HomeMy WebLinkAbout716 S Chase St (4)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
COMMUNTTY SI{OPPING DIS1R
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
\$
N
U\e.-,t
Application Number
Applicat.ion p1n nunrlcer
Property Address
ASSESSOR PARCEL NUMBER:
Application ts)?e description
Subdivision Name
Property Use
Property Zoning
ApplicaEion waluation
19 - oooo2 044 Dare a/02/2o
34A464
716 S CI,IASE ST
06-3 0 - 00- 0-2 -3 085- 0000-
ELECTRICAL ONIJY
Applicatsion desc
wall packs
Contsractsor
716 S CHASE LLC
5 606 DEER PARK RD
PORT ANGELES
(360) 912-2583
ANGEIES ELECTRTC
524 E. 1ST ST.
PORT ANGEI,ES
136A) 452 9264
wa 983 52 wa 983 62
Permit
Additional desc
Permit Fee
Tssue DaLe
Expiration Date
EIECTRICA], ALTER COI.{qERC IAl,
1-4 CIRCUITS
85.00 Plan Check Fee
t/o2/20 Va]uaLion
o/3a/20
BASE FEE
.00
0
Extension
86.00
Oty Units Charge Per
charged Paid Credited Due
Permit Fee Totsa1
PIan Check Totsal
Grand Total
86.00
.00
86.00
86. O0
. o0
85.00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERYICE
ROUGH-IN zLs{a>dw -sN>
FINAL z)d)zo dp 4y
COMMENTS:
Signature ofownsr or Electdcal Contractor X Date:
.00
.00
.00
DATE:
72/30/20L9 17:42 FAI 360 452 9265
M ULTI-FAMILY 1 COMM ERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Aogeles, WA 98162
j60.417 .47 35 | rvww.cityofpa.us I electriealpermits@cityo&a.us
PrqectAddress:
Project Description:
E Multi-Family Residential D Commercial / lndusuial I Public Building Square ioolage:
Name:
Mailing
Email:
@ 0 001/ 0 001
?Etti
2Us
iE
6!a-til*lul-{
I1-I.
Phone:3/.D -a /-z'7a
OWNER INFORI\4ATION
Name:Anoeles Electric, lnc Liconse:ANGELE
PROJECT DETAILS
Ilen
Sewics/Fseder 200 Amp.
SeMce/Feeder 201-400 Amp.
sErvice/Foed€r 401600 Amp.
S€.vic€,/Fe€der 601-1 000 Amp-
SeMc€/Feedsr ovell 0O0 Amp.
Branch Circuit W Seflica Fagdsr
Branch Cirdit w/O Se.vica Faeder
Each AddiUonal Brandr Orcl.rit
Branoh Cirarit3 1-{
Temp. SsMce/Feeder 200 Amp.
Temp. Sorvic€y'Feeder 20 1-400 Amp,
Tsmp, Service/Feeder 401-600 Amp.
Temp. SorviodFeeder 601-1000 Amp,
Portal to Portaf Hourly
Sign / Outins Lighting
Slgnal CirariuLimitsd Ene.gy - Multi+amily
Signal ClrcuiuLimited En€tgy/First 1500 8f - CommBrdal
(Note: 55.00 for sacfi edditmal I 50O 30
Rengu.abla El6c. Eneigy: SKVA System or less
Tnermostst (Nots 55 fu. eadr sdditional)
lriLcbafc!
1132.0O
t160.00
3225.00
$2E8.00
s410.00
t5.00
t74.0o
s5.00
s86.00
$102.00
$121.00
$164.00
$185.00
ts6.00
.$88,00
.$88.00
{96:00
qufilig (Quantity r unlt Charge)
t
0
3t
$
it
$
$
s
i
$
$
3i
$t
E
E
t
-Zm
.-.--:-
3113.00
456.00
40
TOTAL
Ownor as dofined by RCW.l9,2E.26t: (l) o\mcr will oc@py the strusttre for t!rc years tncr lhb .lccMcal paimil i3 fnaliz6d' (2) Ortlet i8
requir€d io hirc an ;leclrical contEc,tor lf above said floperty ls fur sal€, raflt ot ls6s6. Pamit r)girs! ei6r six month8 of last h8poc{on.
A{lsr tBading lhe above statement I her€by C€rtify that I arir lhe owner of lhe abovO namld Prop€rty or a fcsne€d Elscfical oonfador. I
am making ire electricat installation or alteratton ln compllance wlth the ol€ctrical laws, N.E.C., RCW. Chapterlgrl, WAc. Ch8pbr 296-
aee, nre dtty of eonAngsl€s Munlclpal Code, and Udlw specifcatiods ard PAMC 1.1.05.060 tlgerding El€cldcal PotmltApdlcaliom.
Ken Sim on
Print Name Signatur€ (El orrn€r E Contra.*or / AdminisHor)
IEleslrical Permit Applications may be submitted !o City Hall or electricalpermits@citloDa.us or fared b 360.417.4711)
AnBeles Electric
ELcoM
ELECTRICAL CONTRACTOR INFORIMATION
,lI
Mairing Addrsss: Expi?arion oate: zLl29z9.--
Emait: ksimpson@olympus.net phone: !€9354@!__