HomeMy WebLinkAbout1603 E 1st St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMI,IERCIAI] ARTERIA1]
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
a
\nos
NApplication Number
Application pln number
ProperEy Address
ASSESSOR PARCEI, NUMBER:
Applicat.i.on t)?e description
suldivision Nane
ProperEy Use
Property zoning
Appl j.cation valuation
18 00000s82 Dare 4/20/\8
8s9024
1603 E 1ST ST
06 30 00 7-0-0160 0000
ELECTRICAL ONLY
Application desc
Tenanl improvement
Con!ractor
F]RST FEDERAI] SAV]NGS &
BRANCH LOCATIONS
PORT ANGELES WA
LOAN
94362
BUSACK E!ECTRTC
PO BOX 1579
LONGVIEW
(360) 414-0144
]NC
wA 9853 2
Permi!
AddiEional desc
PermiE Fee
Issue Date
Expiration Date
144 - 00
4/20/18
ta /17 / ta
ELECTRlCAL ALTER COMMERCIAI]
Plan Check Fee
Valuation
Qty Unit Charge Per:
1.00 ?4.0000 ECI.I
14 .00 5 .0000 ECH
EL COMM BRANCH CIR I,]O/ S/E
EL ECH .qDDNT BRANCH CIRCUIT
00
0
Extension
74 .40
70 .00
Changed Pa id Cr:edited Due
Permit Fee Total
Plan Check Total
Grand Total
00
00
00
744
744
00
00
00
00
00
00
00
00
00
144
744
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECIION
INSPECTION T\?E DATE:INSPECTOR:
DITCH
SERVICE
ROUGH-IN e/tq )s =D +(
FINAI tTn"lrR &w
Signature of oruer or Electrical Contractor X Date
RESULTS:
COMMENTS:
APPHOVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
. DITCH
pz-XxfAN-JSouGH rN/covER . .
. . FINAL
CORFECTIONS NEEDED
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POSI ELECTRICAL INSPECTION
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CO:IRECTIONS NEEDED:
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ELECTRICAL INSPECTION
WIRING REPORT
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NOTIFY INSPECTOR WHEN CORRECTIONS
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- OO NOT REMOVE -
ELECTRICAL INSPECTION
WIRING REPORT
417-47$
NOT APPROVED
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ARE COMPLETED wlTHIN 15 DAYS
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MULTI-FAMILY / COMM ERCIAL
ICAL P T APPLI
Ptrblic Works und tlrilitics Dcparrrncnr
J2l E. 5th Srrccr, Porl AnBclcs, WA 9E362
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\t,03 E \.e S+. ?o* N-e\(a rrAProject Address
Projact Oescription 4lwxx\-(L,l'Y\oA-{L
E Multi-Family Residenliai KCommerctal/ tndustriat / pubtic Building Square footage
Nar ne
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Email: l'''j
Mailing Addrees
lvlailing Address:
Ernail
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Plrone 4,tr
License
Expiration Date
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Phone lt4 ntLlL
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ELECTRICAL CONTRACTOR INFORMATION
Itsm
Service/Fe€dBr 200 Arnp.
Servic€rFe€dgr 201{00 Amp.
SeNic€/Feed€r 401 "600 Anp.
Servica/Feeder 801.1000 Arnp.
Sorvico./Fecder over 1 000 Amp.
Branch Circuit w/ Service Fecder
Branch Circuit WO SeNice Feeder
Each Additionsl Branch Circuit
Branch Circuits 1-4
Temp SeNice/Feeder2O0Amp
Tomp. Se.vi@/F6edor 201-400 Amp.
Iemp. Service/Feeder 401600 Amp.
Tomp. Service/Feeder 60'l-1000 Arnp.
Po.tal to Ponal hourty
Sign / Outline Lighling
Signal CircuivLimited Energy . Mu{i-Family
Signal Circuaylirnited E^erqy/Fir6t 1500 8t- Commorcial
(Note: $5.00 for e3ch addttional 1500 90
Renewable Elec. Energyi sKVA Systom or legs
Thermostat (Note: $5 lor each addilionat)
trnlt Ch.rtlo
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74 00
s5 00
$86.00
$102.00
$121.00
51q4.00
$185.00
196.00
$88.00
$0€.00
ss6.00
quaxng (Qu.ollty x Unit Chargl,)
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rOTAL
Owner as delined b, RCW19.28.261: (1) Owner willoccupy lhe slructure for two years after this eleclrical perm,t is ljnalzed. (2) Ownea asrequired lo hire an etect ical contaactor il above said propeaty is for sale, renl or lease. Perrnil exptres after six monlhs of lasi rn spection.
After readmg the above statsment, I hereby certify that I am the owner of th6 abov., fiatned prope ny or a licensed eleclricEl cgntractor Iam making the elecl.ical instailalion o. ate,ation in compliance with the etectrical taws, N.E.C., RC W Chapter 19 28, WAC Chaprer296"468, The Cily of Pon Angeles Municapat Code, and Utility Speciticataons and 050 regard rg eclaical Pemrt Applications
Ll tb IB ti 6ck
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t W.n
ate Nanre :ll gnature (rical Contractor / Admrniskator)
$113.00
$56.00
D
IElectrical Perrnit Applicatioos rnay be $ubmitted to Cily Hallor electricalperfiits@cityofpa.us or faxed to 360.417.47111
ELcorr
!
OWNER INFORMATION
PRoJECT DETAILE
r'>
ApplicaEion Number ,
Application pia llumber
Properly Address
ASSESSOR PARCEI, NLTI4BER :
Application ll,?e descripLion
subdivision Name
Proper.ty Use
Property zoning
Applicatlon'raluaiion
ELECTRICAL PERMIT
Clry OF PORTANGELES
360-417-4735
18-00000582 Date 4/20/18
a5902 4
1503 E 1ST ST
06-3000700160-0000-
ELECTRICAL ONI]Y
COMMERCIAL ARTERIAL
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicalion desc
Terana inpicvement
F]RST FEDELAL SAV]NGS & I,OAN
BRA"\CH LOCAT]ONS
PORT ANGELES WA 98362
EUSAC( ELECTRIC INC
pc Box 15 79
LONGVI E",I
(360) 414-0144
tiA 9863 2
Peanii
Addit ional
Issue Date
ExpiratioI1
144.00
1/2A/a8
Lo /1-1 /\8
EI,ECTRlCAL ALTER COMMERCIAL
desc
Oua"
Plan Check Fee
valuaaio.0
Qry
1.00
14 .00
uniE charge Per
74. 0000 Ecri
5.0000 ECH
ExLension
7,1 .00
70.00
E], COMI{ BR-p-NCH CI3 i.IOl S,/F
EI, ECH ADDNT BRANCH CIRCUIT
Charged Faid Cr:edited DLTe
Permit Fee Tolal
Plan Check ToLal
GranC Total
144. 00
- 00
144.00
144 - 00
.00
144.00
00
00
00
. c0
.00
.00
INSPECTION Tl?E DATE:RESULTS:INSPECTOR:
DITCH
ROUGH.IN
FINAT
COMMENTS
PERTVIT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
.00
SERVICE