HomeMy WebLinkAbout110 Golf Course Rd (3)Application Nudcer
Application pin nu be!
ProperLy Address
ASSESSOR PARCEL NUMBER:
Applica!.i.or! Eype descript'ion
Subdivision Name .
Property Use
Property Zoning
Appfj.cat ion valuaEion .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMERCIAL ARTERIAI,
0
18 - 00001790 Date l)./27/18
4 98150
r1O GOLF COI'RSE RD
05 -3 0 - 11- 1- 1- 9020 - 0000 -
EI,ECTRICAL ONLY
REPORT STATE SATES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
CN
IlC/
ApplicaLion desc
Outside outlet
Owner Contracior
RUDDEII] PROPERTY MGT RPM LLC
136 !r 12Eh SE
PORT ANGEIES WA 98352
BOB'S EI,BCTRIC INC
2293 DEER PARK RD.
PORT A}TGEIJES
( 360) 457-688?
wA 943 52
Permil
Additional desc
Permit Fee
Issue Date
Expira!ion Date
ELECTRICA]T AIJTER COMMERCIAL
1-4 CIRCUITS
85.00 Plan Check Fee
r1/21/t8 VaIudLion
s/26/re
00
0
Qty Unit Charge Per
BASE FEE
Ext,ensi.on
86.00
Fee summary Charged Paid Credited Due
PermIE t'ee 'IoEa1
Plan Check ToEal
Graad Total
86.00
.00
86 .00
85.00
.00
86 .00
o0
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T}?E DATE:INSPECTOR:
DITCH
SERVICE
ROUGH.IN tl,ul&d -sP
z'lzt{t4 JP -6KFINAL
COMMENTS:
I
II
TI
SiFature of owner or Electrical Cootractor X Date:
RESULTS:
'Lrrri'-
=,- flEeHUED
l&
l-r
r$
a
a
El[$n[Al
ltsPfcltoils
Project Address b,r$e R/
Project Descriptio n lton avlk{ gp/eqr ttzr 4o a"fl.g ul,a
Commereial / lndustrial I Public Building Square footage:
e
xr4.
Email
2Mailing Address
SS
Phone -/,r2-
Name:
Mailing
Email:
Item
Service/Feeder m0 turp.
Service/Feeder 201-400 Arnp.
Servico/Feeder 401-600 Amp.
S€rvhe/Fseder 60'l -1 000 Arnp.
Service/Feeder over 1 000 Amp.
Brandl Cirwit W/ S€rvice Feedor
Branch Circlit WO Service Feeder
Each Additiona! Branch Circuit
Branch Circuits 1-4
Temp. Servica/Feeder 200 Amp.
Iemp Ssvice/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp Service/Feeder 60 t -1000 Afip.
Portal to Portal Hourty
Signal Ci.cuirlimited Energy - irultl+amity
Signal Circuivlimited Enengy/FirEt i500 Bf - Commercial
(Note: $5.00 lor eaci additionat 1500 s0
Renewable Elec Eneryy: sKVA System or less
ThermosH (Note: 55 tur eaci additbnat)
License
Exp irEtion Date
Ph0ne
El{r}^ta'tir"'.a
)/
Unit Charoe
$132.00
$160.00
$225.00
$283.00
$410 00
s5.00
$74.00
$s.00
$86.00
$102.00
$121 00
s164.00
$185.00
s96,00
$88.00
$96.00
Quantitv lqhl (Quaotlty r Unit Charge)
$
$
I
$
Et
$
$
$
$
0
$
s
t
$
t
mtoa
--
-T-
owner as defined by RCW19.28.261: (1) Otwlerv/illoccupy the structu.e for two yeaE after this elec{rical permit is fina{ized. (2) Oriner is
required to hire an eledrical cantraclor if above said property i6 hr sale, rent or lease. Permit exDires after six mgnths oi last inspection.
After reading the above stiatement, I hereby cediry thal I am the owne. of the above named properry or a licensed eleclfical contraclor. I
am making the eleotrical inslauation or alteration in comptiance with the electrical laws, N.E.C., RCW Chrptgr 19.28, WAC. Chapta.296-
86,t0 TOTAL
468, The City of Port AngaleB MunicipalCode, 8nd Utility Specifications and PAMC .14 p50 regarding Eleclricsl Permil Appljcations.
Oate rint er E. Electdcal Contractor / Administrator)sig
!
Public \\zorks and Lltilitics l)cpartment
321 F.. 5th Sreel, Porl ,^ngelcs, \t,\ 98362
-160.:l I 7..1?35 : wwrv.cityofpa.us electricalperrnits@cityofpa.us
Name:
lElectrica, Permit Applicatjons may be submitted lo City Hall or electricalpermits@cityofpa.us or faxed to 360.417 4711]
$113.00
$56.00
