HomeMy WebLinkAbout1504 Bldg 825 Fairchild Airport Rd #831ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
INDUSfRIAL IIEAVY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-Ot
..-\-s
\.IApplicatsion Number
ApplicaEion pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application t!,pe descriptsion
Subdivision Name
Property Use
Property zoning
Application valuaEion
19- 00001?43 Date 1-t/07 /1-9
252944
1504 BI,DG 825 FAIRCHII,D ATRPORT RD #831
05 -3 0 - 0 5 - 0- 0 - 0000 - 0000 -
ELECTRICAI ONLY
ApplicaEion desc
XFR kits for disaster relief
Contractor
PORT OF PORT ANGEIES
PO BOX 1350
PORT ANGELES WA 983 62
ANGEI,ES ELECTRfC
524 E. 1ST ST.
PORT ANGELES
136AJ 4s2-9254
wA 983 52
PermiE
Additional desc
Permit Fee
Issue Date
Expiratsion Daie
ELECTRICAT ALTER COMMERCIAL
1 4 CIRCUITS
85-00 Plan Check Fee
IL/ 01/ 19 valuaEion
5/a5/2a
00
0
Qtsy Uait' Charge Per
BASE FEE
Extensioo
85. 00
Charged Paid Credited Due
PermiE Fee Total
Pfan Check Total
crand TotaI
86.00
.00
86 .00
85.00
.00
86.00
.00
.00
.00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
SERVICE
ROUGH.IN zln le,P AN
FINAL /-)bl"e a W
COMMENTS:
Signature of o',a,ller or Electrical Contactor X Date:
.00
_00
. o0
DITCH
17/05/2019 14:51 FAX 360 452 9265
MULTI.FAMILY /COMMERCIAL
EL T
Public Works and Utilities Deparfitrent
321 E. 5th Street, PortAngeles, WA 98362
360.41'1.4735 | www.cityofua.us I electricalpermits@cityofua.us
@ 0004/0004
To
1
li
n
-_D
'-l
-E\)itLP.o *83tProject Address:
Project Description:
D MultFFamily Re sioential dommerciall lndustriai / Public Building Squar€ footage:
Name:Email
Mailing Address:Phone:
OWNER INT.ORMATION
ELECTRICAL CONTRACTOR IN FOR[\4ATION
Name:
Mailing Address:524 E. First Street, Port wA 98362 Expiration Date:a1no20
Email: Phone:360452-9264
PROJECT DETAILS
Item
Sewice,/Feeder 200 tunp.
ServicdFeeder 201-400 Amp.
ServiceJFeeder 40'l 600 Amp.
Se,vice/Feeder 601 -1000 Amp.
sewic€/Fsodsr over '1 000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO SBrvics Feeder
Each Additional Branch Circuit
Branch Circuits l-4
Temp. Service/Fsedor 200 Amp.
Temp. Service/Fe€dar 201 -40O AmP.
Temp. SeMce/Feeder401 {00 Amp.
Temp. Service/Fesdea.60.1-1 000 Amp.
Portal to Porlal Hourly
Sign / Outline Lighting
Si?nal Circuiulimited Energy-. Mu
Signal CkeriuLimited Energy/Fi
(Note: $5.00 for each
Renewsbls Elac. Energ) sKVA
Thermostat (Note: $5 for each addruonal)
unlt Charge
$132.00
$160.00
$225.00
$288.00
$4I0.00
$5.00
S7,1.00
85.00
686.00
$102.00
312r.00
19+Q{91
'$L$!4-0. I
,:;s9qi@i.
' 'sss:04)
Osrutlu
/
trqhl (Quantlty x Unit Chargo)
$_-'$-
$-
$-i-
$-
$-iz--
$--t-
E--
tO
s 86 TOTAL
Owner as d€fined by RCW.19.28.26 1: (1) Ownsr will occnpy ule drucura for two yoa]B aller thb €tacltlcal p€rmit is f n€|ts d. (2) O{nor It
required to hlre an iloctolcsl contrador'iiaUove ealO propeit''7 ls for sal6, rent or liase. Pemit erQires after six rnonlh3 of lsst lnsPodlon'
Afrer readlng lhs abovo statement, I he€by cent'ry that I am fhe owner of lho abova naned property or a llenred slacflcal aohtracior' I
am making [re electrical inetallation or alteration in compllance with lhe elsctrlcal laws, N.E.C-, RCW. Chapter 19.28, WAC. ChaPlst 29&'
lOa, ffti 6fty of portAngeles Municipal Code, and Utilii), Specincauorie and PAMC 14.05.050 rEgardlng El6ctrical PermltAppllcafons.
Print Name Signature (! Owner I Contraclor / AdminisHor)
[Electrtoal Pemit Applications may b€ submitted to City Hallor elecbicalpermits@cityofpa.us or faxed to 3N.417.47111
Anceles Elect r 1c
EP A
Angeles Electric, lnc License: ANGELEI460RS