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Application Number . . . . . 19-00001219 Date 8/14/19
Ajilication pin number 845176 REPORT STATE SALES TAX
Property Address. . . . . . . 530 VIEWCRRST AVE
ASSESSOR PARCEL NUMBER: 06-30-15-1-3-0300-0000- on your exc1se tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . LV=OWN
Application valuation 0
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Application deac
GENERATOR LOAD BANK
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Owner Contractor.
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HINDERER WALLACE W LEGACY TELECOMMICATIONS INC
3744 CRABAPPLE ST PO BOX 360
PORT-ANGELES WA 983623714 BURLEY WA 98322
(253) 858-0214
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Permit . . . . . . ELECTRICAL ALTER C014MMCIAL
Additional desc GENERATOR LOAX) BANK
Permit Fee 121.00 Plan Check Pee .00
Issue Date . . . . 8/14/19 Valuation 0
Expiration Date 2/10/20
Qty Unit Charge Per Extension
1.00 121.0000 BCH EL- COMM 201-400 TBMP SRV/FOR 121.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ----------- I--------
Permit Fee Total 121.00 121.00 .00 .00 -
Plan Check Total .00 .00 .00 .00
Grand Total 121.06 121.00 .00 .00
'INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE.
ROUGH-IN
FINAL
CO�NTS:
PEpmrr wiLL ExputE six(6)moms FRom LAsT.iN8PwmN
Signature of owner or Electrical Contractor X Date:
E LcOm
MULTI-FAMILY / COMMERCIAL
1 ELECTMALPERMIT"APPLIGATION
Public Works and Wities Department )�Ecovco
7 - I I
321 E. 5th,.Stredt�PortAngeles,WA98362 A UC, i
0.417,4735 1 www.cityofpa.us I e1ectrica1permiU@cityofpa.US
Project Address: Pea-body Resesrvoir 530 E Vlewcrest Ave Port Angeles, WA 98362
Project Description: Load bank 1 generator for Annual Maintenance
11 Multi-Family Residential F] Commercial/Industriat/Public Building Square footage:
lei
Name: City of Port Angeles Email: bcobum@cItyofpau9
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@legagypower.com Phone: 253-858-0214
UWtChame IgW(Quantity x Unit Charge)
ServicelFeeder 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 W1 Service Feeder $5.00 $
Branch Circuit W10 Service Feeder $74.00 $
Each Additional Branch Circuit $5.00
Branch Circuits 1-4 $86.00
Temp.ServicefFeeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $ 121.00
Temp.Service/Feeder 401-600 Amp. $164.00 $
Temp.Service/Feeder601-100O Amp. $185.00 $
Portal to Portal Hourly $96.00
Sign I Outline Ughting $88.00 $
Signal Circu;t/Limited Energy-Multi-Family $88.00
Signal Circuit/Limited EnergytFirst 1500 sf-Commercial $96.00 $
(Note:$5.00 for each additional 1500 so
Renewable Elec.Energy:5KVA System or less $113.00
Thermostat(Note:$5 for each additional) $56.00 $
s121.00 TOTAL
Owner as defined by RCW.19,28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalLzed.(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 1928,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility SpecIfications and PAMC 14.05.050 regarding Electrical Permit Applications.
8/8/19 Rich Henry
Date Print Name Signature(C] Owner V Electrical Contract or I Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]