HomeMy WebLinkAbout125 W 1st StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
REPORT STATE SAI-ES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
.s
IirJ\ri
Applicatsion Nunrber
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatio[ tsytr]e descripEion
subdivision Name
Property Use
Property Zoning
Application valuatsion
19 -000016?3 Date to /29 /19
945536
125 W 1ST ST
06 -3 0 - 00 - 0 - 0 - 1548 - 0000-
ELECTRICAJ- OTi]-Y
Application desc
DHP
ContracEor
CAB],ED FIBER AND YARN LLC
125 W fST ST
PORT ANGELES WA 98352
(360) 504 2233
BI,ACK DIA,I4OND ELECTRICAI CONTR
502 BI.ACK DIA]VIOND RD
PORT ANGELES WA 98353
(360) 565 - 103 5
Perni!
Additionaf desc
Permi! Fee
Issue Datse
ExpiraEion DaLe
'74.40
to / 29 /t9
4/25/20
ELECTRTCAI ALTER COMMERCTAI]
P.Lan checr< Iee
Vafuation
00
0
Qtsy Unit Charge
1.00 74.0000 ECrI EL-COMM BRANCII CIR WO/ S/E
Extension
74 .00
Charged Paid Credited t\le
Permit Fee Total
Plan Check Total
Grand Total
74 .00
.00
'/4 . OO
14.40
.00
74 .00
00
00
00
o0
00
oo
PERMM WILLEXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECNONTYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN 1il11,1?ffi ?sr
FINAL r z19)n sff ffi
Signature ofowner or Electrical Contractor X Date
CEIITI(AL BUSINESS DISTRICT
0
COMMENTS:
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
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ROUGH IN/COVER
SERVICE.-...,
FINAL
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NOTIFY INSPECTOR WHEN CORREGTIONS
ARE COMPLETED WITHIN 15 OAYS
- OO NOT REMOVE _
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CON'IBACTOB
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ADDBESS
OT APP
coBRECnONS NEEDro, 8-rzQ r+,<-se- -B.gk" Z:xyl-€;
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ELcoM MULT I-FAMILY / COMMERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address
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Project Description
E Multi-Family Residential Commercial / lndustrial / Public Building Square footage:
Name Email
Mailing Address Phone: 51 {-27.3?
O!\NER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address
Email:
License
Expiration Date
Pnone: 36 2 -./("/-yj.f 7
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 20 1 -400 Amp.
Service/Feeder 40'1 600 Amp.
Service/Feeder 601 -'l 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuat
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 6011000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuiulimited Energy - Multi-Family
Signal CircuiuLimited 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 fgE! (Quantity x Unit Charge)Unit 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
-x-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
/n rorAL
Owner as defined by RCW19.28.261: (1) Owner will occupy the struclure for two years after this eleclrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said prope(y is for sale, rent or lease. Permat expires after six months of [ast inspection.
After reading the above statement, I hereby certiry 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 Specification 1 4.05.050 regarding Electrical Permit Applications.
a. 2("
Date N re Owner ! Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted ity Hall or epermits@cityoha.us or faxed to 360.417.47111
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