HomeMy WebLinkAbout2506 W 19th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 00001105 Dare '7 /18/18
555814
2506 W 19TH ST
06-30-00-1-1-1900-5008-
EI,ECTRICAL ON1,Y
]NDUSTRIAI ITIGHT
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
CS
6-
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NLTMBER:
Application tsype descriplion
Subdivision Name
ProperLy Use
Property zoning
Application valuation
Application desc
Keg cleaner circuit
Contractor
PORT OF PORT ANGELES
PO BOX 13 50
PORT ANGEI]ES
BIACK DIA,I,IOND EI,ECTRICAL CONTR
502 BLACK DIA}IOND RD
PORT ANGELES WA 983 63
(360) s5s 103s
wa 98362
Permit
Additional desc
Permit Fee
I ssue Date
Expiration Date
't 4 .04
1/t8/18
\/14/a9
EI]ECTRlCA], ALTER COMMERClAL
00
0
Qty UniL Charge Per
1-00 74.0000 EcH Er,-coMM BRANCH crR wo/ s/F 74.00
Charqed Paid Credited Due
Permit Fee ToLal
Plan Check Total
crand Total
'74 . A0
.00
74-40
74.00
.00
'14 . aa
00
00
00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
AY
PERMT| WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signahrre of owner or Electrical Conhactor X Date:
Plan Check Fee
Valuation
COMMENTS:
MULTI-FAMI LY / COMMERCIAL
ELECTRICAL PERM IT APPLICATION
L?b,#1lo
3
@J
c,
0-'Project Address
POect Description
I
tr-
E Multi-Family Residential E Commercial / lndustrial / Public Building Square footage
Mailing Address
tI-Email
Phone 4u -77 1l
Name
l\ilailing Address
Email:
License:
ExDiration Datei
pnon., 4Ll'395 7
Item
Service/Feeder 200 Amp.
Service/Feeder 20 1-400 Amp.
Service/Feeder 401S00 Amp.
Service/Feeder 601-'l 000 Amp.
Seryice/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additionai Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Podal Houriy
Sign / Outline Lighting
Signal Circuivlimited Energy - Mulli-Family
Signal CircuiUlimited Energy/First 150O sf - Commercial
(Note: $5.00 for each additbnal 15@ sf)
Renewable Elec. Energy: sl(VA System or less
Thermostat (Note: $5 for each additional)
Quantitv IgEl (Quantity x unit Charge)Unit Charqe
$132-00
$160.00
$225.00
$288.00
$410.00
$s.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$18s.00
$96.00
$88.00
$88.00
$96.00
x
$
$
$
$
$
$
$
$
$
$
$
$
$
D
$
$
$
$
$
$113.00
$56.00 a TOTAL
Owner as deflned by RCW'19.28.25'1: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contraclor 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 contrac{or. 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 MunicipalCode, and Utility Specificatio and PAMC 14.05.050 regarding Elecirical Permit Applications
1-7-
Date nt Name re Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to Hall or electricalpermits@cityofpa. us or faxed to 360.417.471'11
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us I electricalpermits@cityofpa.us
O\AO{ER INFORMATION
Name: