HomeMy WebLinkAbout221 N LINCOLN ST - Building (3) ELECTRICAL PERMIT
CITY OF PORT ANGELES
160,�--417-4735
Application Number . . . . . 19-00090151 Date 1/28/19
Application pin number 777391 - REPORT STATE SALES TAX
Property Address . . . . 221 N LINCOLN ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-0-0100-0000- on your exclse tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision.Name . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property toning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
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Application desc
Banquet room heat
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Owner Contract or
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BGP PA LLC ET AL BLACK DIAMOND .RLECTRICAL CONTR
C/O BHGAH PA 502 BLACK DIAMOND RD
LLC5895 JEAN RD PORT ANGELES WA 98363
LAKE OSWEGO OR 97035 (a60) 565-1035
452-9215
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 174 CIRCUITS
Permit Fee . . . . 86.09 Plan Check Fee .00
Issue Date . . . . 1/28/19 Valuation . . . . 0
Expiration Date 7/27/19
Oty Unit Charge Per Extension
BASS FEE 86.00
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Fee summary Charged Paid Credited Due
---------------- ---------- ---------- ---------- ----------
Permit Fee Total 86.00 86.00 .00 OQ
Plan. Check Total .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TWE DATE: RESULTS: INSPELTOR.-
DrrCH
SEPLVICF-
ROUGH-IN Z 12
FINAL I 2D,hf)
CON04ENTS:
PERM1T Wff.L WIRE SIX(6)MONTHS FROM LAST INSPECMN
Signature ofowner or Electrical Contractor X Date:
MULTI-FAMILY / COMMERCIAL CD
3
ELECTRICAL PERMIT APPLICATION RECEIVED it'
Public Works and Utilities Department JAN 2 4 2019
3)21 E. 5th Street, Port Angeles, WA 98362
360.417,4735 www.cityofpa.us electricalperrnitsCacityofpa.us
2-21 L4 4
Project Address:
Project Description: Spo",-aLnc� a—^.-
El Multi-Family Residential El Commercial Industrial/Public Building Square footage:
OWNER INFORMATION
Name: L_L Z> Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
TO
Nam;: License:
Mailing Address: Expiration Date:
Email: Phone:2Qp S-7
F
PROJECT DETAILS
Unit Charae Quantity !Q-W(Quantity x 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 Circuit W/Service Feeder $5.00 $
Branch Circuit W/O 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 60 1-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy:5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56.00 $
$ TOTAL
Owner as defined by RCW.19.281611:(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 thp electrical laws, N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code, and Utility Specificati s PAMC 14.05.050 regarding Electrical Permit Applications.
�cificatio ayfd
25
Date Print Name i ature - Owner F-1 Electrical Contractor/Administrator)
i_ 10
[Electrical Permit Applications maybe sub4fted Vto ' H r epermits@cityofpa.us or faxed to 360.417.4711