residential E Commercial/ lnduskial I Public Building Squaro footage:
Name : CitY of Port Anqeles Email:us
ELECTRiCAL CONTRACTOR INFORN4ATION
l.lame Leljacv Telecommunica[ions License:LEGACTLS21 LJ
Item
Seryice/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Se.vicelFeeder 40 1 -600 Amp.
SewicelFleder 601-1000 Amp.
Service/Feede. over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Ci.cuit yflc Sen/ice Feeder
Each Additional 3ranch Circuit
Branch Ci.clrils 1-4
Temp. Ser,rice/Feed€r 200 Amp.
Iemp. Service/Feeder 201-400 AmP.
Temp. Service/Feeder 401-600 Amp,
Temp. Se^,ice/Feede. 601-1000 AmP.
Poflal to Forial Houdy
Sign I O(fline Lighting
Sigfial CircuiLilimited Energy - Multi-Family
Siqnal circuirAimited EnergylFirst 1500 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: SKVA system or less
Thermostat (Ncte: $5 for each additional)
Ouantitv Iqtrl (Quantity x Unlt Charge)Utrit Charo6
$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
$s6.00
$88.00
$88.00
$s6.00
1
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0064
$113.00
$56.00
$ 164.00 roul
Owner as cleiined by RCW.19.28.261: (1) Ownerwill occ-r-lpy the st ucture for two years aiter this electtical permit is final;zed, (2) Owoer is
required to hir.e an electrical contractor if above said property is for sale, rent or lease. Pelmit expires after six mcnths of last inspection.
After reading the above statement, I hereby cortify ihat t arn the ownor ofthe above named property or a licensed electdcal contactor. I
am r,qaking the elect.ical installation or alteration in compliance with the elechieallaws, N.E.C., RCW, Chapter'19.28, WAC. Chapter 296-
468, The City cf Port Angeles [,]unicipal Code, and Utility Spe cification PAMC 14.05.050 regarding Electrical Permit Applications
7l12l2c1ts Rich i-"len
O"i" -Piint Name Signature (E Ownerp Eleclrical Contractor /Adminiskaloo
lEleckical permit Applications may be submitted to City Hali or epermits@cityofpa.us or faxed to 360.417-4711]
I
Maiting Address: PO Box 1150 Port Angeles, WA 98362-02'17 Phone: !9t!9!:9999-
l
l
l
N,tailing Address: PO Box 360 Burtev, WA 98322 Expiration Date: --"-
Emait. rhenry@legacypower.com Phone: 2i9:999!2lA-
ffi,,ffi,' PRoJEqrDETAILS