HomeMy WebLinkAbout504 S LINCOLN ST - Building (3) J
ELECTRICAL PERMIT
CITY OF PORT ANGELES IL
30 4I7-4735
Application Number 19-00001973 Date 12/13/19
Application pin number . . : 641563 REPORT STATE SALES TAX
Property Address . . . , . . 504 S LINCOLN ST on Ot11"excise tax form
ASSESSOR PARCEL'NUMBER: 06-30-00-0-1-6700-0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . .
Property Use . . . . . . . t/
LQG8#i4n Cock 0502)
Property Zoning , . . . . . . COMMUNITY SHOPPING DISTR
Application valuation . . . . 0
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Application desc
Fuel cashier reader
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Owner Contractor
DASHMESH PETROLEUM 13 INC MASCOrr EQUIPMENT CO INC
1133-HWY 6 435 NE HANCOCK ST
CHEHALIS WA 98S32 PORTLAND OR 97212
(360) 751-4905 (503) 282-2587
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Permit . . .. ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee 86.00 Plan Check Fee .00
Issue Date . . 12/13/19 Valuation . . . . 0
Expiration Date 6/10/20
Qty Unit Charge Per Extension
BASE FEE 86.00
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Fee summary' Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN o '.ZfJ
FINAL
COMMENTS:
FERMrr WILL:EXPIRE six(6)MONTHS FRoM LAST WP crm
Signature of owner or Electrical Contractor X Date:
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Dec 12 19 11:03a Bob Jack 15096746777 P.I
MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
?udbllc Wo.lks and Utilities Departmerit
Zu
(-,(,.4 17.473 5 clectrilc�iipermits, ity I a L,
Project Address: 504 S LINCOLN ST
Project Description: SINGLE RUBY2 WCOMMANDER (CASHIER POS INSTALL)
El Multi-Family Residential 9 Commercial I Industrial Public Building Square footage:
Name: LINCOLN ST MOBIL Email:
Mailing Address: 504 S LINCOLN ST Phone: 360-457-4556
...........
Name: MASCOTT EQUIPMENT CO. License: IU11ASC0EC:957C8
Mailing Address: 435 NE HANCOCK Expiration Date: 1120/20
Email: BJACK@MASCOTTEC.COM Phone: 5096073596
Itern Unit Charge Quaintly Total(Quanfity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
ServiceJFeeder 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 14 $86.00 $ 86.00
Temp.ServicefFeeder 200 Amp. $102.00 $
Temp. Service/Feeder 201-400 Amp. $121,00 $
Temp. ServiWFeeder401-600Amp_ $164.00 S
Temp. Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign I Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $
Signal CircuitlLinnited Energy/First 1500 sf-Commercial $96.00 $
(Note:$6,00 for each additional 1600 sf)
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56.00 $
$ 86.00 TOTAL
Owner as defined by RCW.19.28.261:(1)Owner wilt 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 r of the above named property or a licensed electrical contractor.I
am making the electrical installation or alteration in compli cewith electrical laws,N.E.C., RCW.Chapter 19,28,WAC, Chapter 296-
46B,The City of Port Angeles Municipal Code, and Utility cificati s and 7PAMC 14,04.0510 regarding Electrical Permit Applications.
12/12/2019 ROBERT JACK
Date Print Name �Si afore_(E] Of,ner V ,Electrical,Contractor I Administrator)
[Electrical Permit Applications may be submitted to City Hall or electrical permits@cityofpa.us or faxed to 360A17.471 11