HomeMy WebLinkAbout223 E 4th St (8)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
PUBLIC BUILDINGS & PARKS
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Appfication Nuniber
Applicatsion pin number
Property Address
ASSESSOR PARCETJ NUMBER :
Appf ication type descriptsion
Su.bdivision Name
Property Use
Propertsy zoning
Application vafuation
19- 00 00094 0 Date 6/a9/a9
434420
223 E 4'r]l ST
06 -3 0 - 00- 6-4 - 5?00- 0000-
ELECIRICAI- ONLY
Applicalion desc
TIVAC contsrol
Owner Contractsor
CI.ALi.AM COUNTY
223 E 4TH ST
PORT A}GELES
l36A) 4t'7 -2429
BUIIDING CONTROL SYSTEMS INC
21218 55TH A\E W
BRrER WA 980367304
l42s) 774 15A0
wA 98352
Permit:
Addltionaf desc
Permit Fee
Issue Date
Expiratio DaEe
96.00
6/19/1-9
L2/L6 /19
EIECTRICAL AI,TER COMMERCIAI,
00
0
otsy Unit Chargre
1. O0 96.0000 ECH E!-ITMITED 1ST 15OO SQ ET
Extsension
96 .00
Charg€d Paid Creditsed Due
Pernit. Eee Total
Plan Check TotaI
Grand Totaf
95. O0
.00
95. 00
95_00
.00
96 .00
00
00
00
o0
00
o0
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN r./ze ln x .sp
FINAL oo)rr-fiq w *
COMMENTS:
Date
Plan Check Eee
Vafuation
Signature of owner or Electrical Contractor X_
M ULTI.FAMI LY / COMMERC IAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Departnrenl
i2 I E. 5th Strect. Pon ADgeles. WA 981(12
.160..1 I 7.47:i5 | u'u rr,.c ityofjra. us I e lectric a lpernr itsl0rc it\rr llra. u s
RECEIVFD
JUN 18 2I/1s
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I-t-rCi
Project 4661ss5 223 East 4th Street Port Anqeles, WA 98362
D Multi-Family Residential E Commercial / lndustrial / Public Building Square footage:500
Name: Clallam Counry Courlhous€
Mailing Address. 223 East 4th Sreet Port Anoeles, WA 98362
Email: lwinbom@co.clellsm.wa.us
phone. 360-461-9360
fl6p6 Building ConBolSystems, lnc License BUILDCS066PF
Expiration P61g; 11/19/2020
Phone:42$77+1680
Mailing Address: 21218 66th Ave West Lynnwood, WA 98036
Email:shogan@bldgcs.com
[eB
Service,/Feeder 2@ Amp.
Service/Feeder 201 -400 Amp-
Ssrvice/Feedsr 40 1 -600 Amp.
S€rviceiFeeder 601 -1 @0 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W SeMce Feeder
Branch Circuit WO Service Fe€der
Eaci Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder @ l-1 000 Amp.
Portal to Portal Hourly
Sign / Oufline Lighting
Signal CircuiuLimited EneEy - Multi+amily
Signal Circuiulimited Energy/First 1500 sf- Commercial
(Note; $5.00 br each additional 1500 sD
Rene\,yable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additionEl)
Ourndlv IOE1 (Qu.nfity x Unit Chrrge)ItdLcbrlcr
$132.00
s160.00
9225.00
s288.00
$410.00
s5.00
$74.00
$5.00
sa6.o0
$102.00
$121.00
$164.00
0185.00
t96.00
s88.00
$88.00
$96.00 96.00T-
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t 96.00 roral
Owner as defined by RCW 19.28.26'l: (1) Owner will occupy the structure for two yeaG aft6r thi6 ol€ctrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires aftor six mohths of la6t inspection.
After .eading trle above statement, I hereby certify that I am the ownsr of the above named property or a licensed electrjcal conlractor. I
am making the electrical hstallation or alteration in clmpliance with lhe electrical laws, N.E.C., RCW Chapts|t9.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specilicstions and PAMC 14.050 regarding Elechical Permit Applications.
$113.00
s56.00
Print Name owner {Z /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360 .417.47111
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Proiect Description HVAC Control upgrade
O\'\'NER INFORMATION
ELEETRICAL CONTRACTOR INFORMATION
PROJECT DETAILS