HomeMy WebLinkAbout110 E 3RD ST - Building (3) . :y .
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MCM11 CAL PERMIT , cA
=Y`'4F PURT ANGELES
". 3 -4`17-4735
Application Number . . 19-00001496 Date 9/26/19
Application pin number 819040 REPORT STATE SALES TAX
Property Address . . . 110 E 3RD ST On your @XGfse tax form
ASSESSOR PARCEL NUMBER: - 06-30-99-0-0-6910-0000-
Application type description' ELECTRICAL ONLY to the City Of Port Angeles
Subdivision Name . .
Property Use (Locatfon Code 0502)
Property Zoning . . COMMUNITY SHOPPING DISTR
Application valuation. . 0
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Application desc
Sushi Project
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Qon�er" ContCactor
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"SAFEWAY STORES INC, AC ELECTRIC SERVICE, INC.
C/O CPTS 804 W MEEKER ST SUITE 102
1371 OAKLAND BLVD, STE 200 KENT WA 98032
WALNUT CREEK CA 94596 (25.3) 852-0225 '
(425) 201-6420
Permit . . ELECTR3,�C&L ALTER COMMERCIAL
Additional aesc 1
Permit Fee . . 109.00 Plan Check Fee .00 2fl1 GtR vcDm-ftai&K—
Issue Date 9/26/19 Valuation 0
Expiration Date 3/24/20 + 3 Fiu�lt ►�
Z-1 fiJQ 7
Qty Unit Charge Per Extension �J
1.00 74.0000 E£�i i-COMM BRANCH;PIR WO/ S/ `> 74.00 +I, Ga45�'ti`-
7.00 5.0000'"ECR' ,HL-ECH ADDNT BRANCH CIRCUIT 35.00
Fee summary Charged Paid Credited Due
Permit Fee Total 109.00 169.00 .00 .00
Plan.Check Total :00 .00 .00 00
Grand Total 109.00 109.00 .00 .00
INSPECTION TYPE DA"IV RESULTS: INSPECTOR:
DITCH
` SIi''VICE
ROUGH-IN
FINAL
MMENTS• -,
PERWr WILL kdijit SIX-(6)MONTHS FROM LAST.INSPECTION
Signature of owner or Electrical Contractor X Date:
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MULTI-FAMILY / COMMERCIAL RE, ,<t
ELECTRICAL PERMIT APPLICATION SEP ': 3
Public Works and Utilities Department
321 E. 5th Street, Port Angeles,WA 98362 i
360.417.4735 ( www.cityofpa.us I ctectricalpemiits(4�cityofpa.us
Project Address: 110 East 3rd Street, Port Angeles, WA 98362
Project Description: Safeway#1492- Sushi Project
❑ Multi-Family Residential EI Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Safeway, Inc. Email:
Mailing Address: 110 East 3rd Street, Port Angeles,WA 98362 Phone:
Name: AC Electrical Service Inc. License: ACELES1025DF
Mailing Address: 804 W Meeker Street Stell 02, Kent WA 98032 Expiration Date: 3/7/20
Email: ac.elec@hotmail.com Phone: (253)852-0225
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ltsm Unit Charge Quantity IgW(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 R $
Branch Circuits 14 $86.00 3` &
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 Circuit/Limited 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 $
$- 6 -�=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-
466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
9/25/2019 Katie Johnson - Manager
Date Print Name ignature(Yw er V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
ELECTRICAL INSPECTION
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WIRING RPEPORT
t
417-4736
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DATE: PERMIT 4 INSPECTOR
12.2
OWNER
CONTRACTOR
Ac
ADDRESS
Irs
APPROVED NOT APPROVED
0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . .
0. . . . . . . . . . . . . . . . ROUGH INICOVER . . . . . . . . . . . . . .4�
E3. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 13
0. . . . . . . . . . . . . . . . . . . . . FlNMl- . . . . . . . . . . . . . . . . . . . . 13
CORRECTIONS NEEDED:
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f3 it p,w�.0 cr..,�! dig en- Z toA.T oz
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-00 NOT REMOVE-