HomeMy WebLinkAbout112 S Valley StAppl.ication Nunber
AppLication pin nunber
Property Address
ASSESSOR PARCEL NUMBER:
ApplicaEion tl,,pe description
Subdivision Name
Property Use
Property Zoning
Applicat.j.on valuaEioo . .
ELECTRICAL PERMIT
CMY OF PORT ANGELES
360-417-4735
COMMERCIAL ARTERIAI,
0
19 - 00000532 Date 4/1-t/19
69+224
1L2 S VALLEY ST
06 - 3 0 - 00 - 0 - 0 - 3 55 9- 0000-
TIIEC"RICAIJ ONI]Y
REPORT STATE SAI.ES TAX
on your excise tax fqm
to the City of Port Angeles
(Location Code 0il2)
5
\I\
qrl
N
Application desc
Duclless heat pump x2
ConEractor
PORT OF PORT ANGELES
PO BOX 13sO
PORT A]{GEIES WA 98362 02 51
BLACK DIAMOND EIEC'IRICAL CONTR
502 BI.ACK DIA,!4O}.ID lID
PORT ANGELES WA 9Af 53
(350) 555 - 1035
Perlllit
Addit.ional desc
PermiE Fee
fssue Datse
19 .OO
4/rL/Le
r0/08/19
EI,ECT?ICAL ATTER COI.IMERCIAL
Plan Check Fee
Valuat ion
.00
0Expiration DaEe
Qry u,Iits Extsension
74.00
5.00
1.00
1.00
chalge Per
74.0000 EcH
5.0000 EcH
EIJ'COMM BRANCH CIR WOl S/F
EI,.ECH ADDNT BRANCH CIRCUIT
Fee summary Charged Credited Due
Permi! Fee Tota]
Plan Check T'otsal
Grand Total
79.00
.00
'79 _ O0
79. 00
. o0
79.00
00
00
00
00
00
00
PERMIT WTLL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN d /zohq +k *
FINAL ,a7rb ln 4tr Bf
COMMENTS:
Signatue ofowner or Electrical Contractor X Date:
M U LT l-FAtut / COMMER C AL
ELE CTRICAL PERMIT APPLICATION
Public Works and Utilities Departmenr
321 E. 5th Street, Port Angeies. \lA 98362
360.417.4735 i www.citvofpa.us I electricalpermits@cityofpa.us
FFcrly, .,
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1'o
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llL w4.vet4 9-i-
3
I<\\n
NProject Address
Project Description cmLl,f Y-L
E lilulti-Family Residential ommercial / lndustrial / Public Building Square footage
C-t*-t Email
Mailing Address Phone
OWNER INFORMAT}ON
ELECTRICAL CONTRACTOR I NFORMAT1ON
Name
l\ilailing Address
Email:
License
Expiration Date:
--
enone: 36'a -L|LI-51f- 7
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Sign / Outline Ljghting
Signal CircuiULimited Energy - l\4ulti-Family
Signal CircuiVLimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Ouantitv Iqla! (Quantity x Unit Charge)Unit Charqe
$132.00
$160.00
$22s.00
$288.00
$4'10.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121 .00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56 00
11 TOTAL
Owneras defined by RCW19.28.261: (1) Ownerwill occupy the structure for two years afterthis eleclrical permit is finalized. (2) Owner is
required to hire an electric€l contractor if above said property is for sale, rent or lease- Pe.mit expires after six months of last inspection.
After reading the above statement, I hereby cerlify that I am the owner of the above named property or a licensed electrical contractor I
am making the electrical installation oralteration in compliance with the eleclrical laws, N.EC, RCW Chapter 19.28, WAC Chapter296-
468, The City of Port Angeles lvlunicipal Code, and Utility Specificatio sa PAMC 14.05.050 regarding Electrical Permit Applications
Date Print Name Owner I Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47'111
ELCOM
Name: