HomeMy WebLinkAbout520 E PARK AVE - Building (3) ELEcnucAL PERmrr
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360-41-7-4735
,Application Number . . . . . 19-00000010 pate 1/03/19
Application pin number . . . 812290 REPORT STATE SALES TAX
Property Address . . . . . . 520 E PARK AVE on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-15-5-0-9160.200.1-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . . . (Locadon Code 0502)
Property Use . . . . . . . .
Property zoning . . . . . . .
Application valuation . . . . 0
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Application desc
Kitchen remodel
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Owner Contractor
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ST ANDREW'S RETIREMENT COMNTY ANGELES ELECTRIC
. 703 CALLAHAN DR 524 E. IST ST.
BREMERTON WA 983103347 PORTANGELES WA 98362
(360) 451-9264
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 116,00 Plan Check Fee
Issue Date . . . . 1/03/19 Valuation 0
Expiration Date 7/02/19
Oty Unit Charge Per Extension
- BASE FEE 86.00
6.00 5.0000 ECH - EL-ECH AWNT BRANCH CIRCUIT 30.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 116.00 116.00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 116.00 116.00 .00 .00
INSPECTION TWE DATE: RESULTS: INSPECTOK-
DrrCH
SERVICE
ROUGH-IN >
FINAL
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COWENTS:
PERmrr wni ExputE suc(6)momm FROM LAST INSPWnON
Signature of owner or Electrical Contractor X Date:
01/02/2019 08:52 FAX 360 452 9265 Angeles Electric Q0001/0001
ELcOm ,!
MULTI-FAMILY / COMMERCI L
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department Z)
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3211 E. 5th Street,Port Angeles,WA 98362
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360-417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us,4" go",
Project Address:
Project Description: A&AVW*".'
11 Multi-Family-Residential roc"ornmercial/Industrial/Public Building Square ft
OVVNFR INFOPMATION
Name: JDAUAA --o�fttl=,h L,ViA03, Email:
Mailing Address: Z—it 8,04e, &r—r Phone: Ala
FLECTPICAL CONTRACTOR INFORNIAT111)NI
Name: Angeles Electric, Inc License: ANGELE146ORS
Mailing Address: 524 E.,First Street, Port Angeles,-WA 98362 Expiration Date: 2/1/2020
Email: ksimpson@ iympus.net Phone: 360-452-9264
Unit ChaEge Ouantl T2bd(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 $
ServicelFeeder over 1000 Amp. $410.00 $
Branch Circuit W1 Service Feeder $6.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $ "Znse
Branch Circuits 1-4 $86.00 $
Temp.Service/Feeder 200 Amp. $102.00
Temp,Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feed"01-60G Amp
Temp.Service/Feed&401-1,000 Amp.
Portal to Portal Hourly
Sign/Outline Ughting
Signal Circuitti-imited Energy��.`.-..M
Signal CircuittLimited Energy/
jib'
(Note:$6.00 for each ail�
Renewable Elec.Energy:5KVA Systeeft. ass. $
Thermostat(Note:$5 for each additional)
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 monft of last Inspection.
After reading the above statement, I hereby certify that I am the owner or the above named property or a licensed electrical contractor. I
am maldng the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCK Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.060 regardingL Electrical Permit Applications.
IZ4-/& Are����24 - .
IDA " ' Print Name Signature([:] Owner[:] ElActrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa-us or faxed to 360.417-47111