HomeMy WebLinkAbout809 S Pine StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
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Applicatioa Number
Application pin number
Property Address
ASSESSOR PARCEIJ NUMBER:
ApplicaEion El,'pe description
subdivision Name
Property Use
Propertsy zoning
Application valuation
19- OO0O1815 Date U-/2O /1-9
752AOO
809 S PTNE ST
05- 3 0 - 00 - 0 - 2- 6416 - 0000 -
ELECTRICAL ONtY
Et-LIMITED 1ST 1500 SQ FT
REPORT STATE SALES IAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
0
Application desc
teat deEectors
Contractor
PORT ANGELES LODGE 996
LOYAL ORDER OF MOOSE
809 S P]NE ST
PORT ANGELES WA 983 52
l35O) 4s2 2as'7
HI TECH SECURITY fNC
723 E ERONT ST
PORT ANGELES
136A) 4s2-2'727
wA 983 52
Permit
Additional desc
Pe.rmrt ! ee -
Issue Date -
Expirat.ion Date
; ety unit charge
1.00 96.0000
ELECTRICAL ALTER COMMERCIA!
95. 00
t!/ za / L9
s/L8/2a
Plan Check Eee
valuaEion
00
0
Per
ECH
Extension
96.00
Fee summary Charged Paid Credited Due
Permit. Fee Total
Plan Check Total
Grand Total
96. 00
.00
95. 00
96 .00
.00
96 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE S IX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS:
DITCH
SERVICE
ROUGH-IN It Zotl €-eF
FTNAI-)i*7'p .8
COMMENTS:I
'i^^lrr!
Date:
INSPECTOR:t
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Signature ofowner or Electrical Contractor X_
IVIU LTI-FAM I LY / COM MERCIAL
ELECTRICAL PERTM IT APPLICATION
l*hiic Wrrrks and Utililies l)cpar.tmc::l
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\Project Address 809 S. Pine
Replace heat detectors, add heat detectors to kitchen, pantry, dn stairs storage area
E lrlulti-Family Residential E Commercial / lndustrial / Public Building Square footage
Name Moose Lodqe Email
Mailing Address 809 S Pine phone. 360-452-2157
Nanre Hi Tech Securitv , lnc
Mailing Address 723 East Front St
l-i6sn5s HlTECTS955BS
Expiration Date 111012021
Phsns. 36O-452-27 27Email.hitec en.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 60'l-1 000 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. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal HoLrrly
Srgn / Outline Lrghting
Signal Circuivlimited Energy - Multi-Family
Signal Circu ULimited Energy/First 1500 sf - Commerciat
(Note: $5.00 for each additional 1500 sf)
Rene!^,aole Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
U.nit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
fgla! (Quantity x Unit Charge)
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
q
$
$
$
$
$
$113.00
$56.00
$96.00 roral
Owner as defined by RCW'19.28-261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
requlred to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After readlng 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 Municipal Code, and Utility Specifications and PAIVIC 14.05.050 regarding Electrical Permit Apptications.
11 11412019 Mike Shirley tVike Shirley Digita,ly signed by Mike Shirley
Date: 2018.05.31 14:52:42 -07'00'Date Print Name Signature (n Owner p Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or eleclricalpermits@cityofpa.us or faxed to 360.417 .47111
Project Description:
c
q
s 96.00
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