HomeMy WebLinkAbout824 S Lindberg Road - Building (3) ELECTRICAL PERMIT
CITY OF PORT ANGELES \J>
360-417-4735
Application Number 17-00000501 Date 5/23/17
Application pin number . . 940618
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
to the City of Port Angeles
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . . 0
Application desc •
Ball wash / dispenser and lights
Owner Contractor
PENINSULA GOLF & COUNTRY CLUB APS ELECTRIC
PO BOX 628 546 BENSON RD.
PORT ANGELES WA 983620112 PORT ANGELES WA 98363 •
(360) 452-6753
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . . 86.00 Plan Check Fee . . .00
•
Issue Date . . . 4/25/17 Valuation . . . 0
Expiration Date . . 10/22/17
Qty Unit Charge Per.. Extension
BASE FEE 86.00
Fee summary Charged Paid .Credited Due
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
•
•
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
•
SERVICE
•
ROUGH-IN lor le*P
FINAL
617—a ji
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COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGE1I3UILDING
CITY OF PORT ANGELES PERMIT APPLICATIONRt, ; ' i '�'"-
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Building Division/Electrical Inspections A t
321 East Fifth Street–Port Angeles Washington,983621.– air— NI D
Ph: (360)417-4735 Fax: (360) 417-4711is1
Date: A - gc,- ll, •to-i_,
Multi-Family or Commercial* Commercial Addition/Alteration/Remodel/Rept'
*Plan Revie May Be Required, Please Complete C�!)lectal Plan Review Information Sheet `
Job Address: VzroW l cuL N1Ce...:C \- ( L.., L.,xis 4,Lc. Lx) , (,.‘u T {&aJ�c oz: L.:.,, . rt'�3'. L
Building Square Footage: ry
Description of work
c�:11-F &r.i_c., li).S Zto,Sok i.- t 3 ALL-w ra *4- ki Lt,k9 .
Owner Information Contractor Informati ...i:
Name: gtrortk,`s- -Ac:r.-A-b' C--L-' ' Name: •
Mailing,Pd�lress: 4 u. f`E (at- Mailing Address:
City \' State: ter' Zip: (1.4e..36:7-- City: State: Zip:
Phone:-cg-2-' 342-4«- Fax: Phone: Fax:
License#/Exp. License#I Exp.
Item Unit Charge Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuits 1-4 86.00 ) $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
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 $
Sign/Outline Lighting $ 88.00 $
Signal Circuit/Limited Energy I 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 $ fl
$ Oil' Ttal
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 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, 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 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit App' ations.
Signature of owner,electrical contractor or electrical administrator: 0 CashCheck
❑ Credit Card#
1/15-Z-y+. Dated: lAdV2><:,
i—1 01/0112012