HomeMy WebLinkAbout221 N Lincoln St (6)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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Application Number
Applicatlon pin number
Property Address
ASSESSOR PARCEL NUMBER:
ApplicaEion t!'pe descrlption
subdivision Naine -
Propertsy Use
Property zoning
Appllcation valuation
19 - 000008 85 Date
409€10
221 N I,TNCOLN ST
o5-30-00-5 0-0100-0000-
ELECTRICAI, ONLY
COMMERCTAL ARTERIAL
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
6/2s/1-9
Applicatsion desc
Heat pump
BGP PA LLC ET AL
C/O BIIG}J'I PA
LLCs 8 95 JEAN RD
LAKE OSWEGO
136al 452-9215
ROCHE ELECTRfC & CNSLTNG INC
588 OAK WOOD DR
SEOUIM WA 98382
l42s) 293-23s'7oR 9703 5
Permit
Additlonal desc
Permit Fee
Issue Date
Expiration Date
74.O0
6/2s/t9
t2 / 22 /19
ELECTRICAI ALTER COMMERCIAI
Valuation
Qty Unit Charge Per
1 00 74 0000 EcH EL-coMM BRANCH CIR Wol s/E
00
0
Extension
74.00
Paid Credited Due
Perinit Eee Total
PIan Check ToEal
Grand Tot.a1
74.04
.00
74.40
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM T-A.ST INSPECTION
INSPECTION TYPE INSPECTOR:
DITCH
SERVICE
ROUGH.IN -lltb Ie dp #
FINAL e')b/n +P w
COMMENTS:
Signature ofowtrer or Elecaical Contractor X Date:
Charged
74 .00
.00
74 .00
.00
.00
.00
DATE:RESULTS:
ELcoM
I
M U LTI-tvllLY /COMMER C AL
ELEC TRICAL PERMITAP PLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
3 60.4 I 7 .47 3 5 www.cityofpa. us e lectricalpermits@cityo fpa. us
Project Address:1
Project Description:
E Mulh-Family Residential /C ommercial / Industrial / Public Building Square footage
RECEIVED
JUil , O 2OI9
noi*
5
&ouq
O!\NER INFORMATION
Name:
Mailing
Email:
[/ailing Address Phone
n0 License.oa-
ratio Dale I 2-b .L
Phone 2s-)2 4i-t3
o
Address:
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401$00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp Servic€/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401600 Amp
Temp. Service/Feeder 6011000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuiulimited Energy - Mutti-Famity
Signal Circuiulimited Energy/First 1500 sf - Commerciat
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 icr each additional)
Ouantitv fglal (Quantity x Unit Charge)Unit Charoe
$132.00
$160.00
$225.00
$288.00
$410 00
$5.00
s74.00
s5.00
$86.00
$102.00
$121 .00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
od)4--T
s
$
$
$
$
$
$
$
$
$
$
s
$
U
$
$
$
t
$113 00
$56.00
Owner as delined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner isrequired to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires afler six months of lasi inspection.
-
TOTAL
or a licensed electrical contractor I
chapter 19.28, WAC. Chapter 296-
ing Electrical Permit Applications.
After reading the above slatement, I hereby c€rtify that I am the owner of the above named property
am making the electrical installation or alteration in compliance with the etectrical laws, N. E.
46B, The City of PortAngeles irunicrpat Code, and Utility Speciflcations and PAMC 14.0s ard
6 /u ta frh 0
Print Name Signature (!Electrical Contractor / Administrator)
o
IElectrical Permit Applications may be submitted to C ity Hall or epermits@cityofpa.us or faxed to 360.417 .471j|
Name: _ Email: