HomeMy WebLinkAbout120 E 5th StApplication Number
Application pin nuliber
ProperEy Address
ASSESSOR PARCEIT NUMBER:
ApplicaEion t}?e description
subdivision Name
Property use
Proper:ty Zoning
Applicat.ion valuation .
ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
18-00000872 Date 6/11/18
81.0504
120 E 5TH ST
05 -30 -00 -0 - 1,6715 - 000 0 -
EI,ECTRICAI ONLY
COMMUNITY SHOPPING DISTR
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poti Angeles
(Location Code 0502)
6
t
cs
N
ApplicaLion desc
Alter circuits for grj.lf area
OI^ner
VERNON D PETERS
PO BOX 2451
PORT ANGELES
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
l36O) 452-9264
wA 983620 315 wA 98362
Permit
Additiona I
Issue Dat,-
EIECTRICAL ALTER COI'IMERCIAL
1-4 CIRCUITS
86.00 Plan Check Fee
6/ tt / LB valuation
t2/oa/18
deac
00
0
Expiration Date
oty Unil Charge
BASE FEE 85.00
charged Credi t ed Due
Peftri! Fee ToEal
Plan Check TotaI
85.00
.00
86.00
85.00
.00
86.00
00
00
00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN dsf B .AF SP
FINAL ,'i-a"[n &
COMMENTS:
PERMTT wlLL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature ofowner or Electrical Contractor X
ConEractor
#
Date:
06/08/2018 12:12 FA-{ 360 452 9265 Anaeles Electric
Public Works and Utilities Deparfment
3ll E. sth Strc€t, Port Argeles, WA 98162
I 60..1 I 7.4?3 5 | www.cityofpa. us I electricalpemrits(g)cityofpa.us
A 0001/000r
MULTI.FAMILY / COMMERCIAL RECEIUED 1JoI3
LELECTRICAL PERM IT APPLICATION JUlt 8 201S
6
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Project Address
Project Oescription:
E Multi-Family Residential Commercial / Industrial /ublic Building Squar€ footage:la
Name:Email
Mailing Address /2n F Phone
Name:ANGELES ELECTRIC, INC l-fg6nssl ANGEL El460R S
ExpiEtion Date . 02t01t2019
Phone:360-452-9264
Uhit Charge)
Mailing Address:524 STREET
Email: ksim
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-500 Amp.
ServicelFeeder 601-1 000 AmP.
ServicelFssder oYff 1000 Amp-
Branch Circuit W Service Feeder
Branch Circuit WO Servic€ Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feed6r 20O Amp.
Temp. Servica/Feeder 201-400 Amp.
S132:00
S160:00
$225.00
$288-00
$4 r0.00
$5,00
s74.OO
$5.00.
$86.00
s102.00
$121.00
$
$
$
$
$
$
s
$
$
*-T--
Temp. SsMce/F
Temp. SeMce/F Am
Portal to Portal Houdy
Sign / Outine L\thting
Signal CircuiuLimited En
Signal Circ!iuLimited Energy/
(Note: $5.00 for €ach
Renewable Elec. Energf sKVA
Thermostat (Note: $5 for each additional)
TOTAL
Print Name Signaturo (E owner Contraclor / Administrator)
Owne. as d€fined by RCW19.2E.261: ( l ) Ownerwill occupy the struchrre for twe ysars aftEr this elgctrical permit is finallzed. (2) Owner is
requir6d to hire an aedrical contEqtor if above said property is for sale, ront or lease. Permit 9xPir65 afler six months of last inspection.
After reading the above slatement, I hereby oortifu that I Em the owner of th€ above named property or a lican6ad slectrical conhactor' I
am makng Ge electricat installation or alteration in complianc€ wlfi the €leclrical laws, N.E.C', RCW. Chapter 19.28, WAC. Chapbr 296'
468. The 6ity ot portAngeles Municipal Code, and t tility Specmcal'rons and PAMC 14.05.050 regsrding Elect'ical Pemit Applic€tons'
D
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@ciryofpa.us or faxed to 360.417.4711]