HomeMy WebLinkAbout902 E 1st St D - Building CITY OF PORT ANGELES PERMIT APPLICATION ,� +is- t
Building Division/Electrical Inspections
321 East Fifth Street--F.O.Box 11501 Port Angeles Washington,98362 `"" y
Ph: (360)417-4735 Fax: (360)417-4711 JUL P 4 2013
Date: ZA It/ _Multi-Family o Corrimercisl* ELECTIMN
#IVS'PEC7li?�s
*Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage: VOO '"
Descriptio o€ahoy C
S
Owner Information Contractor tnforttiatlon /
Name. V Name: t ` -e'-J
Mailin Address: a /^% Mailing Address: � V av
City: State: Zip: -- City: State: _Zip: �&' 't !�
Phone-7�6�1 gX Q Fax: ----- Phcna: -d Fax:
License#I Exp. �-�-"d•License#/Exp. e 0 1
y <qa 0
Item
e�rmvicelFesder 20o Amp, Unit$132.00 roe P Q Tatal$fQt�r Multlt�lied b IInit„Charge)
Service/Feeder 201-400 Amp, $160.00 $
Service/Feeder 401-600 Amp $.225.0.0 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00
Branch Circuit W1 Service Feeder $ 5.00 $
Branch Circuit WIO Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 14 $ 86.00 $
Tamp.Serviw/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.8ervicelFeeder401-600 Amp. $164.00 $
Temp.ServicelFeeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $ 96.00 $
SignlOutline Lighting $ 88.00 $
Signal Circuit!Limited Energy—Multi-Family $ 64.00. $
Signal Circuit/Limited Energy 1 First 1500 sf—Commercial $ 96.00 $
Note: $5.00 for each additional 1500 s€
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat
Note:$5.00 for each additional T-Stat
$ c 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 296468,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ cash 49f check
❑ Credit Card#
X 2 Dated: ,, :' 01701012
W
ELECTRICAL PERMIT ,. 4
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00000825 Date 7/24/13
Application pin number 018925
Property Address 902 E 15T ST .D REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-7-2-0330-0000-
Application type description ELECTRICAL ONLY on yojur excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning , , . , . . COMMERCIAL ARTERIAL (Location Code 0502)
Application valuation . , . 0
Application desc
T-stat
Owner Contractor
JOEN A ST LAURENT PENINSULA HEAT INC
860 RHODODENDRON LN 782 KITCHEN-DICK RD
BRINNON WA 983209706 SEQUIM WA 98382
(360) 681-,$333
Permit , , . . . , ELECTRICAL ALTER COMMERCIAL
Additional desc ,
Permit Fee 56,00 Plan Check Fee 00
Issue Date 7/24/13 Valuation 0
Expiration Date 1/20/14
Qty Unit Charge Per Extension
--------1-00---- 56.0000 --- EL-----THERMOSTAT 56.00
--------------------------.----
Fee summary Charged Paid Credited Due
,Permit Fee Total 56,00 56,00 .00 .00
Plan Check Total .00 ,00 00 00
Grand Total 56,00 56.00 .00 .00
INSPECTION TYPE ]SATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN 17W
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIEUILDINCT
CITY OF PORT ANGELES PERMIT APPLICATION
)Building .bivision /F,lcctrical ];nspectiona
321 Ea$t Fifth Street -- P.O. Box .1150 / Port Angeles Washington, 98362
Ph: (360) 47.7 -4735 Fax: (3610) 417,4711
Date; —7�kg —Multi-Family or Cote
" Plan Review May Be
Job Address: _
Building Square Footage;
Deseriptlen of above
Owner In rmattnn
Namo
Maping Address; 2�;
City: ' �} S
Phone.— L Fax; „
License t!
Item
ServlceXeeder 20o Amp, (brit $132200 ,00
Serk'01POeder201 -400 Amp, ,
$1
Servlc81Feeder4ol -6C0 Amp 60'00
Service /Feeder 601.1000 Amp, $ 225.00
$ 280,00
Service /Feeder over 1000 Amp,
Branch Circull W1 Service Feeder 410'00
Branch Circuit W/0 Service Feeder $ 5'00
Each Additional Branch Circuit $ 74,00
Branch Circuits 1-4 $ 5.00
Temp, SeNloel Feeder 200 Amp, $ $6,00
Temp, Service /Feeder 201.400 Amp, $102.00
Tomp. S@rvlce /Feeder 401.600 Amp. $121'00
Temp. ServicelFeeder 601 -1000 Amp . $185.00
Portal to Portal Hourly
&gn /outllno Lighting $ 98.00
KOO
Signal Circuit/ Limited Energy _ Mtritl- Family $ 64.00
Signal Circuit/ Llmited Energy 1 First 1500 sf - CommeroW $ 96,00
NNE $5,00 for each addfflonal 1500 sr
Renewable Electricat Energy - WIA System or Less $113,00
Thermoatat $ 56.00
Note; $5,00 for each additional TStat
lNTM P ( '-TlNS
Plan ,Rev,kw Information Sheet
Contract InfomtaEion
Namo; C 1 eL'T3^ C
Malling Ad ss: „ –& – OV.
Cho. State: ZIP,
Phone; i �� Fax: �.
License 1. p
( TotalrwulEip ped b'•Il�nit Cha e
Owner as defined by RCW,19.28.261; (1) Owner will occupy the structure for two years after this electrical $ otal
to hire an electrical contractor if above said property fs for sale, rent or lease, permit expires after Slx months of last inspection, 2) t �wrrer is required
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contra #or, I am making
the electrical installation or alteration in compliance with the electrical laws, N.E,C,, RCW. Chapter 19.28, WAG, Chapter 29646B, The Cf y of Port
Angeles Municipal Code, and Utility Speciflcations and PAMC 14,05,080 regarding Electrical Permit Applications.
Sig ure of owryner, electrical contractor or electrical administrator;
D Cash 0 chf.0 l� �
Cretlfk Cn►d d,_(,�„yL
— -� 07lo-rfl�fl12
, f
VEr
�
9IF:
Contract InfomtaEion
Namo; C 1 eL'T3^ C
Malling Ad ss: „ –& – OV.
Cho. State: ZIP,
Phone; i �� Fax: �.
License 1. p
( TotalrwulEip ped b'•Il�nit Cha e
Owner as defined by RCW,19.28.261; (1) Owner will occupy the structure for two years after this electrical $ otal
to hire an electrical contractor if above said property fs for sale, rent or lease, permit expires after Slx months of last inspection, 2) t �wrrer is required
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contra #or, I am making
the electrical installation or alteration in compliance with the electrical laws, N.E,C,, RCW. Chapter 19.28, WAG, Chapter 29646B, The Cf y of Port
Angeles Municipal Code, and Utility Speciflcations and PAMC 14,05,080 regarding Electrical Permit Applications.
Sig ure of owryner, electrical contractor or electrical administrator;
D Cash 0 chf.0 l� �
Cretlfk Cn►d d,_(,�„yL
— -� 07lo-rfl�fl12
pORTilo ELECTRICAL INSPECTION
of WIRING REPORT
417-4735
FERMIT #
CONTRACTOR
APPROVED NOT APP OVED
E]
11 . ........ DIT Cl .......... -o
0 ................ ROUGH INICOVER..
0.... - .. . ......... SERVICE ................... 1:1
13 ................. ... FINAL ............ ....... 11
CORREC"HONS NEEDED: AL-L-
Z_-
7-TZ-N�e "—per,
--Ae-c- ---- &,r--GUF- ---
NOTIFY 34SPECTOR WHEN CORRECT�ONS
ARE COMPLETED WITHEN 15 DAYS
mmmmAm
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , . , , 13- 00000817 Date 7/24/13
Application pin number , , . 950086
Property Address , , , . 902 E 1ST ST D
ASSESSOR PARCEL NUMBERT 06-30-00-7-2-0330-0000-
Application type description ELECTRICAL ONLY
Subdivision Name , , . , .
Property Use . , . . . . . .
Property Zoning . . . . . , , COMMERCIAL ARTERIAL
Application valuation . . . . 0
Application desc
Ductless heat pump
Owner Contractor
JOHN A ST LAUTZENT SIMPSON ELECTRIC
860 RHODODENDRON LN 243036'W HWY 101
BRINNON WA 983209706 PORT ANGELES WA 98363
(360) 457 -9270
Permit . , , , . , ELECTRICAL ALTER COMMERCIAL
Additional dear 1 -4 CIRCUITS
Permit Fee 86.00 Plan Check Fee .00
Issue Date 7/24/13 Valuation 0
Expi.ration Date 1/20/14
Qty Unit Charge Per Extension
BASE FEE 86.00
Pee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 86100 86,00 .00 00
Plan Check Total 00 .00 ,00 .00
Grand Total 86.00 86.00 00 .00
REPORT SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0542)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTRS FROM LAST INSPECTION
Signature of owner or Electrical Contractur X Date:
G:IEXCHANGEIBUILDING
1
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