HomeMy WebLinkAbout406 S Laurel StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Applicatsion Number
Appfication pin number
Property Address
ASSESSOR PARCEL NUMBEE:
Applicat.ion Eype descriptsion
Subdivision Name
ProperEy Use
Property zoning
Applicat.lon valua!ion
21- 0000146r Date tL/12 /2L
917 8 54
{05 S IAI,REL ST
06 -30 - 00-0-o-8800-0000 -
EIJECTRICAIJ ONLY
COMMT'NITY SI{OPPING DISTR
0
Applicatsion desc
Feeder upgrade
OWEST CORPORATION
PROPERIY AAX
P0 BOX 4065
MONROE
TITAN EIECTRIC
12828 NORTHRUP wAY *205
BEI.,LEVUE WA 9AOO5
(206 ) 533-2811l,A 71211
Pe!:mit
Additional desc
Permi! Fee .
Iasue Datse .
Expiration Date
261.00
Lr/12/2t
5/LL/22
EIJECTRICAL ALTER COMMERCIAI,
Oly Unit Charge Per
2.00 132.0000 ECH Ej,-COM 0-200
Plan Check Fee
Valuation
.00
0
Extension
264.OOSRV FEEDER
Charged
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Permlt Fee ToEal
PIan check Total
Grand To!a1
264.00
.00
264.OO
264 .OO
.00
264.00
.00
.00
.00
.00
.00
. o0
Paid crediled Due
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESTJI,TS:TNSPECTOR:
DITCH
SERVICE
ROUGH-IN 3)o?zz e =r\P
FINAL z)n)zz ,fu?.DF
COMMENTS:
Signature of owner or Electrical Contractor X
CIEXCHANGE\BUILDING
Date:
I
I
EI COMLL.MULTI-FAM ILY / COMMERCIAL
ELECTRICAL PERMI T APPLICATION
Public Wolks and Utilitics Dcpartnrcnt
-'l2l E. 5th SLrect. Port r\ngele s. WA 9ti-162
-160.-l 1 7..1735 I rvrvu.cityofpa.us ] elecLricalperntits(rr,cityotpa.us
!ol
$
lu\.is
406 Soub lluEl SLel Porr Ang6lBs, WA 98362
Project Address:
IibnJob*210227r.r00Aro2004s6to'eupgEdo,'nsra n.w 2004 p.n6r a nd ,€eds r Emn nscr €r6ino roads.Project Description:
E Mu[i-Family Residential @ Commercial / lndustrial / Public Building Square footage:164
Name T-r,robire weEr cdp Email: M,kE.wr@erooD.@
Mailing Address ' 3650 131s1 Ave SE, &llevue, WA98006 Phone: trrsPn-aom
Name: Titan Elechic lnc LiCenSe' rlrANEre63oB
Mailing AddfeSS- 12826 Ndthup way, su e 205 Expiration Date - t8n2J22
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401$00 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 60'l -1 000 Amp.
Portal to Portal Houdy
Sign / OuUine Lighting
Signal CircuiuLimited Energy - Multi-Family
Signal CircuiuLimited Energy/First 1500 sf - Commercial
(Noter $5.00 for each additional '1500 s0
Renewable Elec. Energy; SKVA System or less
Thermostat (Note: S5 fo. each additional)
lrnit Charoe Cluantli,
$132.00
$160.00
$225.00
$288.00
M10.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
996.00
Iglal (Quantity x Unit Charge)
$
$
$
$
$
$
$
s
$
$
$
$
$
s
$
$
$
$$113.00
$56.00 $_
$TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years afrer this electrical permii is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires afrer six months of last inspection.
After reading the above statement, 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, Ihe City ofPortAngeles Municipal Code, and Utility Speciflcations and PAMC 14.05.050 regarding Electrical Permit Applications.
10t2112021
Print Name Signature (fl Owner EI tractor / Administrator)Date
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Email: permits@titanelectric.net phone: (206)633-2s11