HomeMy WebLinkAbout1902 Marine Dr (9)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t'7 -4735
INDUSTRIAI HEAVY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ApplicaEion Nunber
Application pin number
Property Address
ASSESSOR PARCET NU?IBER:
Applicatio[ type description
Subdivi.sion Name
Pr:operty Use
Property zoning
Application valuation
19 - 00001?0 9 DaLe ll/2L/L9
642625
1902 MARINE DR
o6 -3 0 - o0 - 0 - 1-4600- 0000 -
ELECTRICAI, ONLY
Application desc
Preliminary permits for start of work
Conts!actor
MCKINLEY PAPER CO
PO BOX 100
295 COUNIY RD 19
SANTA FE
SIURGEON ELECTRIC CO INC
1215 0 E 112Tt{ AVE
I.AKE GEORGE CO 80427
(303) 2 85 - 8000NM 87506
Permit , .
Additional desc
Permit Fee
Issue Date -
Expiration Date
192.00
)-t/2t/19
s/79/20
ELECTRICAI ALTER COMMERCIAL
00
0
Qty Unit Charge Pe!
2 .OO 95.0000 ECH EL TRTP FEE-INSPECT EX, INSTAL
Extension
192.00
Eee summary charged Pa id Credited Due
PermiE Fee Total
Plan Check Total
Grand Tolal
)-92
t92
00
00
00
192.00
.00
192 .00
.00
.00
.00
.00
.00
.00
INSPECTION TYPE DATE:RESLTLTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN
FINAL
COMMENTS:q ltt)zo hri^ttboN bD c-rotn>
PERMTT WILL EXPIRE SD( (6) MONTHS FROM LAST TNSPECTION
ofowner or Electrical Contractor XSignature Datel
Plan Check Fee
valuation
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
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SERVICE
. FINAL .
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NOTIFY INSPECTOR WHEN CORRECTIONS
AAE COMPLETED WITHIN 15 DAYS
_ DO NOT REMOVE -
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LcoME M ULTI-FAM I LY / COMMERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, PofiAngeles, WA98362
360.417 .47 35 | www.cityofoa.us I elechicalpemiits@cityofpa.us
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Project Description cen r.r .quipo.nt rpd eoprrcr circut r qsE.d.. ?Cli.t{ 14 t Fl AfZ-V YZ fa t-l
EI Multi-Family Residential E Commercial / lndustdal / Public Building Square footage : rE.r = 20, Ooolqft
OWNER INFORIVIATION
ELECTR| CAL CONTRACTOR INFORIVIATION
PROJECT DETAILS
llrE
Servica/Feeder 2m Atrp.
Servico/Fceder 201 -100 Amp.
Servics/Feed€r 401400 Amp.
SeMca/Feedsr 601-1000 Amp.
S€Mcs/Feeder ryor 1qr0 Amp.
Branch Circuit w/ Scn kG F66d€.
Brandl Circuit w/O Service Fe€der
Each Additional Brandr Circuit
Branch Cir(xib 1.4
Temp. S€wico/F€odor 200 Arnp.
Temp. Ssrvico/Fo€dcr 201{00 Amp.
Temp. SBrvice/F66d9r 401 €0O &np.
Temp. Servbe/F6€d6r 601-1 m0 Anp.
Portal to Portal Hou,ly
Sign / Outline Lighting
Signal CircuitAimitad Ensrgy - MutFFamIy
Signal Circuitilimited EnErgy/Fhat l50O 3t- Cfi rorcbl
(Note: $5.00 for 6ach a(ffiond f 500 sf)
Renewable Elec. Energy: sKVA System or les8
Thermostat (Note: $5 for each additional)
Ouantitv Totel (Quantity x Unlt Chargo)
2,220 - 007
ljnlt Chrroe
$132.00
0160.m
i225.00
$288.00
t410.00
s5.m
i74.00
05.00
i86.00
3102.00
$121.00
$164.00
t185.00
196.00
088.00
t48.00
096.00
naz'4
s
3
s
$.00
$113.00
$56.00
t
$
$
$
$
$
$t
3
$
$
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$
$
t -3:139:99- rorAL
Owner as delined by RCW.19.28.261: (1) Owner will occupy lhe structure for two years after this electiical permit is linalized. (2) Owner is
requirod to hire an eloctrical contractor if above said prop€rty is for sale, rent or laase. Permit expires affer six monlhs of last insp€ction.
After reading the above statement, I hereby certify that I am the o\ryner of the above named property or a licensed ebcfical contractor. I
am making the slectrical installation or altBration in compliance with the laws,C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications a 't4 50 regarding Electrical Permit Applications
10 ,31 .2019 Eric B Ei-Ier6
Date Print Name Signature (fr Electrical Contractor / Administrator)
[Electrical Permit Applications may bs submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
Prniort Arlr{racc. 1902 llarinc Dr, Pott Ancc].a. f,A 98363
Name. tacrial.y Prp.! Email. 1!oserebiorp!r.1, . cc.
Mailing Address: 1902 xari!. Dr, Port ^oget r, rr 98353 Phone: s05.22a.2312
Name Stu!gcop Electlic Iac LiCenSe: g!UXGECB53BL
Mailing AddreSS: 3902 B st !fl, suit. a, ^ubu!n, ltl 98001 EXpiratiOn Date: 04.14.2021
Email ..iler.eiysgroup. co Phone: 253. 737 . 52521253 .2SB . 1736
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INDUSIR]A! EEAVY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
:
Appl.ication Number
Application pln number
Property Address
ASSESSOR PARCEL NUI,:BER :
Appficatsion twe description
Subdivision Name -
Property Use
Property Zoning
ApplicaEion valuation
19- 00 001709 DaLe 1L/2L/L9
642625
1902 MARINE DR
05 - I O- 00 - 0- 1-4600 - 0000-
ELECTRICAI ONI,Y
ApplicaLion desc
Preliminary permits for start of work
Contractor
MCKINLEY PAPER CO
PO BOX 100
295 COUNTY FD 19
SANTA FE
STURGEON EIECTRIC CO
12150 E 112TH AVE
I,A(E GEORGE
(303) 286-8000
INC
co 8 0827
NM 87506
Pemit
Additsional desc
Permit Eee
Issue Date
Expiration Date
192.00
ra /2a / a9
s/a9/2a
ELECIRICAL ALTER COMMERCTAI,
00
0
otsy Unit Charge Per2-OO 96.0000 ECH EL-?RIP FEE INSPECT EX. INSTAL
Extsension
!92.04
Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand ToEal
t92
192
o0
o0
00
192
192
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Conffactor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
O!,,ner
Plan Check Fee
valuaEion
.00
.00
.00
SER\'ICE