HomeMy WebLinkAbout221 N LINCOL1 ST - Building V7
S
Application Number . . . . . 19-00000885 Date 6/25/19
Application pin number . . . 409810 REPORT STATE SALES TAX
Property Address . . . . . . 221 N LINCOLN ST
ASSESSOR PARCEL NUMBER: 0G-30-00,S-Q'-�0z00_0000_ on your 4xdw tax form
Application type description- ELECTRIM- ONLY tO the City of POrt AngeleS
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property.Zoning . . . . . .. . COMMERCIAL ARTERIAL
Application valuation . . . . 0
--------------------------------------------------- -----------------------
Application desc
Heat pump
------------------------------ ------------------ -------------------
Owner Contractor
------------------------ ------- -------------- -
BGP' PA LLC ET AL ROCHE BIACTRIC & ,CNSLTNG INC
C/O BHGAH PA 688 OAK WOOD DR
LLC589S JEAN RJ) SE QUIN WA 99382
LAKE OSWEGO OR 9703S (425) 293-23S7
(360) 4S2-921S-,,-
----------------------------- --------------------------- -------------
Permit . . . . . . ELECTRICAL ALTER COMMKRCIAL
Additional desc
Permit Fee . . . . 74.00 Plan Check Pee .00
Issue Date . . . . 6/25/19 Valuation
Expiration Date 12/22/19
Qty Unit Charge Per Extension
1.00 74.0000 BCH EL-COMM BRANCH:CIR WO/_S/F 74.00
----------------------------------------------------------- ----------------
Fee summary Charged Paid. Credited Due
-------- - --- - ---------- ---------- -----------
Permit Fee .Total 74.�ol� 7-4.00 .00 .00
Plan'�&eck Total' .00 _06 .00
Grand "total 74.00 44.00 Do .00
TYPE DATE: -RESULTS: INSPECTOR—
DITCH
SEVICE
ROUGH-IN
CO&WENTS:
PMMrr WILL EXPME Six f6)MONTM FROM LAST WPWWN
Signature of owner-or Electrical Contractor X Date:
-0
MULTI-FAMILY / COMMERCIAL
3
ELECTRICAL PERMIT APPLICATION RECEtli
Public Works and Utilities Department ED
JUN -:15
321 E. 5th Street, Port Angeles, WA 98362 k
360.417.47351 www.cityofpa.us I eIectricalpermitsgcityofpa.us
Project Address: _22,1 1v Y, c o44-
Project Description: himc eoy olCoa,45
Multi-Family Residential 19/Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: A 6 License: aO,�—H 93 71-0
Mailing Address: (/1 d2z)d 42 �VRE?VExpiratior�Date:
Email: Phone
i7
PROJECT DETAILS
Item Unit Charae Quantely IgI&I(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 $ 7-6
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 CircuittLimited 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 19.28.261:(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. . . R hapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.0 2=ing Electrical Permit Applications.
� 101701 01114, 4e) 12&c&
D Print Name Signature([-] Ot Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]