HomeMy WebLinkAbout939 Caroline St (13)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
PUBLIC BUIIDINGS & PARKS
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
\
--')
.\N
$'-
Applicatlon Number
applicaEion pin nunicer
Property Address
ASSESSOR PARCEL NUI4BER :
Appf ication E!,pe descripEion
Subdivision Name .
Propelty Use
ProperEy Zonlng
Applica!ion valuation
19 - 0oo0o1s5 Date L/3A/19
9102 0 0
939 CAROLINE ST
06 -3 0- 00- 1- 0-3 32 5 - 0000 -
ELECTRICA], ONI,Y
Contractor
PUBLIC SOSPITAL DISTRICT *2
939 CAROLINE ST
PORT A}IGELES WA 983 62
1360) 417-?170
YECA EIECTRIC CO INC
5614 7T1,I AVE S
PO BOX 80{57
SEATTLE WA 98108
(206) 435-5200
Permit
Additlonal desc
Issue Date
Expiratsion Date
150.00
7/3a/19
1/29/19
ELECTRTCAI AITER COMMERCIA],
00
Qtsy UniE Charge Per
1.00 150.0000 EcH EL-COM 201-40O SRV FEEDER
charged Pa id Credited t\]e
160
150
00
00
00
160
160
00
00
00
00
00
00
00
00
00
PERMIT WILL EXPIR.E SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN zln-le &&)
FINAL *'(a' lit &=ffi>
T
Signature of o',r,ner or Electrical Contractor X Date
Application desc
UPS upgrade
Plan Check Fee
Valuatsion 0
ExEension
150. 00
PermiE Fee Total
Plan Check ToEal
Grand TolaI
COMMENTS:
M U LTI-FAM I LY i CO[/ IU ERCIAL
ELECTRI CAL PERIU IT APPLI CATI ON
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | llww.cityofpa.us i electricalpermits@cityofpa.us
RF,^ , -^. _ "!i ytrL)
rAil 2g nB
-o
ol
+t
\
I
s
Project Address aLli YtL $AvD cG q3q I NE- > l
Project Description |)?a ttPA€-Pl)
E Multi-Family Residential Z Commercial / lndustrial / Public Building Square footage
in-z.ir.tp Email
vratting eaaress: 'l1i (.A(+tr -i rl€-. tr ztrtr NbEtt,u,t^ ti\i*:.tlnone c
Name License
Mailing Address Expiration Date
Email Phone
.CR6
C
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 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 'l-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-'1 000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuiulimited Energy - Multi-Family
Signal Circuiulimited Energy/First '1500 sf - Commercial
(Note: $5.00 foreach additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note; $5 for each additional)
Ouantitv IqE!(Quantity x Unit Charge)Unit Charoe
$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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
I AC)
$'1'r3.00
$56.00
\hi TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this elec{rical 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 lic€nsed 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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications PAMC 14.05.050 regarding Electrical PermitApplications.la
'a
Date Print Name Signature {! Ownerp Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
ELECTRICAL CONTRACTOR INFORMATION
C IER INFORMATION
Name:1?t/I E:h!( /\