HomeMy WebLinkAbout939 Caroline St (8)ELECTRICAL PERMIT
CITY OF PORT ANCELES
360-417-473s
PI]BLIC BUILDINGS & PARKS
0
REPORT STATE SATES TAX
on your excise tax fum
to the City of Port Angeles
(Location Code 0502)
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Applicatsion Number
Application pin number
Property Address
ASSESSOR PARCEL NUUBER:
Appl ication type description
Subdivision Name
Property use
Propertsy Zoning
Application valuation
19 - 0000L355 Date 9/o4/t9
8174 4 0
939 CAROLTNE S"
05 - 30 - 00 - 1- 0 - 3325- 0000 -
ETECTRICAL ONTY
AppLicatsion desc
Access cont,rol / lnfant moniEoring
Contractor
PUBIIC HOSPITAI, DISTRTCT #2
93 9 CAROLINE ST
PORT ANGEIJES WA 98352(350) 417-?170
DATSKIY ELECTRIC LLC
190 8 ISI,A}ID VTEW PI]ACE
.I\NACORTES WA 98221
(350) 941-4754
Permit
AddiEional desc
Permilr Fee
Issue Datse .
Expiralion Date
ELECTRICAI ALTER COMMERCIA',
170.00
9/04/Le
3/02/20
Plan Check Fee
valuation . .
00
0
Qty Unit Charge Per
1.00 74 - 0000 EcrJ
1. 00 96.0000 EcH
EIJ.COMM BRANCH cIR wo/ s/F
EL-LIMITED 1ST 15OO SO FT
Extension
74. O0
95.00 6bf 7t12-
Fee summary Charged Paid Credited D.re
Permit Fee Total
Plan Check Totsal
6rand ToEal
170.00
.00
170 .00
170 .00
.00
1?0.00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION T}?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN q/c /n dP w
FINAL dr')n M
COMMENTS:
Signature ofowner or Electdcal Contractor X Date:
]dP
M U LTI-FAM I LY / COMIVI ERCIAL
ELE TRICAL PERTV IT APPLICATION
Public Wor*s and Utilities Department
321 E. 5th Streer^ Port Angeles, $A 98302
36A.417.47 35 | rvwrv.citrvolpa.us I electricalpemrits(@cityolpa.us
rJFurtI FaA
Proje ct Address: 939 Caroline St.Port An
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Ieles, WA 98362 A
Name OIVIC Huqs Email
l\,4ailing Address Phone:
Name Datskiy Electric License: DATSKELS2OJT
Mailing Address: '1908 lsland View PL 5*,iration Date: 04-2020
Email liana.b@datskiyelectric.com Phone: 360-941-4754
Item it Charge)
Service/Feeder 200 Amp-
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 OO0 Amp.
Portalto Portal Hourly
Sign / Outline Lighting
Signal CircuiVLimited
Signal CircuiULimited
(Note: $5.
Energy - Multi-Family
Energy/First 1500 sf - Commercial
00 for each additional 1500 sf)
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
TOTAL
Owner as deflned by RCW 19.28.26'1 : (1) Owner will occupy the structure for two years after this electrical permlt is finaiized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires afler six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a llcensed 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-
46B, The City of Port Angeles lvlunicipal Code, and Utility Specjfications and PAMC 14.05.050 regarding Electrical Permit Applications.
e-3-1e Liana Borishkevich
Date Print Name Signature (Owner ! Eleclrical Contractor / Administrator)
$
$
$
$
$
$
$
$
$
$
$
$
$
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IElectrical Permit Applications may be submitled to City Hall or electricalpermits@cityofpa.us or faxed to 360.412.4711)
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project Description mounting (10) Low Voltage Devices, mounting (1)Control panel, and modification of ('1) existing 120vac circuit
n Multi-Family Residential E Commercial / lndustrial / Public Building Square footage:
[J nit 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
$96.00__-
?\4'
"-$ 1 13.00
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