HomeMy WebLinkAbout1100 P St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7 -473s
Application Nuniber - ,
Applicatioo pin number
PloperEy Address
ASSESSOR PARCEL NT]MBER:
Appl.ication t,.pe description
Subdivision Name . -
Property Use
Property Zoniog
Application valuation
19- 00001217 Date 8/1-4/19
69't168
1100 P ST
R5-30-00-0-0-0000-0000-
ELECTRICAL ONLY
UNXNOWN
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
Application desc
GENERATOR LOAD BAN(
ConEractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 9A362021^7
IJEGACY'I'ELECOMI'I]NICATTONS TNC
PO BOX 350
BURLEY WA 983 22
(2s3 ) 858 - 0214
Permit
Additi.onal desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAI ALTER COMMERCIAI,
GENERATOR I,OA! BA}IK
102.00 Plan Check Pee
a/L4/19 valuation
2/ 10 /20
00
0
Permit Fee ToEaf
Plan Check ?otal
102. O0
.00
102 .00
102
102
00
00
00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL zla lfl &>
COMMENTS:
Qty unit Charge per
1.00 102.0000 EcIl EL- COMM 0-200 ?EMp SRV / FDR
Extensi,on
102.00
Fee sumnary
PERMIT WIt"L EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of ourner or Electrical Contractor X Date
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IVULTI-h/ltLY / cotMtM ER CIAL
P T P
Public Works and Utilities Department
321 E. 5th Street, PortAngeler, WA 98362
360.417,4'735 | www.cityofoa.us I elechicalpermits@cityofpa.ut
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IProject Address PS#]4 1 100 P St Port Angeles, WA 98363
Prolect Descdplion:Load bank 'l g enerator for Annual Maintenance
E Multi-Family Residential El commardal / lndustrlal / Public Bulding Square footage:
OWNER INFORIVIATISN
Name: Citv of Port Aflgsl6s Email:bcobo m(rcitvofoa.u s
ELLCTRICAL CCNTRACTL]R INFORMATICN
Name. Leoacv Telecommunications Licensa: LEGACTLS21LL
Maillng Address: PO Box 360 Budev, WA 98322 Expiratlon Date:
llem
Ssrvice/Feeder 200 Amp.
ServicelFeeder 20 1-400 Amp.
S6rvice/Feeder 401 {00 Amp.
SeMcelFeeder 601-1000 Amp.
Sorvice/Feeder over 1000 Amp,
Branch Circui! W Seryice F€€dsr
Eranch Circuit WO Service Feeder
Each Additional Blanch Circuit
Branch Circuits '14
T€mp. Service/F€eder 200 Amp.
Temp. Service/Feeder 201-400 Arnp.
Temp. Se-rvicef Fesder 4t)1 600 Amp.
Ternp. Service/Feeder 601-'1 000 Amp.
Portal to Po.tal Hourly
Slgn I OLrtllne Lighting
Signal Circr.rit/Umited Energy - Nlulti-Family
Signal ClrcLri/Limited Energy/Flrst '1500 rf- Commercial
(Note: $5.00 for esch additional 1500 s0
Renewable Elec. Energy: sKVA System or le6s
Thermoslat (Nole: $5 for each addltional)
O!antitv (Quantlty x Unlt Chargs)
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$--
102.
$132.00
9160.00
$225.00
$288.00
$410.00
$6.00
$74.00
$5.00
$86.00
$102.00
$121.00
$154.00
$1S5.00
$95.00
$88.00
$8S.09
i96.00
$11s.00
$56.00
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$
102.00 rorAL
Ownor as de!.lned by RCW.19.23261: (1) Own6r willocq.rpy tho struclure tor two y6ars after thls el€ctrlcal permlt ls finallzed. (2)Owner is
required to hi.e an 6lectrical contractor if above 6aid prqpgrty i6 for sale, rent of lea$e. Parmit expires afte. six monihs of last lnspoction.
At6r reading the above slatement, I h6rEby 6ortii/ that I am thB own€r ol th6 above named property or a liconEgd el€ctrical contractor. I
am making ihe etectrical Installatlon or alteration in compliance wlth th6 ol€ctflcallaws, N,E,C., RCW. Chaptar 19.28, WAC. Chapter29B-
468, Ihe City oJ Pod Ang6l6s Municipal Code, and Utlllty Sp€cifications and PAMC 14.05.050 regardlno Elactrical Permit Applicatlohs.
8t8t1e Rich Hen
Date Print (E Owner E Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
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nnairin^ a.rd.a<c POBoxl'l5o Port Anoeles. WA 98362-02'17 Phon6 360-565-3860
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Errait rhenn/@legacypower com Phone: ?!!:9!!:9?.1!_-
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