HomeMy WebLinkAbout223 E 4th St (9)Application Number
ApplicaEion pin number
Property Address
ASSESSOR PARCEL NIJMBER :
ApplicaLion t!?e descripEion
Subdiwision Name .
Property Use
Propertsy Zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4135
PUBLIC BUIIDINGS & PARKS
0
19- 00001869 DaEe !L/26 /t9
539280
223 E 4TH S.t
06- 3 0- o0- 6-4 - 5700 - 0000 -
ELESIRICAI, OII],Y
REPORT STATE SAIES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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IS
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AppficaEion desc
Copper and fiber between city and countsy
Co!!tractor
CIALI,A,I4 COUNTY
223 E 4TH ST
PORT ANGELES
1.350) 4t1-2429
ANGEI,ES COM},II'NICATIONS TNC,
102 ROSS LN.
PORT ANGEtES, WA
PORT ANGELES WA 98362
(350). 457-43?5
wA 98362
Permits ,Additional desc
Permlt Iee
Issue DaEe
Expj.ratsion Date
95 .00
t|/26 / 79
s /24 /2a
ELECTRf CAL ALTER COMMERCIAI-
Plan Check Fee
Valuatioo
00
0
Qty Unit Charge Pe!
1.OO 95.OOOO ECH EL.LIMITED lST 15OO SQ FT
Extellsion
96. 00
Fee summary Charged Paid Creditsed Due
PermiE Fee Total
PIan Check Total
Grand Total
96 .00
.00
96.00
96. 00
.00
96. O0
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN nln)fi I -RP
FINAL
'i)trln I ffi
COMMENTS:
Signature ofowner or Electrical Contractor X Date
.00
.00
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N/U LTI-FAM I LY / COMIVERCIAL
ELECTRICAL PERTM IT APPLICATION
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Proj ect Address: 223 E. 4lh St Port Angeles, WA 98362
Project Description lnstall cooper &fiber tele phone cable between Courthouse and PA Police De pt
E Multi-Family Residential E Commercial i lndustrial / Public Building Square footage UNK
Name Clallam County Email: GHelwick@co.clalLam.wa.us
Mailing Address 223 E. 4th St Port Anqeles phone.3604172000
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1 000 Amp.
Servjce/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 201-400 Amp
Temp Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-'1000 Amp
Portal to Portal Hourly
Quantity x Unit Charge)
Sign / Outline Lighting
Signal CircuivLimited En
Signal CircuiULimited En
(Note:95.00
ergy - Multi-Family
ergy/First 1500 sf - Comm
for each additional 1500 si)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
$113.00
$56.00
96.00 rorAl
1112212015 Donald l. Sim pson D o n a I d L S i m p s o o n 3:','j:'yri!''l:',?',?:J.111:fl [3-*Date Print Name Signature 1! Owner F Electrical Contractor / Administrato0
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.4j7 .471'll
$132.00
$160.00
$225.00
$288.00
$4'10.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121 00
$164.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Name Angees Cornmu.icalions License: 60,3865.2
lMailing Address: 102 Ross Ln. Port Angeles, WA 98363 Expiration Date 4l30l202O
Email don@angelescommunications.com phone: !gQ4!24!Z!
Quantity
1
Owner as defined by RCW 19.28.261: ('l) Owner will occupy the structure for t\r,ro years after this etectrical permit is finatized. (2) Owner is
required to hire an electrical 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 Port Angeles Munlcipal Code, and Utility Specifications and PA[,lC 14.05.050 rega.ding Electrical permit Applications.