HomeMy WebLinkAbout321 E 5th St (4)Application Number
Applicatsion pin nulrl]3er
Property Address
ASSESSOR PARCEL NUMBER:
ApplicatioB type descriptsion
subdivision Name
Property Use
Property Zoning
ApplicaLion valuation
'L9-ooo01,223 Date 8/14/L9
t39992
321 E 5TII ST
o5 - 3 0 - o0 - 0 - 1- 7050 - 0000 -
ELECTRICAL ONLY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
PUBLIC BUTI,DINGS & PARKS
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicatio desc
GENERATOR LOA.D BANK
I,EGACY TELECOMMUNICATIONS INC
PO BOr 350
BURIEY WA 98322(2s3) 8s8-0214
Permit
Additsional desc
Permits Fee
Issue Date
Expir.atsion Date
223.04
8/14/t9
2/to/2a
ELECTRICAI, AITER COMMERCIAI,
Plan Check Fee
Valua!ion
00
oEy Unit Charge Per
1.0 0 102. 0000 ECE1.00 121.0000 EcH
coMM o-2oo TEMP sRV / EDR
coMM 201-4oo rEMP sRV/r'DR
Extension
102.00
121.00
EIJ-
EIJ-
Charged Due
Perm.rt !'ee '1ota-L
PIan Check Total
Grand Total
oo
00
00
. o0
.00
. o0
223
223
00
00
00
PERMII WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN e lzr.lfi d YdP
FINAL e'lrtlto'A <r(n-z
COMMENTS:
Siglature of ovTer or Electrical Conkactor X Date
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983520217
0
Paid Credited
223.4O
. o0
223 .OO
TUULTI.FAIUILY /COMI\XERCIAL
Puhlic $hrks and Utilities Department Au0
BFC€/
t'FD_APPL
321 E- 5th Seeet, Port Arrgetes, W\98362
36A4fi .4735 | wwucityofta.us I electticalpermits@cityofpa.us
zon
Proj ectAddress: Police Station 321 E 5lh St Port Angeles, WA 98362
!o
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Name : Citv of Port Anoeles Email bcoburn@cltvofDa.us
E.ECTRICAL CONTRA'TOR IN FORI\,IATION
Name Leqacv Teiecommunications License. LEGACTLS21 LL
Itam
SeNicdFeeder 200 Amp.
Service/Fe€der 201 "400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 60'1-1000 Arnp.
Servics/Feeder over 1000 AJnp.
Branch CircuitW S€rvice Fseder
Branch Circuil W/O SeNice Feeder
Each Additional Branch Circuit
B.anch Circuits l4
Temp. Service/Feeder 200 Amp.
Temp. Servico/Faeder 201-400 Amp.
Temp. Seruico/Feoder 401-600 Amp.
Temp. SeeJice/Feeder 60'1 -1000 Amp.
Portal to Potai Hourly
Sjgn / Outline Lishtlng
Signal Circuiulimited Energy - Mulli-Family
Slgnal Circuiulimited En€rgy/First '1500 $f - Commercial
(Note: $5.00 for each additlonal 1500 si-)
Renewable EI6c. Ensrgy: 5,C/A Systerd or lsss
Thermostat {Note: $5 for each addltional)
Urlt Charqa
$132.00
$160.00
$225-00
$288.00
$410.00
S5.oo
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$1e5,00
$96.00
$88.00
$88.00
s96.00
Ouentlfu
1
1
$.
$-
$
---:-$_
$_$_
$
$_
$_
(Qusrfily x Unit Cha$s)
$_
5_
$_
$_
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$*-
102.00
$113.00
$58.00
$ 223.00 rorAl
Owner as cefined by RCW.19.28261: (1) Ownerwilloccupy th6 structure for lv/o years after this el€ctrical permit is finalized, (2) Owner is
required lo hire an electricai contractor ifabov6 said proporty is forsale, rent or leaEo, Permit expires after Eix monthg of last inspectjon,
After reading tho above statsment, I hereby certify that I am th6 ownor ofthe abovs named property or a llcensed eleclrical conlractor. I
am making the el€ctrical installation or alteElion in compllance with the electricallaws, N.E.C., RCW, Chapter 19,28, WAc. Chapter 296-
468, The C,ty o{ PortAngeles Municipal Code, and and PAMC 14,05.050 r€garding Electrical Permlt Applications
8/8/19 Rich Hen
Date Print Name SIg re (E Contraotor I Admlnistmtor)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or fax8d to 360.417.4711]
Prolect Description: Load bank 2 generatorg for Annual Maintenance
E firulti-Fanrily Residential E Commercial / lndustrlal / Public Bullding Square footage:
--
Maaling Addr6ss: POBox1150 PortAngeles, WA 98362-0217 _ phone: !!9:{!:9990
Mailing Addressr PO Box 360 Burley, WA 98322 Expiration Date: _
Email, rhenry@Jegacypower.com phone: 283-8584214 _
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$ 12'! .00
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