HomeMy WebLinkAbout1105 E 1st StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMERCIAI ARTERIAI,
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REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
Application pin number
Propertsy Address
ASSESSOR PARCEL NTN\4BER:
Appf icatsion t),pe description
subdivision Name
Propertsy Use
Property zoning
Application valuation
19 - OooO1591 Date LL/Ot/a9
4 8173 0
1105 E 1ST ST
05 - 3 0 - 00 - 5 -2 - 03 55- 0000 -
ELECTRICAL ONLY
Application desc
Remodel
ACCORD INC
33OO MAPLE VALLEY HWY
OLYI\IPIA WA 9850A
ACKER ELECTR]C
22 024 26OTH AVE SE
[{-CPLE VAILEY
l42s) 432 ',7973
wA 98038
Permi ts
Additional desc
PermiE Fee
Issue Date
ELECTRICAL A],TER COMMERCTAI
1.4 CIRCUITS
106. O0 Plan Check Fee
t) /01/ 19 valualion
4 /29 /20Expiration Date
Qty UniE Charge
4.00 5-0000
Extension
86. 00
20 .00
Per
EClI
00
0
BASE TEE
EL BRANCH CIRCUTT W/FEEDER
Charged Paid Credited Due
Permit Eee Total
Plan Check Total
Grand Total
105. 00
.00
105.00
106
105
00
00
00
.00
.00
.00
00
00
00
PERMII WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN elal,n *-pP
rzlain *-#
COMMENTS:9lt-N Ya*z-nr,f reE6$rrfz.ErP
Signature of owrier or Eleatrical Contractor X Date
FINAL
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
NOTIFY II'ISPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
* DO NOT REMOVE-
APPROVED
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NSPECTOBCF
OV./NJEB
CONTRACTOB
MX\€.$-L 6a-*t'
ADDFESSl,)b5-;€*/*f
CORREC1ONS NEEDED: T 411 1.,4L T.O$-L'T1,
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ELECTRICAL INSPECTION
WIRING REPORT
417-4738
DATE NSPECTOB
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CONTRACTORb€.8
ADDFESSttr€ E- /
APPFIOVED NOT APPROVED
tr DITCHp- . .Y*"mr.IL=-Rouen i N/covEH
n SERVICE
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tr
nFINAL . .
CORRECTIONS NEEDED:
LfP C.a"./ €.tZ-
WH"\: /a\?b.EP *- #*4V
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED wlTHIN 15 DAYS
_ DO NOT REMOVE-
M U LTI-FAIV I LY / COMTVI ERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street. Port Angeles. WA 98362
360.417.4735 r www.cityofpa.us I electricalpermits@cityofpa.us
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5Project Address
Project Description
n Multi-Family Residential Commercial / lndustrial / Public Building Square footage
Name Emai
Phone: ZC
z,;/?.,/
Mailing Address 2
Name:
[/ailing
Email:
2 3 -2 2 ,
Address:
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Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 60'l -'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 201400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601 -'l 000 Amp.
Portalto Portal Hourly
Sign / Outline Lighting
Signal CircuiULimited Energy - Multi-Family
Signal CircuiULimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
License
Expiration Date o
Phone
unit Cha.oe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$12'1 .00
$164.00
$18s.00
$96.00
$88.00
$88.00
$96.00
Quantitu Iqlal (Quantity x Unit Charge)
i)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
l Dlarg rc1al-
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for t\ro years after this electrical permit is finalized. (2) Owner is
required to hire an electncal contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the 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 PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
to/3t/22 &t''.fLb/'
Date Print Name Signature (E Owner Electrical Contractor / Administrator)
ELECTRICAL CONTRACTOR INFORMATION
IElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
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OWNER INFORMATION
PROJECT DETAILS
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