HomeMy WebLinkAbout824 S Lindberg Road - Building •
;ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 16-00001076 Date 7/20/16
Application pin number . . 974776
Property Address 824 CLUBHOUSE S LINDBERG RD REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-13-2-2-0110-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . . . 0
Application desc
Service repair
Owner Contractor
PENINSULA GOLF & COUNTRY CLUB OLYMPIC ELECTRIC CO INC
PO BOX 628 4230 TUMWATER
PORT ANGELES WA 983620112 PORT ANGELES WA 98363
(360) 457-5303
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc, . _ --
Permit Fee . . . 264.00 Plan Check Fee . . .00
Issue Date . . 27/20/16 Valuation . . . . 0
Expiration Date . 1/16/17
Qty Unit Charge Per Extension
2.00 132.0000 ECH -EL-COM 0-200 SRV FEEDER 264.00
Fee summary Charged Paid Credited Due •
Permit Fee Total 264.00 264.00 .00 .00
Plan Check Total - .00 .00 .00 :00
Grand Total 264.00 264.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE 7f2.7.,/Z"7.,t 16 -61-tW ••••
ROUGH-IN
FINAL -7/125./J l _
COMMENTS: to -
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
•
Signature of owner or EIectrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street-P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax:(360)417-4711
Date: %/7/f a Multi-Family or Commercial*
*Plan Review May Be Required lease�pf to Electrical Plan Review Information Sheet
Job Address: dr.,/y & 4i4'� /� C r._t j 14D V 9C-
8uildng Squareootage:
Description of above A./iv,- �C�/�`1�;1`- / 434 /04./i4.4.124,--"-...- �•,/tel -' / 24
Owner InArmationContractor Information
Name: r of rifr 4-7 621/ / I1 a Name: OLYMPIC ELECTRIC
Mail' •Address: Mailing Address: iso TUMWATER
City: . � !f Slate: k., City: POR 1:ANGELES State: WA Zip; masa
Phone: Fax: Phone:360-457.5303 Fax: 380452'3W
License#/Exp. License C/Exp.OLAWCC21501
Rani Unit Charge Tota$Q t itinl�ied by Unit Charnel
Service/Feeder 200 Amp. $132.00
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Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Servic elFeeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W/0 Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 86.00 _ $
Temp.Service/Feeder 200 Amp, $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp. $164.00 $
Temp.Service/Feeder 601-1000 Amp_ $185.00 $
Portal to Portal Hourly $ 96.00 3
Sign/Outline Lighting $ 88.00 $
Signal Circuit/Limited Energy-Multi-Family $ 64.00 $
Signal Circuit/Limited Energy f First 1500 sf-Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
dote:$5.00 for each additional T-Stat
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized(2)Owner is required
to hire en electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspection.
After resting 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 296-458,The City of Port
Angeles Municipal Code,and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,.electrical contractor or electrical administrator. 0 Cash 0 Check
credltcara4 , ,
$ r 0.01P-11111.11P- Dated: 0110112012 '