HomeMy WebLinkAbout222 N Lincoln St 103 - Building CITY OF PORT ANGELES PERMIT APPLICATION t
Building Division/Electrical Inspections . �� , ?;
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321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 JUL
Ph: (360)417-4735 Fax: (360)417-4711 4 &13
Date: %�� +Iulti-Family or Commercial* a9 ICTRICAI 09
TIONS
Plan Review May Be Required, Please Complete Electrical Plan R24ew Information Sheet
Job Address:
Building Square Footage: f
Description of above
Owner Infor ation Contractor Information
Name: OC Lug Name: t>c _
Mailing Address: Mailing Address:
City: State: Zip: City: State; Zip:
Phone: Fax: Phono: Fax:
License#1 Exp. License_#/Exp. e�Glr—F � L
Item Unit Charge Qty Total Multiplied by Unit Charge)
ServicelFeeder 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 WI Service Feeder $ 5.00
Branch Circuit W10 Service Feeder $ 74.00 f $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 86.00 $
Temp,Service/Feeder 200 Amp, $102,00 $
Temp.Service/Feeder 201-400 Amp. $121,00 $
Temp.Service/Feeder 401-600 Amp. $164.00 $
Temp.ServicelFeeder 601-1000 Amp, $185.00 $
Portal to Portal Hourly $ 96.00 $
Sign/Outiine Lighting $ 88.00 $
Signal Circuit/Limited Energy—Multi-Family $ 64,00 $
Signa!Circuit/Limited Energy I First 1500 sf—Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-SKVA System or Less $113.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat J c�
$ �d ! 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,
Signature of o n ,ele rival contractor or electrical administrator: ❑ Cash X check
I ❑ Credit Card#
x Dated: �� �� �r � 0114112412
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00000070 Date 8/05/13
Application pin number . . 728168
Property Address , , , . . . 222 N LINCOLN ST 103 �-
ASSESSOR PARCEL NUMB)R: 06-30-00-5-0-0020-0060- REPORT SALES AX
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name
Property use . , . . , . . , to the City of Port Angeles
Property Zoning , . . . . , , CENTRAL BUSINESS DISTRICT (Location Code 0502)
Application valuation , . . . 0
__.---------------
Application desc
10 circuit remodel
Owner ContraCCor
KHOAN VOANG BLACK DIAMOND ELECTRICAL CONTR
633 E 1ST ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983623303 PORT ANGELES WA 98363
(360) 565-1035
--- ---- ---'--- - -- -- -- - -
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Permit , . , . . , ELECTRICAL ALTER COMMERCIAL h
Additional desc v
Permit Fee 119,00 Plan Check Fee 00
.Issue Date 9/05/13 - Valuation . . . 0
Expiration Pare 2/01/14
Qty Unit Charge Per Extension
7.100 74,.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00
9,00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCTIT 45.00
Fee summary Charged Paid Credited Due
------- ------ - -----
Permit Fee Total 119100 119,00 .00 .00 .r�s
Plan Check Total .00 00 .00 .00
Grand Total 119.00 119.00 00 QO
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INSPECTION TYPE DATE: RESULTS: INSPECTOR: V
DITCH
SERVICE
ROUGH-IN fb Z
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGMUILDING