HomeMy WebLinkAbout3501 BLDG J W 18TH ST - Building (4) ..7,.,,--.,- ,, CALPERMM
ANGELES
360-417-4735
Application Number . . . . . 19-00001214 Date 8/1 4/19 ,
Application pin number . . . 476456 REPORT STATE SALES TAX
Property_Addross . . . . . . 3501 BLDG J W 18TH ST
ASSESSOR,PARCEL NUMBER: 07-30-01-2-2-0600-0000- on your excise tax form
Application type description ELECTRICAL ONLY to�the City of Port Angeles
Subdivision Name
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARU
Application valuation . . . . 0
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Application desc
GENERATOR LOAD BANK
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Owner Contractor
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CITY OF PORT ANGELES LEGACY TR,LECOMMUNXCATIONS INC
Po BOX 1150 PO BOX 360
PORT ANGELES WA 983620217 BURLEY WA 98322
(2S3) 858-0214
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Permit . . . . . �ELSCTRICAL ALTER COMMERCIAL
Additional dasc GENERATOR LOAD BANK
Permit.Fee . . . . 185.00 Plan Check Fee .00
Issue Date . . . . 8/14/19 valuation . . . . 0
Expiration Date 2/10/20
Qty Unit Charge Per Extension
1.00 185,.0000 BCH' SL- COMM 601-UP 'TEMP SRv/FDR 185.00
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Fee summary Charged Paid Credited Due
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Permit Fee ,+otal 185.00 185.00 .00 .00.
Plan Check Total .00 .00 .00 .00
Grand Total 185.00 185.00 .00 .00
-711ONTYPE
IMPEL DATE: RESULTS: INSPECTOR:
DITCH
'SERVICE
R -IN
I-J!
FINAL
CONIffiNTS.
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPWT10N
Signature of owner or Electrical Contractor X Date:
E Lcom
I MULTI-FAMILY / COMMERCIA
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department z
321 E. Sth Street,Port Angeles,WA 98362
360.417,4735 1 www.cityofpa.us I electdca1perrnits@cityofpa,us
Project Address: PAWTP4M W 18th St Port Angeles, 98363
Project Description: Load bank I generator for Annual Maintenance
0 Multi-FandlyResidential El Commercial/Industrial,/Public Building Square footage:
Name: City of Port Angeles Email: bcobumfthofoa.us
Mailing Address: PO-Box 1150 Port Angeles,WA 98362-0217 Phone: 360-565-3860
Narne: LeAacy Telecommunications L
ucense:
Mailing Address: PO Box 360 Burley,WA 98322 Expiration Date:
Email: rhenry@legagypower.com Phone- 253-858-0214
Item Unit Charce 06antity 12W(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 CimLlit W/Service Feeder $6.00 $
Branch Circuit W10 Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 14 $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. $1.85.00 $ 185.00
Portal to Portal Flourty $96.00 ..$
Sign I Outline Lighting $88.00 $
Signal GircuitfLimited Energy-Muhl-Family $88..00 $
Signal CircuitlLimited EnergyMrst ISM sf-Commercial $96.00 $
(Note:$5.00 for each additional 1500 sQ
Renewable Elec. Energy:5KVA System or less $
Thermostat(Note:$6 for each additional) 466.00 $
$ 185.00 TOTAL
Owner as defined by ROW.19.28.261:(1)Ownerwill occupy the structure fortwo years afterthig electrical permit Is finalized.(2)Owner Is
required to hire an electrical contractor V above said property is for sa4e,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.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and C 14.06.050 regarding Electrical Permit Applications.
8/8/19 Rich Henry ...77 - 1 - 4 - - -
Date Print Name L-""SIgAature(0 Owner R Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111