HomeMy WebLinkAbout203 W 1st StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
-s
sos
Applicatsion Number
Application pin number
Property Address
ASSESSOR PARCEI, NUMBER:
Application trce descripEion
subdivision Name
Propertsy Use
Propertsy zoning
ApplicalioII valuation
19- OOO0O588 Date s/14/L9
274O15
203 W lST ST
06 -30 - 00 - 0- 0- 14 8 0 - 0000 -
EI.ECTRICAT ONIY
Qty UniE Charge Per
1.00 ?4 . 0000 ECH1.00 5 .0000 EcH
E],-COMM BRANCH ClR WO/ S/F
EI,.ECTI ADD}II BRANCH CIRCUIT
Extension
74. 00
5.00
REPORT STATE SAIES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code A502)
0
Appfication desc
BoEtIe coolers
Owner Contractor
TINE CONSTRUCTTON SERVICE I,LC
PM3 507
SAMMAMISH WA 980757253
OI,}'MPIC ELECTRIC CO INC
423 O TUMWATER
PORT ANGEI-ES WA 983 63
(360) 4s7-s303
Permit
Additional desc
Permit Fee
Issue Date
Expiration DaEe
79.04
5 /L4/19)-t/lo/t9
ELECTRICAI- AITER COMMERCIAL
Pfan Check Fee
Valuation
00
0
Eee summary Paid CrediEed Due
PEIlrllE FEE TOE f
Plan cbeck TotaI
Grand ToEal
79.40
.00
79. 00
79.04
.00
79.OO
00
00
00
o0
00
00
PERMIT WILL EX?IRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN s')ru/tt +r -ar
FINAL shaln SF =dp
COMMENTS:
Signature ofowner or Electrical Contractor X Date
I,NKNOWN
Charged
MULTI-FAMILY /COMMERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Depadment RECEI\,fi.)
321 E. 5th Street, Port Angeles. \lA 98-162 llAY 1l Wi
360..+ I 7.4715 | wrvu,.citvol'pa.us i elecrricalpermitsq?cityofpa.us
To
3
$
5
s:r$
ED
Project Address 203 W. 1st St. - DSHS Building
Project Description Add 2 circuits for bottle coolers
E Multi-Family Residential E Commercial / lndustrial / Public Building Square footage
Name Tine Conslruction Services
lvlailing Address P.O. Box 1235, Maple Vallev, Wa.98038
Email:
Phone:
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 -400 Amp
Service/Feeder 401-600 Amp
Service/Feeder 601-'l 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circurt
Branch Circuits 1-4
Temp Service/Feeder 200 Amp
Temp. Service/Feeder 201-400 Amp.
Temp Service/Feeder 401-600 Amp.
TeFrp Service/Feeoer 60'1- 1000 An'p.
Portalto Podal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal CircuiyLrmrted Energy/First 1500 sf - Commercial
(Note: $5 00 for each additional 1500 sf)
Renewable Elec Energy: sKVA System or less
Thermostat (Note. $5 for each additional)
quelltig T-etal (Quantity x Unit Charge)
500
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
74.OO1
1
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
$
$
$
$
$
$
$79.00 TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certiiy that I am the owner of the above named property or a lic€nsed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regardang Electrical Permit Applications.
05/10/'19 Michael L. Rutten Michael L. Rutten
Date Print Name Signature (p Owner p Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47'l1l
OWNER INFORI\I:ATION
ELECTRICAL CONTRACTOR INFORMATION
Name Olympic Eleckic Co., lnc. !isg6ss; OLYMPEC285D1
Mailing Address: 4230 Tumwater Truck Route Expiration Dale.. 0313112021
Emait maureenm@olvmpicelectric.net phone: 199:1!2j99!__
PROJECT DETAILS