HomeMy WebLinkAbout223 E 4th St (7)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
9TIBI,]C BUIIDINGS & PARKS
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REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
5
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Application Number
ApplicaEion pin nunrloer
Property Address
ASSESSOR PARCEL NUMBER:
Application type descripEion
Sutdivision Name
Pr:operty Use
Property zoning
Appl.ication valuation
19 - 0OOOO3 ?7 Date 3 / L5 /t9
331204
223 E 4'TH ST
05-30 - 00- 5-4 - 6700 - 0000-
ELECTRICAI, ONIY
Applicatsion desc
Data room modif rcaEions
Or4.ner
CI,AI-I,AM COUNTY
223 E 4TH ST
PORT ANGELES
\360) 411 2429
MCCOY ELECTRIC CO INC
P O. BOX 1550
NORTI{ PI,AINS OR 97133
l5a3) 234- 7s2!
wA 98352
PermiE
Additional desc
Permit. Fee
fssue Dat.e
Expiratsion Datse
232.A0
3/ls/te
9/ar/a9
Plan Check Fee
valuatlon
00
0
Oty unit charge Per
20.00 5.0000 ECH
1.00 132.0000 ECH
Extension
100 .00
132.00
EL-BRANCH CIRCUIT W/FEEDER
EL-COM O-2OO SRV FEEDER
Charged Creditsed Due
PermiE Fee Tolal
Plan Check T'otal
Grand Tot.a1
232
232
232
232
00
00
00
00
00
00
00
00
00
00
00
00
9a*:ztc-/
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN uln ln d *
FINAL tln)s .p *
Signature of otrner or Electrical Contractor X Date
ELECIRICAL AI,TER COMMERCIAL
COMMENTS:
N/ U LTI-FAIV I LY / CO tM ]\I ERC IAL
ELECTRICAL PERIVIT APPLICATION
Public Works and tltilities Departulent
321 E. 5th Streer, Porl Angeles, WA 98362
360.4|1 .4'l 35 | rvwwcityofpa.us I electlica$erinlts@;cityofpa.us
Project Address 223 E 4th ST Port Angeles, WA 98362 Lower Level Data Room
RECEIVED
I'IAR 1{ 2019
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Project Descripl 1on. Clallam Co Courthouse - Data Room Modifications
n Multi-Family Residential El Commercial / lndustrial / Public Building Square footage
Name Emall:
Mailing Address Phone
Name: McCoy Electric Co., lnc.License: mccoyec3Sljt
Mailing Address:291 91 NW West Union Rd. North Plains
Email: janah@mccoyelectic.com
oR 97133 Exp iration Date: 7 13012019
Phone:
llem
Service/Feeder 200Amp.
ServicelFeeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Sewice/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuiuLimjted Energy - Multi-Family
Signal Circuiulimited EnergyiFirst 1500 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Ouantitv fe!a! (Quantity x Unit Charge)
tlZeo
A@
*Lr--D@
Unlt Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$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
L7Z%-;-*r*
Owner as defined by RCW.19.28.261: (1) Owner will occupy lhe slruclure for lwo years after this electrical permit is finalized. (2) Owner is
required lo hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months ot last inspection.
After reading the above statement, I hereby certify that I am the owner of lhe 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 PodAngeles Municipal Code, and Utility Specifications and PAMC '14.05.050 regading Electrical Permit Applications.
121201201 8 Zack Armstron
Date Prlnt Name Signature ([ Owner E Electrical Contractor / Administrator)
[Eleclrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed lo 360.417 .47111
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ELECTRICAL INSPECTION
WIRING REPORT
417-4736,
NOT APPROVED
ROUGH I
COBBECTIONS NEEDED:
NOT]FY INSPECTOR WHEN CORRECTIONS
ARE COMFLETED W]THIN 15 DAYS
* DO NOT REMOVE -
DATE:
11-71.V
INSPECTON
CONTFACTOF
ADDFESS
APPROVED
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. . . SERVICE
... . FINAL
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ELECTRICAL INSPECTION
WIRING REPORT
417-4755
DITCH
ROUGH IN/COVER
SERVICE
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tr
tr FINAL
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tr
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)COFIRECTIONS NEEDED:
|,UL-/-
?xn ,l !1 ,63-
tttOTlFY INSPECTOR WHEI| CORRECflONS
ARE COMPLETED WTHIN 15 DAYS
- DO NOT REMOVE-
DATE INSPECTOF
CONTFACTOB
t1
ADDBESS
APPROVED
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