HomeMy WebLinkAbout4101 Tumwater Truck RtELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
IN'DUSTRIAL LIGHT
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REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Nuhber
Applicatsion pin nurnber
Property Address
ASSESSOR PARCEL NUIiIBER:
AppllcaEion ts)?e descript.ion
su.bdivision Name
Property Use
Property Zoning
Applica!ion valuatsion
19 - 0oooo8o4 Dare 5/30/!9
298412
410]. TI]MWATER TRUCK RT
06 -3 0 - 0 9- 5- 3 - 9050 - 0000-
ELECTRICAL ONLY
Application desc
zuture 4" conduit shop [o.th wa11
Orrner Colrtractor
JEREMY D DAGCETT
PO BOX 183
PORT ANGEI,ES
136A)'797 4L\'7
OLYMPIC ELEC?RIC CO INC
423 O TUMWATER
PORT ANGEIJES WA 983 53(160) 45?-5303
wA 983 52
Permits
Additioral desc
PermrE t'ee
Issue Date
Expiration Date
89.00
5/30/t9
1-r/25/a9
ELECTRICA! ALTER COMMERCIAL
Plan Check Fee
valuation
00
0
oty Unit Charge Per
1. 00 74 .0000 EcH3.00 5.0000 Ect{
Extension
74.00
15 .00
EL-COMM BRANCH CIR WO/ S/F
EL-ECH ADDNT BRANCI CIRCUIT
Charged Paid Credited tue
Permit Fee Total
Plan check Total
Grand Total
89.00
.00
89. 00
89.00
.00
89.00
00
00
00
.00
.00
.00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH q )>o /,,*?%&
SERVICE
ROUGH-IN
FINAL clzlfi dP >fl"D
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature qf ownff or Electrical Contractor X Date:
MULTI-FAMILY /COMMERCIAL PEC
ELECTR ICAL PERMITAPP ICATION
arleo
I ?00
Public \Vorks and Utilities Departmellt
3: I Il. 5th Street. PoIt Anqeles. WA 98.1(i2
360.4 I 7.4735 | u.rvw.citl-olpa.us I electricalperrnits@cityofpa.us
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Project Address 4100 Tumwater Truck Route
Project Description lnstall 4) 4" conduits for future use
E Multi-Family Residential E Commerciat / tndustrial / public Building Square footage
Name Clallam Transit
Mailing Address 830 W Lauridsen Blvd, Port Angeles, Wa. 98363
Email:
phone. 360-417-1370
Name Olympic Electric Co ,lnc License OLYMPEC2S5Dl
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1400 Amp.
Service/Feeder 40'1 -600 Amp
Service/Feeder 60'1 -1000 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. Servicei Feeder 401-600 Amp
Temp Service/Feeder 601- 1000 Amp.
Po,1al to Portal Hourly
Sign / Outline Lighting
Signal CircuiVLimited Energy - Multi-Famity
Signal CircuiVLimited Energy/First 1500 sf - Commercial
(Note 95 00 for each additional 1500 s0
Renewable Elec Energy 5KVA System or less
Thermostat (Note: $5 for each additional)
unit Cha.oe
$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
Ouantlh, Total x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
s
74.OO
15 00
$ 113.00
$56.00
$
$
$
$
$89.00 TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finatized. (2) Owner is
required to hire an electical 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 Port Angeles l\runicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical permit Applications.
05128119 Michael L. Rutten Ivlichael L. Rutten H}ffiHxfr:*-
Date Print Name Signature 1p Owner p Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .41,111
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OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATTON
Mailing Address: 4230 Tumwater Truck Route Expiration Date: 0313112021.
Email maureenm@olympicelectric.net ph6ns. 360_457_5303
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