HomeMy WebLinkAbout1403 E 1ST ST A - Building ELE' RMiT y
CITS� i EUS
Application Number 19-00000785 Date 5/28/19'
Application pin number . . . 089755 REPORT STATE SALES TAX
Property.Address 1403 8 19T STA ( 7 �'eXCiS@ tax ASSESSOR PARCEt,NUMBER: 06-30-99-1-0-1040-0000^
Application type description ELECTRICAL ONLY to the Cfty Of Part Angeles
Subdivision Name . . . . .
Property Use . (Location Code 0502)
Property Zoning . . COMMERCIAL ARTERIAL
Application valuation 0
Owner Contractor
------------------------
RICK
----RICK BUCKSYt UPPER LEFT ELECTRIC LLC
1409 E FIRST ST 1306 ROOK.DR
PORT ANGELES WA .58362- PORT.ANG#L&S WA 98362
4360)461--_7720
^
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL:`
Additional desc
Permit'Fee 132..00 Plan Check lee .00
Issue Date 5/28/19 valuation . 0
Expiration Date 11/24/19
Oty Unit Charge Per Extension
1.00 132.0000 BCH 8L-COM 0-200 SRV FEEDER 132.09
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Fee Summary Charged. Paid Credited Due
- ---- ----------
Permit Fee Total 132.00 132.00 .00 .00
Plan;Check'Total .00 .00 .00 .00
Grand. Total 132.00 132.0.0 .00 .00 .
INSPECTION TYPE_.
DATE: RESULTS: INSPECTOR:
DITCH,
SF.It�ICE
ROUGH-IM
V11, 4
FINAL
CON04EN TS:
PERMrr WILLI"iRW
w'1 Mtn FROM LAST WFtI('['[ON
Signature of*Wner or Electrical Contractor X Date:
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MULTI-FAMILY / COMMERCIAL
• ' ELECTRICAL PERMIT APPLICATION RECEDvED 3
Public Works and Utilities Department MAY 24 ?019
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address:
( x( 03 �s
Project Description: 4 c. \ 'l A c
❑ Multi-Family Residential ❑ Commercial/Industrial/Public Building 4uare footage:
OWNER INFORMATION
Name: Cle,P Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: ' Z License:
Mailing Address: r Expiration Date:
Email: L ei ( Phone: &,'o 1-(G' l - "7 :2 2.G
PROJECT DETAILS
Item Unit Charae Quantity Total(Quantity x Unit Charge)
vv
Service/Feeder 200 Amp. $132.00 $ l� --
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 601-1000 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 $
$ 13.1 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. 1
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
468,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Dat Print Name nature Q Owner EJElectrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111