HomeMy WebLinkAbout1403 E 1st St AELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
COMMERCIAL ARTERJAI
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Y
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Application Nuniber .
Appli.cation pin duBrber .
Property Address
ASSESSOR PARCE! NUMBER:
Application Eyp€ description
S\rbdivision Name
ProPerty Use
ProPerty zo ing
Application valuation
19- 00001177 Date S/21/t9
026480
1403 E LST ST A
06- 30 - 99- 1- 0- 1040 - 0000-
EI,ECTRICE], OIfi,Y
Appllcation descCircuits for store
Contractor
WAXL ALAWAI{DEH
140 9 E FIRST ST
PORT ANGELES(360) 808-sss7
UPPER LEFT ELECTRIC ILC
13 05 ROOK DR
ITRT ANGELES I,{A 983 62
(350) 461-7720
wA 983 62
Permit
Additlonal desc
Pernit Fee
Issue DaEe .
Expiralioa Date
159.00
8/21/)-9
2/23 /20
ELECTRICAL AITER COMMERC]AI
aPl,an cnecrc Iee
Valuation
00
0
Qty UniE Charge Per
1.00 74 . 0000 ECH
17.00 5.0000 EcH
EL-COMM BRANCH CIR WO/ S/F
EL-ECH ADDNT BNANC}I CIRCUIT
Extension
74 .00
85.00
Charged Paid Credired Due
Permit Fee Total
PIan Check Total
1s9.00
.00
159.00
159.00
.00
159.00
.00
.00
.00
REPORT STATE SATES IAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN )z)rc/D "F ?s
FINAL )r-lgh r9 "grP
COMMENTS:
/v
PERMIT WILLEXPIRE SIX (6) MONTHS FROM I"AST INSPECflON
Signature ofowner or Electrical Contractor X Date:
Fee summary
.00
.00
.00
i,f?:,*,
a 4t!M ULTI-FAM I LY / COMM ERCIAL
ELECTRICAL PERMITAPP LICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us electricalpermits@cityofpa.us
To
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Project Address /407 E-lsi- ,{ i^,... 1
Project Description [8 c.,icrrr{
ELECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address
Name:
Mailing
Email:
Email:
Phone
Address:
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 40 1600 Amp.
Service/Feeder 60 1 -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 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuiulimited Energy - Multi-Family
Signal CircuiVLimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
License
Expiration Date
Phone +n ttc t - 17F o
Ouantitv lqta! (Ouantity x Unit Charge)
( €c.l
Unit Charqe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$'102.00
$12'r .00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
I
t7
-a4-
a{
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
)41.9 TOTAL
Owner as defined by RCW 19.28.261: ('1) Owner will occupy the struclurc for two years after this eleclrical peImit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after 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 licensed 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-
468, The City of PortAngeles l\runicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
8o\-cto
Print Name Si re (E er E Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .4711)
!Multi-FamilyResidentialECommercial/lndustrial/PublicBuildingSquarefoota9e:-
OWNER INFORMATION
PROJECT DETAILS
(