HomeMy WebLinkAbout205 E 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t'7-4735
Application Nuiber
Application pin number
Propertsy Address
ASSESSOR PARCEL NUTIBER:
Applicaeion tl?e descripcion
subdivision Name
Property Use
Property zoning
Appfication valuation
19- 00000870 Date
0 7 0410
05-30- 00 - 0 - L- 693 0- 0000 -
E],ECIRICAI. ON],Y
COMMUNTTY SHOPPING DISTR
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
6/o7/t9
ApplicaEion desc
Temp service
Contractsor
WILLIA.I4 SHORE MEMORIAL POOL DI
225 E 5th Sr
POR:T ANGELES WA 9A362
ANGEIES ELECTRIC
524 E. 1ST ST.
PORT ANGEIES
135A) 4s2-9254
Permit
Additional desc
Permit Fee
fssue Date
Expiration DaEe
102 .00
6/01/19'J-2/o4/t9
ELECTRICA! ALTER COMMERCI]\I
Plan Check Fee
Valuation
PermiE Fee To!a1
Plan Check Total
702
102
00
00
00
.00
. o0
.00
.00
.00
.00
00
0
Qtsy Unit Charge Per
1.00 102.0000 ECH E!COMM O-2OO TEMP SRV / FDR
ExteIIsion
102.00
Fee summary Charged Paid Credited Due
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
DATE:RESULTS:INSPECTOR:
DITCH
SERYICE u lnln g d
ROUGH-IN
FINAL plp lH da #
COMMENTS:
Signature of owner or Electrical Contractor X Date:
wA 983 52
102 .00
.00
102.00
INSPECTION TYPE
06/06/20t9 15:42 FAX 360 452 9265 AnSeles E lectric
M U LTI.FAM I LY / COMMERCIAL
LECTRI LP M T P
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360 -4 17 -47 35 | www.cityofpa.us I electricalpenmts@cityofpa.us
Pro.iect Address:?6
ion:
Residential Com eroial / Industrial/ Public Building Square footag€:
Name:. Email:
Mailing Address:I ,LS Sr S€8,,,,,r,63
A ooor/ooo2
f,f,:i;7
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3
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Projegt Descript
ffium-raniry
Phone:)t4 ./AA-- 3i
Licens6:ANGELE146 ORS
2
Name: Angeles ElecAic, lnc
PROJECT DETAILS
tlre
Service/Feeder 200 Amp-
S€rvic€/Feeder 20:1400 Amp.
seMcs/Feeder 401-600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1 000 Amp.
Branch Circuit w/ SeMce Feeder
B.anch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Clrcuits 1.4
Temp. Service/Feader 200 Amp.
Temp. S€Mc€/Feeder 201-400 Amp.
Tamp. Service/Fsedot.401-600 Amp.
Temp. Service/FeedetOOl-IOOO e-p-
Porbl to Portal Hourly
Sign / Outline Lighung
lJnit Charoe
s 132.00
s160.00
$225.00
$288.00
$410.00
$5.00
s74.00
$s.00
086.00
s102.00
s12'r.00
qIl3rUtI IotlfiOuanttty x Unlt Ch.rgs)
$
$
$
$
$
$
$
E
$
$
$
--=EVr,
$;-,..*;+
$ ",'i :ia=i';l'
$,l:_::r',:_
Signal CircuiuLimited Energy
Signal CircuiuLimited Energy/F
(Note: $5.00 for eac*r
Renewable Elec. Energyr sKVA less 0-
Thermost t (Note: $5 for eacfi additional)$
3 ,/o2!!TOTAL
Ownor aE defined by RCW,19.28261 : (1) Owner will occupy the slructur€ for lu,o years alter thi8 electical pemit b f nalh.d. (2) Oivnaf is
required to hirB an elec"trical contraclor if above sald property is for sale, rent or l6ase. Pemit explrcs ansr sh mmlhs of last insP€dion'
Aftsr reading the abovs stialement, I hereby ce tfy that I am the oi nar of the abovc named property of a licensod elactlcal contrador. I
am making the slecfical irctallation or alteration ln complianco with the elocfical lattls, N.E.C., RCIV. Chapter|928, WAC. ChaPbI 29&
468, The aify of Port Angales Municipal Code, and tXility Specifcadons and PAMC l/9.05O50 rsgarding El€otical PermitAopucalions'
s-
b/,
Date Print Name Signature (E Owner Electrical Contractor / Admin isfator)lt
lElectrical Permit Applications may be submitted to City Hall or ol€ctricalpormits@cityofpa.us or faxed to 360.417.4711]
Mailing Address: 524 E' Fl6t Street, Port Angel€s, WA 98362 Expiration gals;i,112020
Email: ksimpson@olympus.net Phone: 360452-92O4
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORI\4ATION