HomeMy WebLinkAbout110 E 3rd St (8)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMUNITY SHOPPING DISTR
0
REPORT STATE SALES TAX
on your excise tax form
to the City of PorI Angeles
(Location Code 0502)
2sllo *7L
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Application Numlcer
Application pin number
Property Address
ASSESSOR PARCEL NUMBER :
ApplicaEion tl'pe description
Su.bdivision Name
Property Use
Property Zoning
Applicatsion valuation
19- 00001931 Date t2/os/19
279L6A
110 E 3RD ST
05- 3 0- 99 - 0 - 0- 6910- 0000 -
ELECTRICAL ONIY
Application desc
Reter cases, Decor Lights
contsractor
SA.FEWAY STORES INC
c/o cPTs
13 71 OAKI,AND BL\,D,
WAII'[]T CREEK
i'425) 201--642A
D&R EIJECTR]C
PO BOX 74
PORT ORCIARD
l36O) 443-2207
or-1 u a{rz-
wA 98355STE 2OO
cA 94596
Pernit
Addltsional desc
PermiE Fee
lssue Date
Explration DaEe
t29.40
t2 / 05 /t9
G/02/20
ELECTRICAL ALTER COMMERCIAL
Plan Check Fee
Valuatsion
Qty UniC Charge Per
1.00 74. 0000 ECH
11. 00 5 - 0000 ECH
EI,-COMM BRANCH CIR WO/ S/F
EL-ECH ADDNT BIIANCH CIRCUIT
0
ExEension
74.00
55. O0
Charged Paid Credited Due
Permits Fee Totaf
Plall Check Total
Grand Total
t29
129
129
L29
o0
00
00
o0
00
00
00
00
00
o0
o0
00
INSPECTION T}?E RESULTS:INSPECTOR:
DITCH
SERYICE
ROUGH.IN tlzq lzo d\/T.*
ttz4lzo W
COMMENTS:
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature of o',l|ner or Electrical Contractor X Date:
.00
DATE:
FINAL fuF
MULTI.FAM I LY / COMM ERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
i2 i E. 5tir Sreer. Port Angeles. \&A 98362
360.+1 7.47i5 I wrv.cirvofpa.us i electricalpermitsfa,,citvolpa.us
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Pro.ject Address:1 10 East 3rd Street
Project Description Replace refrigeration cases, install Decor li ghting
E Multi-Family Residential El Commercial / lndustrial / Public Building Square footage:
Name:Safewav Email
Mailing Address Phone
Name: D&R Eleclrical Services License:DRELEE*826BWE
Expiration Date:
Phone : 360 271 3112
Mailing Address: PO Box 74 Port Orchard, WA, 98366
Emait. DANDRELECTRICog I2@Gmail.com
Item
Servic€/Feeder 200 Amp-
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 60'l-1000 Amp.
Service/Feeder over 1000 Amp,
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Brarch Circuit
Branch Cirqjits 1-4
Temp. SeMce/Feeder 200 Amp.
Temp. Service/Feede, 201-400 Amp-
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourty
Sign / Outline Lighting
Signal Circuivlimited Energy - Muhi-Family
Signal Circuivlimited Energy/First '1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: sl(VA System or less
Thermostat (Note: $5 for each additional)
Ouantitv Total (Suantitv x unit ChardellJnit Charoe
$132.00
$160_00
$225.00
$288,00
$410.@
$5.0o
$74.00
$5.00
$86.00
$102.00
$ 121.00
$164.00
$185.00
$96.00
s88.00
$88.00
$96.00
$
$
$
$
$
$
c
$
$
$
$
$
$
$
$
'?"1 o o
qr'o
$'r13.00
$56-00
$
$
$n19 TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hi.e an electrical contractor if above said property is for sale, rent or lease- Permit expi.es after six months of last inspection.
After reading the above slatement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Speciflcations and PA|VIC '14.05.050 regarding Electrical Permit Applications.
1zt1t2o1e David Hall
Date Print Name Signature (E Owner E Eleckical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalperrn]ts@cityofpa.us ot faxed lo 360.417 .47111
ELcoM
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OWNER INFORMATION
ELECTRICAL CONTRACTOR 1NFORfu,iATION
IEET.IIErrIJEIEIE
..#5**"T'EY
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ELECTRICAL INSPECTION
WIRING REPORT
417-4736
NOT APPROVED
)h.Jxe-TIal--. . . . . . DrrcH
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ROUGH IN/COVEB
SEHVICE
FINAL
APPROVED
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COBRECTIONS NEEDED:
fizostc-r-
DATE
IttlS n -)1at ^"$fr\
D'rQ- aL-tq:tec-
ADOBESStld v- 3
NOTIFY INSPECTOR WHET{ CORRECTIOI{S
ARE COMPLETED wlTHIN 15 OAYS
_ OO NOT REMOVE-