HomeMy WebLinkAbout1829 1/2 W 12TH ST - Building (3) r
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Application Number 19-00001218 Date 8/14/19
Application pin number 771472 REPORT STATE SILL `TAX
Property Address . . . . 1829 1/2 W 12TH 5T
ASSESSOR PARCEL NUMBER: Oil your @XC/S@ tax ffX �1
R6-30-{?0-0-0-0000-0000-
Application type description ELECTRICAL ONLY to the City of Port AngeleS
Subdivision Name
Property use 1LOCatfon Code 0502)
Property Zoning UNKNOWN
Application.valuation . . .; . 0
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Application,desC
GENERATOR LOAD
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owner
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owner Contr-actos I
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CITY OF PORT ANGET,+$S LEGACY TELECOWUNICATIONS TNC
PO BOX 1150 Pp BOX 360
PORT ANGELES WA 983520217 BURLEY WA 98322
(253) 858-0214
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Permit
-------------------- ------ --------Permit . . . . . ELECTRICAL ALTER>COMERC7AI,_,
-Additional desc GUNSAAT k LOAD &WK
Permit Fee 102.00 Plan Check'Fee .09
Issue Date . . . -. 8/-14/19 Valuation. 0
Expiration Date . 2/10/20'
OtyUnit Charge Per . Extension
1..00 102.0000 BCH EL COW 0-200 THMP.SRV / FDR 102.04
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Fee summary Charged Paid Credited Due
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Permit Fee Total 102~09 102:.00 00 .00
Plan Check Total .00` .00 .00 .00
Grand Total 102.00 102.00 00 .00
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MSPIBC MN TYPE DATE: RESULTS: INSPECTOR
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FINALMy
COM�S:
PERMrr WILL EXPUtE six tW404M FRoM t.Asr]Mpacr)ota
Signature of owner or Eleclrkill:O� (i Date:
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MULTI-FAMILY / COMMERCIAL C
ELECTRICAL PERMIT APPLICATION RE�EIV�
Public Works and Utilities Department D
321 E.5th Street,Port Angeles,WA 98362
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us 1�1
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Project Address: PS#10 129 1/2 W 12th St Port Angeles, WA 98363
Project Description: load bank 1 generator for Annual Maintenance i
❑ Multi-Family Residential 91 Commercial/Industrial/Public Building Square footage:
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Name City of Part Anqeles Email bcoburn@cltvofpa,us.
Mailing 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: 253-858-0214
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tem pjt Charas Quantity IQW(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 $
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 s102_00
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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 $98.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy_Multi-Family $88.00 $.
Signal Circuit/Limited Energy/First 1500 of-Commercial $96.00 $
(Note:$5.00 for each additional 1500 sQ
Renewable Elec.Energy.5KVA System or less $113.00 $ I
Thermostat(Note:$5 for each additional) $56.00 $
$ 102.00 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.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
4613,The City of Port Angeles Municipal Code,and UtilitySpeclricat PAMC 14.05.050 regarding Electrical Permit Applications.
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8/8/19 Rich Henry
Date Print Name Signature(❑ Owner R Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
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