HomeMy WebLinkAbout824 S Lindberg RD - Building (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000801 Date 5/24/18
Application pin number . . . 652701
Property Address . . . . . . 824 SHED S LINDBERG RD
ASSESSOR PARCEL NUMBER: 06 -30 -13 -2 -2 -0110 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . - 0
----------------------------------------------------------------------------
Application desc
Pump shed modifications
Owner Contractor
------------------------ ------------------------
PENINSULA GOLF &-COUNTRY CLUB OWNER
PO BOX 628
PORT ANGELES WA 983620112
- - -
Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . - . . 86.00 Plan Chsck Fee .00
Issue Date . . . . 5/24/18 Valuation 0
Expiration Date . . 11/20/18
Qty Unit Charge Per Extension
BASE FEE 86.00
Fee summary Charged Paid Credited Due
-
Permit Fee Total 86.00 86.00 .00 .00
Flan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INsr ,4_atuATYPE DATE:
I)ITCH
SERVICE
ROUGH -IN
FINAL
CONRAENTS:
PERMir WR%L EXPIRE SIX (6) MOhi7M FROM LAST INSPEMON
Si tore of owner or Electrical Contractor X
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
RESULTS: INSPECTOR:
M_
Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . 18-00000801 Date 5/24/18
Application pin number . . . 652701
Property Address . . . . . . 824 SHED S LINDBERG RD
ASSESSOR PARCEL NUMBER: 06 -30 -13 -2 -2 -0110 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . UNKNOWN
Application valuation . . . 0
-- - -- -- - --------------------------------------------------------
Application desc
Pump shed modifications
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PENINSULA GOLF &'COUNTRY CLUB OWNER
PO BOX 628
PORT ANGELES WA 383620112
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . .00
Issue Date . . 5/24/18 Valuation . . 0
Expiration Date 11/20/18
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
INSPEMON TYPE
DATE: RESULTS:
DITCH
SERVICE
ROUGH -IN
.
FINAL
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
.iNSPECTi7R:
Date:
MULTI -FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 j www.cityofpa.us I electricalpermits@cityofpa.us
Project Address:
Project Description:
❑ Multi -Family Residential ❑ Commercial / Industrial / Public Building Square footage:
Name: ye'e.1.,; r.. ( a (� " I4(t,
Mailing Address: .sf 2 Y S,, 4, ci s
Name:
Mailing Address:
Email:
item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O 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 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi -Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Char
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Email: A
Phone: 7'
License:
Expiration Date:
Phone:
$
Charge)
$4; TOTAL
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-
466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
bae Print Name Signature (n Own ❑ Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]