HomeMy WebLinkAbout1105 E 1st St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMERCIAI ARTERIAL
0
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 pln nunlcer
Propertsy Address
ASSESSOR PARCEL NUMBER:
Appl ication t),pe descripEion
Subdivision Name
Property Use
Property Zoning
Appfication valuation
19 - 00001753 Da}Le Ll,/12/A9
720778
1105 E 1ST ST
06-3 0 -oo- 5-2 - 03 55- 0000-
ELECTRICAL ONIJY
Application desc
T-stat
ACCOF' INC
33 OO MAPIE VALLEY I{WY
OLYMPIA WA 9 8508
ANDERSON NESLER COMPANY ]NC
PO BOX 597
Mrt:coN wA 98354
i.253) A26-3AA2
Permits
Addit ional desc
Permlt l'ee
Issue Dat.e
Expiratsion Date
56 .00
1!/12/re
5/ra/20
ELECTRICAI, AITER COMMERCIAL
Plan Check Fee
Valuation
00
0
QEY
1.00
UniL Charge Per
56.0000 ECH EL L]tA THERMOSTAT 55.00
Charged Paid Credited Due
Pennits Fee Total
Plan Check Total
56 .00
.00
56 .00
56. 00
.00
55.00
00
00
00
00
00
00
PERMIT wlLL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESUI,TS:INSPECTOR
DITCH
SERVICE
ROUGH.IN nhsl)1 #
FINAL nlnlfi dM a€
COMMENTS:
Signa ture of owner or Electrical Conkactor X Date:
tuu LTI-FAMILY / COM MERCIAL
ELECTRICAL PERMIT APPLI CATION
Public Works and Utilities Department
321 E.sth Street, Port Angeles, WA98362
360.417.4735 www.cityofpa.us electricaipermits@cityofpa.us
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Project Address t/o5 E t;/ r't
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Project 0escription f {roP ;t , "zn -l llut /o. .,n .+ Bu"/,/ Ac ,*t.J/<
! Multi-Family Residential ft Commercial / lndustlial / Public Building Square footage
O\ANER INFORMATION
Name:A Cc)
Mailing Address 3 , <r) ,-n ??k ,.o .4e a /-ta L,,,.'*a
Name:
Nilailing
etlc;Cot f.^<
Address al 'lPct V *7 5
Email ,1n ol-7 ut Nesl.- o Cer.<-r- N
Email 4
Phone 'Ps ztl -t 66{
License
Expiration Date )o
Phone LSJ-
Jer<o,
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp
Service/Feeder 20'1400 Amp.
Service/Feeder 40 1600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201{00 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601 -1 000 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 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Ouantity fgla! (Quantity x Unit Charge)Unit Charoe
$132.00
$160.00
$22s.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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Owner as defined by RCW 1 9.28.261 : (1 ) Owner will occupy the structure for two years after thas eleclrical permit is finalized. (2) Owner is
required to hire an electncal contractor if above said prope.ty is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby cedify that I am the owner of the above named property or a licensed electrical contractor I
am making the electrical instaliation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC Chapter 296-
468 The City of Port Angeles l\4unicipal Code, and l-Jtility Specifications and PAMC'14.05.050 regarding Electrical Permit Applications.
$113.00
$56.00
$r'I $ 41.'
a {002 ,oro,
ttle/rz ck.t< /1c/- AJ M
Date Print Name sign"@/Administrator)
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .4711)
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