HomeMy WebLinkAbout411 N ENNIS ST - Building (3) !M!7!7�r�E!
ELPIS
360-417-4-7315
� Application Number . . . . . 19-00001246 - Date 8/14/19
Application pin number 624064 i -, ,I I .
REPORT STATE SALES TAX:
Property Address . . . . . . 411 N WW;S ST
ASSESSOR PARCEL NUMBER: 06-30-0,V-,1-7-0160-0000. on your excise tax form
Application type description ELECTRIC" ONLY to me city ot Polt Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Cock 0502)
Property Zoning . . . . . . . PUBLIC B#LI)INGS PARKS
Application valuation . . . .
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Application desc
GENERATOR LOAD BANK
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Owner
Contractor
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CITY OF PORT ANGELES XX�ACY TELECOMMUNICATIONS INC
Po BOX 1150 POiBOX 360
PORT ANGELES WA 983620217 BU�Lzy WA 98322
(263) 858-0214
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Permit . . . . . . . =CTRXCAL ALTER CO�NMCIAL
Additional desc QzN3kAToR LOAD BANZ
Permit Fee . . . . 164.00 Ian check Fee .00
Issue Date 8/14/19 :aluation 0
Expiration Date 2/10/20
Qty Unit Charge Per Extension
1.00 1641.0060 -SCH EL- COMM 4011�600 TH" SRV/im 164.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total �164 �O,0 164.qo .00 .00-
Plan.-
Check Total :00 .00 .00 .00
Grand Total 164.00 164.6!0 .00 .00
INSPEMONTYPE DATE: INSPECTOIL
DrrCH
SER%qCE-
ROUGH-IN
FINAL
CON04ENTS:
PERmrr wiLL wiRE six(6)moNTHs FROM LAST PaPBCMN
Signature of owner or ElecftiW Contractor X Date:
MULTI-FAMILY Z COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utihties Department
RE(-
321 E. 5th Street,Port Angeles,WA 983 62
0.417.4735 1 www.cityofpa.us I electrica1pennits@cityofpa.us,
1`4 644 N I
Project Address: WW CSO 460QZ--eakirlibis�ort Angeles, WA 98362
Project Description: Load bank I generator for Annual Maintenance
0 Multi-Family Residential F1 Commercial I Industrial/Public Building Square footage:
Name: City of Port Anceles Email: 4goburnecW
� - -pa.us
Mai.linq Address: PO Box 1150 Port Angeles,WA 98362-0217 —Phone: 360-565-3860
Name: Legacy Telecommunications License. LEGACTL821 LL
Mailing Address: PO Box 360 Burley,WA 98322 Expiration Date:
Email: rhenry@legacypower.com Phone: 263-858-0214
Lt
M Unit Charae Quantity JQW(Gluantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
ServicefFeedi-r 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit WIC 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. :$1"'00 $ 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-Muffi-Family $88.00 $
Signal CircuittLimited Energy/First 1500 sf-Commercial $96.00 $
(Note:$5.00 for each addlificinal 1500 sf)
Renewable Elec.Energy:5KVA System or less $113.00 $
Thermostat(Note,$5 for each additional) $56.00 $
s164.00 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 f 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 Specification
AMC 14.05.050 regarding Electrical Permit Applications.
8/8/19 Rich Henry
Date Print Name Signature([] Owner V Electrical Contractor I Administrator)
(Electrical Permit Applications may be submitted to City Halt or epermits@cityofpa.us or faxed to 360.417.4711]