HomeMy WebLinkAbout1215 W Hwy 101 #1ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
RESIDSNIIAL TRAILER PAX,K
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
.5
"5-r
Application Nunber
Appfication pin number
Property Address
ASSESSOR PARCET NUMBER :
Application t)?e description
Subdivision Name ...,.
Property Use
Property zoning
AppLj-cation valuation . .
19 -00000496 Date 4/O4/r9
756272
1215 W HWY 101. *t
06 - 3 0 - 08 - 5 - 1- 0200 - 0000-
ELECTRICAL ONIJY
Applicatiolr desc
Service repair
Owner ContracE.or
T,'}I CH IN lNC
88].? WELLER RD SW
LAKEWOOD
ANGELES ELECTRIC
s24 E. 1ST ST.
PORT ANGEIJES
(350) 4s2-9264
wa 98498 wA 98352
Permit
AdditionaL desc
Pernit Fee .
Issue Date
Expira!ion Dare
132.00
4/04/19
),o / 01" / 1,9
ELECTRICAL ALTER COM}IERCIAL
Plan Check Fee
valuation
o0
0
Qty UniE Charqe
1.00 132 . 0000
Per
ECH EL.COM O-2OO SRV FEEDER
Extension
132 .00
Fee 6ummary Cha!ged Paid Crediled Due
Permit Fee fotal
Plan Cbeck Total
Grand Tota1
].32
1-32
.00
.00
.00
132 .00
.00
132.00
00
00
00
PERMIT WILL EXPIRE StX (6) MONTHS FROM I"A.ST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
SERVICE qlu le AP :N
ROUGH.IN
FINAL <ln)n bP ]p
Signature of owner or Electrical Contractor X Date
.00
.00
.00
DITCH
COMMENTS:
04/03/2019 08:57 FAX 360 452 9265
t-
ELECTRICAL PER MITA P PLICATION
/&
APfr
Public Works and Utilities Department
321 E. sth Street, PortAngeles, WA 98362
360.417.4'135 | www.cityofpa.us I electricalperrnits@ciryofoa.us
Pro,iect Address
Project Description:
E Muhi-Family Residential Commercial / lndustrial / Public Building Square footage:
Name Email
Mailing Address:Phone
Name:Anoeles Electric. lnc License:ANGELE r460RS
Mailing Address 524 E. First Skeet, Port Anseles . wA 98362 Expiration Date:2t112020
Email:ksimpson@olympus.net Phone:360452-92il
@ 0 001/00 01
vr1!T -x
3 t0,;
!oitit\tIl-str
ELECTRICAL CONTRACTOR IN FORIMATION
PROJECT DETAILS
Item
SeMce/Feeder 200 Amp.
SerYic€y'Feeder 201.400 Amp.
Servica/F€eder 401 400 Amp.
SswiceJFeeder 601-1 000 Amp.
SBrvice/Feeder over 1000 Amp.
Branch Circuit W Service Feedar
Branch Circuh W/O Sorvice Fe€der
Each Additional Branch Circuit
Branch Circuits 't-4
T6mp. Service/Feeder 200 Amp.
Temp. Ssrvict/Foeder 201-400 Amp,
Tsmp. Service/F6ede.r..{01-600 emp.
Tomp. S€Mcs/Foedei€o:l -1000 Ame.
Portal to Portal Hourly
Sign / Ouuine Ughting
UnifClrtc!
$132.00
$160.00
$225.00
s288.00
$410.00
35.00
$74.00
s5.00
386.00
$102.00
s121.00
g!il$n Ielal (Quantity r Unlt Charga)
oosti
3
s
$
$
$
$
$
s
Signal CircuiULimited
Signal Circ,uiULimited
(Note; $5
Energy -
.00 for each
R€newable EIec. Energf SKVA System 6r less
Thermostat (Note: $5 for each addilional)
$
$
$
oD
TOTAL
Owner as defned by RCW.19.28.261: (1) Owner will occupy the strucfirre for trc y€ars afte? this el6ctrical pormit i8 fnslizgd. (2) Owner is
required to hire an ilsctrical conlrado; iiabove said property is for sala, rent or lease. Pemil expires after six nronths of lasl inspsdion'
After reading ths abovs statemont, I her€by certify that I am the owner of thB above named Propedy or a llcsns€d sl€cflcal contractor I
am making Ire electrical installation or alleration in cornpliancc with the electrical laws, N'E.C', RCW. Chapt6r '19.28, WAC. Chspler 29e-
468, Th€ aity of port Angeles Municipal tue, and t Ui;ty Specifications and PAMC '14.05.050 regarding Electricat Permit Arplicatims'
Print Name Signature (! owner Contractor / Ad ministrator)
Angeles Electric
OWNER INFORIMATION
/
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'Si
$l1!'oo.
S5Q.00'
lElectricat permit fuptications may be submittod to City Hall or electricalpermils@cityoha.us or faxsd to 360.417.47111