HomeMy WebLinkAbout520 E Park Ave (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7-4'.735
T
\,
Applicatsion Nurnlcer
Application pin number
ProperEy Address
ASSESSOR PARCEL NIIJMBER:
Application t)?e description
Subdivision Name
Propertsy Use
Propertsy zoning
Application valuation
19 - 00000010 Date
8L2290
520 E PARK AVE
05-30-15-s- 0- 9150 -2001-
EJ,ECTRICAL ONIY
1/ 03 /te
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
0
Application desc
Kitchen remodel
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
l36A) 4s2-9264
wA 983 62
Permil
Additional desc
Permit Eee
Issue DaEe
ELECTRICAL ALTER COMMERC]A!
1-4 CIRCUITS
115. O0 Plan Check Fee
t/03/L9 valua!ion
'7 / 02 /19Expiratio Datse
oty Unit Charge
BASE FEE
E],-ECH A-DDNT BRANC}{ CIRCUIT
Extsenslon
86.00
30.00
00
0
6 .00
Per
5 .0000 ECH
Charged Paid Credited Due
Permi! Fee Total
Plan Check Total
Grand Total
. o0
.00
.00
115
116
00
00
00
.00
.00
.00
.00
.00
.00
115
116
PERMM WILL EXPTRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
SERVICE
ROUGH.IN r lpltz R 4)
FINAL sl2o ln 5?>60=
Signature of owner or Electrical Contractor X
ST ANDREW'S RETIREMENT COMN\rIY
703 CALI,AHAN DR
BREMERTON I,IA 983103347
DITCH
COMMENTS:
Date:
OWNER INFORMATION
ELcoM
07/02/2019 08r52 FAX 360 452 9265 Anaeles Electric
MULTI.FAMILY /COMMERCIAL
R M
Public Works and Utilities Department
321 E. 5th Street, Porr Angeles, WA 98362
360.41'7 .4735 | www.cityofoa.us i electricalper rnits@oityofpa.us
Project Address:
Project Description:
E Multi-Family Rasidential Commercial i lndus$ial / Public Building Square footag€:
Namg:Email:
Malling Address:€Z.gt g,?..*_.tu Phone
a 0 0 01/ 0001
!o
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Name:Angeles Electric, Inc License:ANGE
Mailing Address:524 E. First Port eles . wA 98362 Ergiration Date:2t112020Anq
Email: ksimpson@olympu;snet , .Phone:360-452-9264
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
ServiceiFeeder 2O1-400 Amp-
SewicdFeeder 401 400 Amp.
ServicelFeeder 60 1-1 000 Amp.
Service,iFeed er o\.er 1000 Amp.
Branch Circuit W SBrvice Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Gircuits 14
Temp. Servic€y'Feeder 200 Amp.
Temp. ServicelFeeder 201400 Amp.
Temp. Service/Feed9t4o1 {@ Amp.
Tsmp, Seryice/Faeddit$.ol-1QooAmp.
Ponalio Portal Hourly '
Sign / Outline Lighting
Signal CircuiuLimited
Signal CircuiULimited
(Not€: $5.00 for each
Renewable Elec. Energy: 5loy'A
Thermostat (Note: $5 for eacfi additional)
lldtltr4cr
s132.00
$160.00
u25.00
$288.00
$410.00
$5.00
i74.00
05.00
s86.00
3102.00
3121.00
qse$ii{trcbl (Quantity x Unlt Chatge)
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OunEr as definad by RCW.1928.261: (1) OwnEr will occupy the structure for t o ysars alter thls elect icalpsmit i5 flnallzEd. (2) ol'mar i8
requlred to hiie an ilectrical conraaor ifabove said property is for aale, rent or liase. Permit expir€s affer six month3 of last inspoction'
Aier rEading tha above statement, I hereby cerdry that I am tho owner of the above nam€d property or a licansed als*ical cdfacto'' I
am making fie electrical installation or altettion in compliance with the elscuical lar,vs, N.E.C., ROiV. Chaptar 19.28' WAC' Chapt'r 29G'
aee, fn".6ity ot eoaAngeles Municipal Code, and Utiliy Specfications and PAMC 14.05.050 ,€garding Electrlcal Permlt^PPllcadoffi'
Print Name Signature (E owner tr Contractor / Adminktrator)
[Electrical Permit Applications may be submitted to City Hall or alec'tricalpormits@ciq/oha.us or faxed to 3@-417 47111
I
ELECTRICAL CONTRACTOR IN FORN4ATION
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