HomeMy WebLinkAbout4400 C ST WPS • - Building C LES
3 ""4
6"-M.4 71S
Application Number . . . . . 19-06001215 Date 8/14/19
Application pin number . . . SS0360 REPORT S TATE SALES TAX
Property Address . . . . . . 4400 C ST WPS
on your excise tax form
ASSESSOR PARCEL.NUMBER.- R6-30-0b-V-0-0060,6#0q- -
Application type description BLECTRICAI,- ONLY,-, toft City-of Pod Angeles
Subdivision Name
Property use (Location Code 0502)
Property Zoning . . . . .. . .
Application valuation 0
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Application desc
Ek�TOR LOAD RMK
GE
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Owner, Contractor
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CITY OF PORT ANGELES LEGACY T9LOCOMMICATIONS INC
PO IWX 1150 'PO BOX 360
PORT ANGELES WA 981,420217 BURLEY WA 98322
(253) 858-0214
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Permii�, ILaCTRICAL ALTER COMMERCIAL
Additional desc 'jd�,LOAD BANK
Permit,Fee 164.00 .00
Plan
Issue Date . . . . 8/14/19 valuation . . . . . . 0
Expiration Date 2/10/20
Oty Unit Charge Per Extension
1.00 164.0000 BCH EL- COMM 401-600 TEMP SRV/FDR 164.00
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Fee sumury Charged Paid credited Due�
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Permit Fee Total 1641-00 164.00 .00 .00.
Plan Check Total 00 .00 '.00 .00
Grand,Total 164.00 164.60 '60, ._00
iNspEcnON ME DAM RESULTS: -INSPEMP-
SERVICE
ROUGIR-IN
RNAL
CONMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM WT.INSPECTION
Signature oflowner or Electrical Contractor X_ Date:
""t 4�'-'
Ol
MULTI-FAMILY I COMMERCIAL
I I
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department RE-c-
% 321 E.5th Street,Port Angeles,WA 98362 /
360.417.4735 1 www.cityofpa.us I dectricalpermits@cityofpa.us A 1'q
LJ Y00 6 N
Project Address: Fairmount P/S South C St Port Angeles.WA 98362
Project Description: Load bank I 2enerator for Annual Maintenance
0 Multi-Fainily Residential El Commercial/Industrial/Public Building Square footage:
'77-T
Name: City of Port Angeles Ernall: bcobumecWpa.us
Mailing Address: PO Sox 1150 Port Angeles,WA 98362-0217 Phone: 360-665-3860
Name: Legacy Telecommunications License TL821 LL
Mailing Address- PO Box 360 Burley,WA 98322 Expiration Date:
Email: rhenry@legacypower,com Phone:253-858-0214
111F777� 71'.
item UnIl Cha.rue Quantity J2W(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp.
$160.00 $
Service/Feeder 401-600 Amp. $226.00 $
Service/Feeder 60 1-1000 An-�p. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W1 Service Feeder $5.00 $
Branch Cimuit WO Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 $
Temp.ServicetFeeder 200 Amp. $102.00 $
Temp.ServicefFeeder 201-400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp. $164.00 s164-00
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 ISM 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 $
s164.00 TOTAL
Owner as defined byRCW.19.28.261:(I)Ownerwill occupy the structure for two years after this electrical permit is finalized.(2)Owner Is
required to hire an electrical contractor N 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 electrica(laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility Specifi fions PAMC 14.05.050 regarding Electrical Permit Applications.
8/8/19 Rich Henry 7
Date Print Name---� L-'— dignature(171 Owner V Electrical Contractor I Administrator)
(Electrical Permit Applications may be submitted to City Hall or eparmits@cityofpa.us or faxed to 360.417.47111