HomeMy WebLinkAbout1912 W 18TH ST - Building (3) =' r t
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ELECT*bAL PERMIT
CITY CS T ANGELES 7
"41'7-4735
Application Number 20-00000056 Date 1/21/20
Application pin number . 100096 REPORT STATE SALES TAX
Property Address . . . 1912 W 18TH ST on. our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-1-1-1900-1000-
Application type description ELECTRICAL ONLY to the City of fort Angeles
SubdProperty Us Name (Location Code 0502)
Property Use
Property Zoning . , . . . . PUBLIC BUILDINGS & PARRS
Application valuation . . . . 0
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Application dese --- -- -
Load bank
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Owner Contractor
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PORT OF PORT ANGELES LEGACY TELECOMMUNICATIONS INC
PO BOX 1350 PO BOX 360
PORT ANGELES WA 983620251 BURLEY WA 98322
(253) 858-0214
Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional dese . i
Permit Fee . . . . 102.00 Plan Cheek Fee .00
Issue Date 1/21/20 Valuation . . . , 0
Expiration Date 7/19/20
Qty Unit Charge Per - Extension
1.00 102.0000 BCH EL- COMM 0-200 TEMP SRV j FUR 102.00
Fee summary Charged Paid Credited Due
Permit Fee Total 102.00 102.00 .00 .00'
Plan Check Total .00 .00 .00' .00
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Grand Total 102.00 102.00 .00 .00
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INSPECTION TYPE, DATE: RESULTS: INSPECTOR:
DITCH
SERVICE .
ROUGH-TN
FINAL
COMMENTS;
PERMIT WILL EXP[RE SIX(6)MONTHS FROM LAST INSPEMON
Signature of owner or Electrical Contractor X Date:
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ELM
MULTI-FAMILY / COMMERCIAL CD
• ELECTRICAL PERMIT APPLICATION �'4,1 i� �a
rA Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us electricalpermits@.cityofpa.us
Project Address: la v tJ I\e— Cf-,-A-e—c-
Project Description: Qe..,er ,_V,, r- ZoCrJ 6o,-
0 Multi-Family Residential Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: c" Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: L=4,cw awe License::=.CL ACTL Z1 7
Mailing Addres : S i e. c Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charae Quantity Total(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 �_ $ t Z
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 $
$_ CO 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-
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications.
1(' . .' Zow
Date Print Name Signature(❑ Ownerectrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electrical permits@cityofpa.us or faxed to 360.417.4711]