HomeMy WebLinkAbout809 S PINE ST - Building (2) ELECTRICAL PERMIT 4�
C'T" P0RT ANGELES
'360 41'7-4735 -..�
'.Application Number 19-00001815 -Date 11/20/19
Application pin number 762000 REPORT STATE SALES TAX
Property Address . . . . . . 809 S PINE ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6416-0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . . . (Location Code 0502)
Property Use . . . . . .
Property Zoning . . . . . .
Application valuation . . . . 0
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Application desc
Heat detectors
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Owner Contractor
PORT ANGELES LODGE 996 HI TECH SECURITY INC
LOYAL ORDER OF MOOSE 723 E FRONT ST
809 SPINE ST PORT ANGELES WA 98362
PORT ANGELES WA 98362 (360) 452-2727
(360) 452-2157
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Permit , ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . . 96.00 Plan Check Fee .00
Issue Date . . 11/20/19 Valuation . 0
Expiration Date 5/18/20
S Qty Unit Charge Per Extension
�1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00
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Fee summary Charged Paid - Credited Due
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total .00 .00 .00 00
Grand Total 96.00 96.00 .00 .00
INSPECTION TYPE DATE: RESULTS; INSPECTOR:
DITCH
SERVICE
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mmrr WILL EXPIRE 5IX(4)moNTHS FROM LAST t Ysp noN
Siguatte of owner or Electrical Contractor X Date:
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MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
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Public Wur[yand \NifiiiCS Department
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Project 8O8 ��Addveou� S. Pine
Project Description: Replace heat detectors, add heat detectors to kitchen, pantry, dn stairs storage area.
[] yNulti'FomilyRendenUa| R) Commercial/Industrial/Public Building Square footage:
Name: Moose Lodge Email:
Mailing Address: 8OOSPine Phone: 360-452-2157
Name: Hi Tech Security, Inc License: HITECTS955BS
Mailing Address: 723 East Front St Expiration Date: 1/10/2021
Email: hitech@olypen.com Phone: 360-452-2727
IWM Unit Charae Quantity JQJAJ(Quantity x Unit Charge)
Branch Circuit emivaFaodo, � u50O '
�.. — � o^`^�
Branch Circuit W/O Service Feeder ~ �`$74.00� _`____�= ��$
Each Additional Branch Circuit $5.00 $
Branch Circuits 14 o86�0O $
a ------ ---------"
Temp.Service/Feeder 2UVAmp. $1 o--___----_�
Temp.Service/Feeder 2O14OOAmp. $121.00' _ __' $__________
Temp. G ime/F d -8OVAmp. '`
Temp.Service/Feederr 1OOOAmp� 5 ���� '���`$"____�_____
Pona|»oPo�a| Hourly �� ' ~ �^ �oS8� ` u
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�gn/Ou�inoUgh�ng � a' ^ `a�$88.0Qw�� ��_ _='~ � ��$___�_----_
Signal Circuit/Limited Energy'Multi-Family $88.00 ' mr^ $_________
Commercial a86 u .00—_---
Renewable Elec. Energy: `System or - �^Thermostat(Note: $5 for each additional) `�� $50 $-----_—___
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, | hereby certify that| um the owner of the above named property o,a |ioonnod o|octhna|contractor. |
am making the electrical installation or alteration in compliance with the electrical laws,N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
46B, TheCbynfPortAngeleoMunicipa|Codo. ondUh|itySpodfiomdunoondRAMC14.O5D5OregandingBocthcm| PonnitApp|icodono.
1 1/1"�/2O1A K�'k Shirley Mike Shirleyo/nxp/�o/onouu/�/xosmnov
Date Print Name Signotuno([:] Owner �� Electrical Contractor/Administrator)
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[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]