HomeMy WebLinkAbout401 E 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RESIDENTIAI, HIGH DENSITY
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ApplicaEion Nunrber .
Applicarion pin number
Property Address
ASSESSOR PARCEI NUMBER I
ApplicaEion type descriptsion
subdivision Nane . .
PaoperEy Use
ProperEy Zoning
ApplicaEion valuation
21-00001456 DaLe 11/ O9/2L
405680
401 E 5TH ST
05-3 0- o0 - 0-1- 7145- 0000-
EI,ECTRICA], ONLY
ApplicaEion desc
securi!y cameras
HOUSING AUTHORITY OE CI,AI,J,AM
25 03 S FRANC]S ST
PORT ANGEIES WA 983626710
SECURITY SERVICES NW
PO BOX 660
PORT TOWNSEN-D WA 98368
(8oo ) 8s9-3463
PermiE
AddiEional desc
PermfE !-ee
Issue Dale
ExpiraEion Datse
95.00
aL/ a9 /2a
s/a8/22
ELECTRICAI AITER COMMERCIA!
00
0
QEy Unit Charge Per
1.00 95.0000 Ectr EL-LTMTTED 1ST 1500 SQ F"
ExEension
95.00
Charged Paid Credited Due
Permit Fee tocal
Plan Check Total
Grand ToEal
96 .00
.00
96.00
95.00
.00
95.00
.00
.00
.00
.00
.00
.00t
REPORT SALES TD(
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION T1?E DATE;INSPECTOR:
DITCH
SERVICE
ROUGH-IN zla)*V d
FINAT ffi1/)
COMMENTS://
PERMIT WILL EXPIRE Stx (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electfical Conkactor X
I
G:\EXCFTANGE\BUILDTNG
Plan Check Eee
ValuaEion
RESULTS:
zL)*F
Date:
MULTI-FAM ILY / COMMERCIAL
ELECTRICAL PERMITAPP LICATION
Public \Vorks arrd Urilrtics F)cparrnrcnt
-l2l E. 5th SLrcet. PoLt;\ngele s. WA 91i-162
-l60.417.4735'rvrvr.l.cityofpa.usrelecrricalpcr.nriLsl-ur.cityotpLr.Lrs
401 E sth St Port Angeles WA 98362
1'o
a
Es
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Project Address
Project Description lnstallation of security cameras
El Muti-Family Residential E Commercial / lndustrial/ Pubtic Building Square footage:
Name:Email: A-o
1500
Phone:Zbo- 4 g'1t"41
License:
Expiration Date:
Phone:lJzh-
Mailing Address:
Name:
Mailing
Email: l
Address:(0 lqt/utt{d, rnn,t
Item
Service/Feeder 200 Amp.
Servico/Feeder 201 -400 Amp.
Service/Feeder 401-600 Amp.
Servic€/Feeder 601-'l 000 Amp.
Service/Feeder over 1000 Amp.
Eranch Circuit W Servica Fe€der
Branch Clrcuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Servlce/Feeder 200 Amp,
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40't-600 Amp.
Temp. Service/Feeder 601-'l 000 Amp.
Portal to Portal Houdy
Sign / Outline Lighting
Signal Circuit/Limitod En6r9y - Mutti-Famity
Signal ClrcuiuLimited Energy/First 15OO sf - Commercial
(Note: $5.00 for each additional .1500 sf)
Renswable Elec. Energy: sKVA System or less
Thermostat (Note: $5 lor each additionat)
11t8t21
Unlt Cheide Ouanlltv Iqlhl (Ouantity x U arg!)
$132.00
$160.00
$22s.00
$288.00
s410.00
$s.00
$74,00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
U
$
$
$
$
$
$
$
$
$
$
$
96.00
$113.00
$s6.00
3 -._-- TOTAL
Owner as delined by RCW,19.28.261: (1) Owner will occupy the struclure for t$o years after thi6 electrical permit is finalized. (2) Owner is
rsquired to hire an electrical contractor if above said property is for sale, rent o. leese- Permit expires after six months of last jnspection.
After reading ths above statement, I hereby certify that I am the owner of the abo,/e named property or a licensed electrical contractor I
am making th€ electrical installatioo or alteration in compliance with the electrical hws, ru.e.C., iCW Ctrapter 19.28, WAC. Chapter 296-468, Ihe City of Port Angeles Municipal Code, and Utility Specilications and PAIvrc 14.05.050 regarding Electricat pemit Apptications.
Stephanie H6adrick
Print Name Signature (E Owner @ Electrical Contractor / Administrator)Date
[Electrical Permit Applications may be submitted to city Hall or electricalpermits@cityofpa.usl
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