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HomeMy WebLinkAbout403 S Lincoln St 5 - Building RECEIVED �y uF?0RT'1 CITY OF PORT ANGELES PERMIT APPLICATION Y 01 a Q 1 Building DivisloWElectrical Inspections ELECTRICAL 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 li+iSl' CTIOi """ 10409 M OW j Ph: (360)417-4735 Fax: (360)4174711 Date: Multi-Family or Commercial" ' Plan Review May Be Required,Pleas Complete Electrical Plan R IeWInformatlon Sheet Job Address: 40-3 . -Sou - - BvIldingSquareFootage: t a -• - ----•••-•••-- • Description of above uc a I coa#519 v ' {CL f vvl f 5 Owner Information Contractor Infognation Name: , 'POr I.— Q nn Name: A 1 in Malling Address: Mallln ddress: D O 9 City: State' Zip: City �' StateZip: B Phone. ���Fax. 2S3 Phone: ex: "7 License#I Exp. IJ�nse#1 Exp. 14 SS Item Unit Charas City Total,M Multiplied iby Unh Charge) ServicelFeeder 200 Amp.. $132.00 5 Service/Feeder 201400 Amp. $160.00 $ Service/Faeder 401-600 Amp $225.00 $ ServlcelFeeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit Wl Service,Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Clrculb 1-4 $ 86.00 $ Temp.Servlcal Feeder 200 Amp. - $102.00 $ Temp.ServlowFeeder 201.400 Amp. $121.00 $ Temp.5ervloalFeeder401.600 Amp. $164.00 $ Temp.ServlcelFeoder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ SIgnlOutllne LlghSng $ 88.00 $ SignalCkcuiVUmitedEnergy--Multi-Famlly $ 64.00 $ Signal CircuiV Limited Energy/First 1500 sf-Commercial $ 96.00 t $ 0. Note: $5.00 for each additional t500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional TStat $ �o O Total Owner as defined by RCW19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner Is required to mire an electrical contractor If above said property Is for sale,rent or lease, Permit expires after six months of last inspectlon. After reading the above statement, I hereby certify that f am the owner of the above named property or a licensed electrical oontrWor,I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC,Chapter 29646B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ cut © chw* I C/credit card 0110ir1o42 y 7 I TTILI TLfAOf^T•f�l t-IMLj-1 LI n-TT f"'Tn7_r'7_ I Ld!-I i ELECTRICAL PERMIT C1 CITY OF PORT ANGELES (� 360-417-4735 Applicat,icn Number , , , , , 13-00000558 Date 5/24/13 Application pin number , . , 720782 Property Address 403 S LINCOLN ST 5 ASSESSOR PARCEL NUMBER; REPORT SALES TAX 06-30-pQ-0-1-6920-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Port Angeles , Property Zoning , . , . . . . COMMUNITY SHOPPING DISTR (Location Code 0502) Application valuation . . . , 0 Owner Contractor KEN W PRICE ALARMGUARD INC. 5418 S OLD MILL RD PO BOX 98 PORT ANGELES WA 983621972. PUYALLUP WA 98371 (36D) 460-8310 (253) 759-7316 Permit , . , . . . ELECTRICAL ALTER COMMERCIAL _ Additional desc RELOCATE BURGLER ALARM SYSTEM Permit Fee 96,00 Plan Check Fee .00 Issue Date 5/24/13 Valuation . , . . 0 Expiration Date 11/20/13 Qty Unit Charge Per Extension 1100 96,0000 ECH EL-LIMITED 1ST 1500 SO FT 96.00 Fee summary Charged Paid Credited ---Due ----------------- ---------- ---- --- --- ------- Permit Fee Total 96,00 96.00 OD .00 Plan Check Total .00 .00 QD .00 Grand Total 96,00 96.00 ,00 .00 r INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN j FINAL . ! COMMENTS: PERMIT WILL MM SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCfI'ANGEW1LD1NG Electrical Information Form ' = Public Works 3 11!1111@!69 department(M)41?-4700 City Elaetrleal I me pector(3601 417-4735 ienxs Please corn lets and return to Public Works&Udlides Department yy Project Address. �V3 — � I t/l Owner: � h StreetAddress far D24 I City/State/Zip: qla-3 101, Phone Number 3 • L411 I 1 Cell Phone: . • • Company Name: J �Gv l T � Contact Name: Phone Number. 253- '75cT. 7 31 ✓� Cell Phone: 253 • 307, 976115 9 Existing ❑New L-a Mt*" ❑Single-family residence ❑Mulli-family residence;#of units ®Commercial ❑Subdivision �rti Cr .1 j ❑Overhead service ❑General service ❑Underground service ❑Other: Detailed description of ,�1 p C1]I. 44,k-e_ `ei 541'A 1 guff ce r work:(Oil to Gas Conversion,Gas to a/l C: Sin Electric,New Heat Pump, etc.) �- 6C,1"v/1•ee vvon lG- ri o_,e j e c Main Disconnect Size Select Voltage: 111201240 1 ph ❑1120/208 3ph ❑277/480 3ph Am s: N/Ar- ❑120/240 3ph 04130 3W 3ph Check all that apply: LJ Standard residential loads(Lighting,refrigerator, dishwasher,washer) ❑A/C (_ton) ❑Range/Oven LJ Hot Tub ❑Clothes Dryer ❑Heating ❑Pumps (_Hp) ❑Water Heater ❑Elevator(_Hp) [RAther kX Load Increase(kW) Load Decrease(kW) • Please provide a copy of the following: *Detailed plot plan(.dwg or.dxf format mandatory for subdivisions). "Electrical one-line drawing showing the service entrance panel and location. `Connected load data. 'Size and locked rotor am s of all motors over 50h p. Applicant's Signature: 4 Dale: -5 2-Z - 13 MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES,WA 98362 FAX TO: 360-417-0711 WS WF Wwrinfo€r w iomi &orm per Trent Revised 1-00-11 3 J TTJHJT6nQC7 :ni :wnHA HClA:ZZ 9�T©Z-�-P-),HW FAX DATE: MAY 22, 2013 TO: PORT ANGELES PERMIT APPLICATION FROM: CHRIS HRUZA ALARMGUARD SECURITY SYSTEMS 2S3-759-7316 FAx 253-879-1 376 ALARMGUARDSS @WAMAIL.NET THREE PAGES INCLUDING THIS PAGE SUBJECT: LINCOLN STREET SUBWAY Would you please fax or email the credit card receipt and a copy of the permit to me when it is processed. Thank You, � T'A T 1)b) Ti7095'T :01 :WOdJ Ht�O:T T 2ZO2-22-,,�Jld ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . ]5- 00000631 Date 6/04/15 Application pin number , . . 672651 Property Address . . , . , . 403 S LINCOLN ST 5 ASSESSOR PARCEL NUMBER: 06- 30 -00 -0 1- 6920 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . , , . , COMMUNITY SHOPPING DI5TR Application valuation . . , 0 --------------------------°______----_.._____------------------------------- Application desc NEW AHU Owner Contractor KEN W PRICE MAYDA & SONS MECHANICAL 5416 S OLD MILL RD 9619 PROVOST RD NW PORT ANGELES WA 983621972 SILVERDALE WA 98383 (360) 4b0 -6310 (360) 692 -9003 Permit , . , . . , ELECTRICAL ALTER COMMERCIAL Additional desc , Permit Fee . , . , 79,00 Plan Check Fee 00 Issue Date . . . . 6/04/15 Valuation . . . , 0 Expiration Date . . 12/01/15 Qty Unit Charge Per Extension 1.00 74,0000 HCH EL -COMM BRANCH CIR WO/ S%F 74,00 1.00 510000 ECU $L -ECH ADDNT BRANCH CIRCUIT 5.00 Fee summary Charged Paid -Credited Due Permit :Fee Total 79,00 79.00 .00 .00 Plan Check Total. 00 .00 .00 .00 Grand Total 79,00 79.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DITCH DATE: RESULTS: INSPECTOR: SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPME SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical. Contractor X Date: G:IEXCHANGEMILDING 96/03/2015 19:14 3666929815 MAYDA PAGE 62/63 of gQRT "�,� CITY OF PORT ANGELES PERMIT A.]PpLIcATION Building Dfyislon/Eleetdcal ,Inspections ECEI 321 East)I i:[th Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fags (360) 417 -4711 VE[ Data: 1 _ Multi-Family or Commercial Plan Review May Be Required, on .. r 'l���1��Ti17r� S" �L� 'l�t�.T1!?i \:►14'�1�i\��'�[r16L Square oo . 1 Owner 1116nnatIOIX Name; Malllno Add(ess: CIV: jr f. State: Zip: 'VE, -4 lb-1 Phone: Fax: License # /E)(p, 3805 Item Unit Charae S ervice/Feeder 200 Amp, $132.00 ServicelFeeder4t -400 Amp. $160.00 ServlceJFeeder 401 -600 Amp $ 225.00 Service/Feeder 601 -1000 Amp. $ 288,00 ServiWf`eeder over 1000 Amp. $ 410,00 Branch Circuit W/ Service Feeder $ 5100 Branch Circuit W1O Service Fesdar $ T4.00 Each Additional Branch Circuit $ 500 Branch Circuits 1.4 $ 86.00 Temp. Service/ Feeder 200 Amp. $102.00 Temp. Service /Feeder 201 -400 Amp. $121.00 Temp. ServicOpeder401t00 Amp. $164,00 Temp. SendcelFeeder 601 -1000 Amp . $185.00 Portal to Portal Hourly $ 96,00 Sign /Outline Lighting $ 86.00 Signal Circuit! Limited Energy - Multi - Family $ 64.00 Signal Orcuitf Limited Energy / First 1500 sf - Commercial $ 96,00 Note: $5.00 For each ad0cral 9500 of Renewable Electrical Energy - 5iNA System or Less $113.00 Thermostat $ 56.00 Note, $5.00 for each additional T -$tat Contractor Information Name, I I 1a&4QjA t MallIn Address, City tiQ State: Alp: Phan aa9da Fax; `q4 otM �7 t Licen" 01 Exp, �1 pt�( To jal (W Multiplied by Unit Charge) $ t $ $ $ Total t owner as defined by RCW,19,28.261: (t) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, l hereby certify that I am the owner of the above named property or a licersed 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 -40B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrica[ administrator: ❑ Cash ❑ Check ❑ CredltCard# Gated: I /� 0110112012 ig'Loa ^ " 1 06/63/2015 10:14 3626929015 MAYDA PAGE 01/03 MAY. A Commercial Refrigeration - HVAC - Sales & Service 360.692.9003 Phnne www.Maydatic.com 1.966.491.4007 Toll Free Lic # MAYDASM944CS 360.692.9015. Fax TO-. From F=- P. lam: 9619 Provost Rd NW Silverdale WA 99383 06/03/2015 10;14 3606929015 MAYDA PAGE 03/03 AWA OMIRAL KUNKM9=L i