HomeMy WebLinkAbout1734 W Hwy 101 (5)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
Appllcation Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER;
Application type descriptio
Subdivision Name
Property Use
Property zoning
Application valuatsion
t9-a00aa22a Date
992544
1734 W HI4Y 101
0 5- 3 0 - 08 -3 - 3 - 0050 - 0000 -
ELECTRICAI ONLY
PIan Check Fee
Valuation
Qty Unit Charge Per
1.00 102 .0000 EcH EL-COMM O-2OO TEI4P SRV / FDR
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
8/14/L9
I]N(NOWN
0
Application desc
GENERATOR LOAD BANK
ContracEor
STEPI.IEN H AND AMY L KENNEDY
511? MOUNTAIN TERRACE WAY
PORT A.},IGELES WA 983 62
LEGACY TELECOMMUNICATIONS INC
PO BOX 350
BURLEY WA 95322
(253 ) 858-0214
Pernit
additional desc
Permit Fee
Issue Date
Expiratsion DaEe
102 .00
8/14/!9
2/to/2a
ELECTRICAL ALTER COMMERCIA],
00
0
Extsension
102.00
Charged Credited I\re
verm.rE !ee l'oEa'L
Plan Check Total
Grand Total
L02
to2
00
00
00
00
00
00
00
00
00
702
ta2
00
o0
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM I,AST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN e)zz lP,a -sP
FINAL alo-ltQ N .sr
COMMENTS
I
Signature ofowner or Electdcal Contractor X Date:
MULTI-FAI\IIILY /COT/fUERCIAL
Public Works aucl Utitrities Departmeut
32I E. 5th Street, Port Angeles, WA 98362
360.417.4'135 | www.cityofpa.us I eleotriealpermits@cityofpa.ur
Proj oct Address: New Light OPS
n7q ,.1 trhrv tDlIS$lipsa-lDdu&jal-P.+{ffay Port Angeles, WA
f,'f,?i;f
1'o
j
]t
\J
NJrl
Project Desc. ption:Load bank 1 generator for Annual Maintonance
E lvutti-Family Residential O Commercial / tndustrlal I Public Buildlng Square footage:
Name: Cily of Port Angeles Email; kobun{Ocltyo(pa.us
Mailing Address:PO Box 1'150 Port Ang6las, WA 98362{217 Phone:360-565-3860
Namet Legacy Telecommunications Ucense:LEGACTLS2l LL
Mailing Address: PO Box 360 Burley, WA 98322 Expiration Dat6:
Email:rhen ry@legacypower,com Phoner 253-858-02'14
hem
SeNic€/Fe6d6r 200 Amp.
Servica/Feeder 201 -4O0 Amp.
Servic€,/Feeder 401-600 Amp.
S€Mce/Feeder 601-100O Amp.
S€rvico/Feeder over 1000 Amp.
Branch Clrcult r^fl Service F9ed6r
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Sgrvice/Feeder 200 Amp.
T6mp. SeNicey'Feede r 201-400 Amp.
Temp. SeNice/Feeder 401-6!0 Amp.
Tcmp. Servic-eJFeeder 601-1000 Amp.
Porta! to Portal Hourly
Sign / OuUine Lighting
Slgnal Circuit/Limited Energy - Multl-Family
Signal Cirqritrumited Energy/FiEt 1 500 Ef - CommBrclal
(Note; $5.00 for each addltlonal 1500 sf)
Rerswable EIec, Ensrgy: sKVA Systgm or less
The{mostat (Note: $5 for eaoh additional)
Ouantifu x Unit Charge)
$132.00
$180.00
$225.00
$288.00
t410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121,00
$184.00
$185.00
$98.00
$88.00
$88.00
$eE.oo
$
s
$
$
$
$
I
$
s
!
$
$
$
s
$
$
$
00102
$1r3.00
$s6.oo
s_
$_
102.00 rorAls
Owner as deiined by RCW.19.28.261: (1) Ownsr wlll occupy lho slrucluro firr t!r,o y6ars after thl6 eLeckical pormlt is flnallzod. (2) Owner Is
required 1o hire an electllcal contractor if abovs said propsrty ls for sale, rent or l€asa. Permit gxpirgG after 6ix months oflast lnspectlon.
After rBading the abov6 statement, I h9r6by c€rtit that I am ths own6r of th6 abow nam6d prop€rty or a llcensed sloctrical conbactor. I
am making th6 electrical installation oralteration in compllance with the d66llical law9, N,E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Pod Angeles Munlcipal Code, and Utility S n6 and PAMC '14.05.050 togarding Electrlcal PermitAppllcatloDs.
8t8t19 Rich Hen
Oate Print Name Signature (D Owner p Eloctrical Contractor / Administrator)
lElectrical Permit Applioations may be submittsd to City Hall or epermits@cityofpa.us or faxed to 360.417,4711]
I
l
1
l
I
i
!
i
I
OWNER INFORIVIATICN
ELEC'TIII(J/\I- CCNTRAOTOR INFORfuIATION
PRO.,JECT DE-AILS