HomeMy WebLinkAbout939 Caroline St (12)Applicalior! Number
Applicati.on pin nurnber
Property Addresg
ASSESSOR PARCEL NUMBER:
Application tsype deacription
Subdivision Name
Property Use
Propercy Zoning
Applica!ion valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
PI'BLIC BUIIJDINCS & PARKS
o
18 - 000013 s8 Date L2/06/lA
319626
939 CAROLINE ST
05 - 3 0 - 00 - 1- 0 -332 5 - 0000 -
ELECTRICAIJ ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
a
s{\nD\
Application desc
AcceEs control wi"ring
Owner
PUBIIC HOSPITAI DISTRICT #2
939 CARO],INE ST
PORT A],IGELES $'A 98352(350) 41?-?170
ANGELES COMMUN]CATIONS lNC,
102 ROSS IrN.
PORT A.I.IGEIJES, WA
PORT ANGELES WA 983 52
(350) 4 57 -43 75
Permit
Additional desc
Permit Fee
fssue Date
Expiration DaEe
115.00
t2/ a6/ Le
5/04/!9
ELECTRICAI AI,TER COM}IERCIAL
.00
0
Qty unit chalge Per1.00 95.0000 EcH
4 .00 5.0000 ECH
EL.LIMITED 1ST 15OO SO ET
EL-ADDNI LIT4ITED 15OO SO E'T
ExtensioD
95. 00
20.00
Fee summary Charged Paid Credited
Permi! Fee Total
Plan Check Total
cralrd ToEal
11.5
116
o0
00
00
1l-5. O0
.00
1 16 .00
oo
00
oo
.00
.00
.00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN a[e, I n N -mP
FINAL e' ln lB &"Hb
COMMENTS
Signature ofowner or Electrical Contractor X Date
P1a[ Check Eee
Valua! ioo
Due
Aug 29 18.01:19p Angeles Communications 3604574212
M ULTI.FAM I LY / COM]VI ERCIAL
ELECTRICAL PER MITAPPLICATION
Public Works and Utilities Depa.rtment
321 H,. 5th Street, Port Angetes, WA 98362
3 60.4 17 .473 5 ww*-c ityofpa-us I electrical permis@cilvofr a. us
p.1
l!
Proiect A.ddress:711 Cinu,",.t'S//".+ }^s./.o , LJ 1r
1'
ID
=It
lxl-'t-
Itor
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CBkcc-e-"< to^trc IProiect Descriplion
E Multi-Family Resioential '>(Com mercial / lndustrial / Public Building Square footage:
L
Name:
Name:
Mailiflg
Email:
m?t c t'r Ntc Email:/ , o..7oaJ
License: GC,t 3{a al
Expiration Date:
Phone 7ba *57 + 3'2,
Mailing Address 4ilf Cn-rz O C, t e9f rlv e-e zd prwne Sio y/77 ?6Er
Address i rr Ll*a
o," s,
Item
SetuiceiFeeder 200 Amp.
Sewicc/Feeder 201-{{E Amp,
Service,lFe eder 40 !€00 Amp.
Servie/Feeder 60l-1 0@ Arnp.
Servicey'Feeder ove, 1 000 Amp.
Branch Ciqrit W Servhe Feeder
Branch Circuit I,/,l,O SeNhe Feede.
Each Additional Eranci Circuit
Branch Cirlrrits 1-4
Temp. S€rvica/Fe€der 200 Arnp.
Ternp- Servi:eFeeder 201{00 Amp.
Temp. Servks/Fccder 401600 Amp.
Temp. Servbe,Geeder 601-10@ Amp.
Portal to Portal Ho0rly
Signal CircuiuLimited En€rgy - Mutti+amily
Signal Cirq/ivl.imited En€rgy/FiEi 1500 sf - Commercial
(NoE: $5.0O lor each additionat isOO sD
Reneursble Elec. Energyr 5 K\r'A System or hss
Thermostat (Noter $5 tur eacfi additional)
Ouantltv Iqhl (qu.odry r Uoit Chargol
1c
.^o
unlt Chatqe
$132.m
$160.m
$2?s.m
$2E8.00
5410.m
$5.m
s-/4.00
$s.m
$a6.00
$102.@
s121.00
$rBt.00
$r85.00
$s6.00
$E8.00
$96.00
s
$
$
$
$
s
$
iD
$
$
$
o
$
$
$
9.
ss t13.oo
s56.00 $_
3 (_f TOTAL
o\rfier as defneo by RCW 19.28.25r: {1) Or4ner wil! occlJpy fle slru.ture for two years after this electsical perftit is fnalized. (2) Owner is.equired to hire ar electrical contractor if above said prcparty ie for sab, rent or lease. Permit expires afrei six morths of last irBgec{bn-
AflEr reading the above stalement, I hereby aenify that I am the owner ofthe above nam6d o rgperly or a licensed elecfical contracto.. iam makng the electrical installation or atteiation in complianca with lie e E.C.. RCW. Chapter 19.29, wAC. Chapter 296-46 ThE Cily ot Pod Angeles irlnic.ipalCode and Ulil ity Speeifications and 05. 050 reg arding Electi cat pemit ApplicationsrN"- rv-,c Srn vtn-
Date Print Name SigrEture (E Owner I Etectrical Contraclor /
lEledncal PermitApplicatjons may be submitted to City Hall or electricalpemits@cityotpa.us or fapd to 3@.417 47111
ELECTRJCAL INFOR[,lATlON
@1
.^#5&u."IiE=Y
%x=6"€
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DITCH
ROUGH IN/COVER
APPROVED
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tr
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SERVICE
FINAL
COFFECTIONS NEEDED:4*-<-^) (z-* lA1,iL E9 *,4r>9G
NONFY INSPECTOB WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 OAYS
- DO NOT REMOVE-
DATEe)o)9 tf,-13<8
NSPECIOR-Fl>
oWNEA
Mbe cE1 Z-ov't-
CONTRACTOR
9r-?r1 fi-
ADDRESS
c-r\td-oD 1)1 €
APPROVED
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