HomeMy WebLinkAbout829 E 8th St (3)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMERCIAI NEIGHBORI{OOD
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
+
$J
Application Number
Applicalion pin numlcer
Property Address
ASSESSOR PARCEL NUI,IBER:
Application lype descripLion
Subdivision Name .
Property Use
ProperEy Zooi.ng
Application valuat j.on
19- o0oo13 97 Date 9/17/a9
'74o346
829 E 8TH ST
06-3 0- 00 - 0-2 -2495- 0000-
ELECIRICAI, ONLY
Owne!ConEractor
HOSPICE OF CI,ALI.AM COUI\TTY
540 E 8TH ST
PORT ANGELES WA 98352
ANGE],ES COI.IMT'NICATIONS INC.
102 ROSS LN.
PORT ANGELES, WA
PORT A.I{GEI,ES WA 983 52
(360) 457-4375
PerrniE
Addiliona1 desc
Permit Fee .
Issue Date .
Expiration Date
EI,ECIRICAI, A.ITER COMI,IERCIAL
95.00 Pfan Check Fee
9/7'7 /r9 Vafuation
3 / 1-s /20
00
0
Oty uniE charge Per1".00 95.0000 ECH EL-LIMITED 1ST 1500 SQ FT
Extension
95. 00
Charged Paid Credited Due
Permit Eee Total
Plan Check Total
Grand Total
96 .00
.00
96 .00
95. 00
.00
96 .00
00
00
00
.00
.00
.00
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION Tl?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN cl^tln aa1 -*
FINAL "zlfl )tg AP w7
COMMEN'TS:
Signature of owner or Electrical Contractor X Date
M U LTI-FAM I LY / COTVI tU E RC IAL E'EIVE
ELECTRICAL PERM IT APPLICATION N
-g
(D
3
s
\
!o
\o\
Public \lbrks and Utilities Departmetl
3:1 E. -slh Street. Por Angeles" \\A 98i62
160."11 7..1735 | r.vrvw.cityotpa.us j electricalpennits@cityotpa.us
RECEIVED
sEP 1Z ?01!\
Project Address 829 E. 8th St Port Angeles WA
Project Description Ethernet wiring into newly constructed building addition
E Multi-Family Residential gl Commercial / lndustrial / Public Building Square footage 1500
Name Volunteer Hospice of Clallam County Email
lVailing Address. 540 E 8th St, Port Angeles, WA 98362 phone. 360-452-1 5'1 1
Name AnqelesCpmmunications License: 60'1386512
Item
Servicei Feeder 2OO Amp.
Servicei Feeder 20'1-4OO Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Servic€ Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'1-600 Amp.
Temp. Service/Feedei 601-1000 Amp.
Portal to Portal Hourly
Sign i Outline Lighhng
Signal CircuivLimited Energy - Multi-Family_. .
Signal Circuivlimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1too s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Ouantitv Iqhl (Quantity x Unit Charge)
$132.00
$160.00
$225.00
$288.00
$4'10.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
96.00 TOTAL
Owner as defined by RCW 19.28.261 : (J ) Owner will occupy the structure for t\rvo years after this electrical permit 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 lvlunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
10 Sept 2019 Donald L. Simpson D o n a I d L S i m p s oo n 3"€,[: lt;3:31,:'.?:&:l','"1[3:"*
Date Print Name Signature (E Owner p Electrical Contractor / Adminiskator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
Mailing Address: 102 Ross Lan Port Angeles, WA 98363 Expiration Date: 20 April 2020
Email don@angelescommunications.com phone: 360-457-4375
1
