HomeMy WebLinkAbout216 N Laurel St B - Building 2013-06-18 10:52 CASCADE ELECTRIC 3603799043>> 360 417 4711 P 111
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CITE'OF QQRT ANGELES PERMIT APPLICATION ��, Cl
Building Division/Electrical Inspections
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321 Ewst Fifth Street—P.O. Box 11501 Port Angeles Washington,9$3 SUN .� 9 a�0p3
Ph:(360)417-4735 Fax: (360)417-4711 FLECTRAL
Date: 3 —Muhl•Famlly or Commercial"INSPECTIONS
"Plan Review May Be R uired, Please Co plete Elec�ical Pin Review Information Sheet
Job Address, ;��6 j6 /V Z t k X e f 5;
Building Square Footage;
Description of above
Owner a�mat' n Contra r Inform a ion
Name � r..Y (3ee�l t iCth�9 Name: (- G e e lice ..& V.+c
Phone:A Flte:4e Zp: r� _ . — Phone; ddrep� tat
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Ty p' � e ?
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License 1 Exp. License#1 Exp. C Y M
Loom Unit Charge gty 'fold(Qhr Multiplied by unit Charnel
Serv)celFeeder 200 Amp. $132.00
Sarvicef Feeder 201400 Amp. $160.00 $�
Service/Feeder 401-600 Amp $225.00 $
9ervioe/Feeder 601-1000 Amp. $288.00
ServicelFeeder over 1000 Amp. $410.00 S
Branch Circuit WI Service Feeder $ 5.00 $
Branch Circuit W10 Service Feeder $ 74,00 $
Each Additional Branch Orouh $ 5.00 $
Branch Circuits 1-4 $ 86,00
Temp.Servicel Feeder 200 Amp. $102,00 $
Tamp.Service/Feeder 201-400 Amp, $121-00 $
Temp.Service/Feader 401.800 Amp. $164.00 $
Temp ServicolFeeder 601.1000 Amp. $185.00
Portal bo Portal Hourly $ 96.00 _ $
Signioulline Lighting $ 86,00 $
Signal Circuftl Limited Energy-Multi-Family $ 600 $
Signal Circuit!Limited Bnergy!First 1500 sf—Commercial $ 96.00 $
Note: $5.00 for each additional 1500 of
Renewable Elactr'Ical Energy-5KVA System or Less $113,00 $
Thermostat $ 56.00 $
Nola;$5,00 for each additional T-$tai
$ fl,6 d Total
Owner as defined by RCW.19,28.261:(1)Owner will occupy the structure for two years after Ihls electrical permit is finalized.(2)Owner is required
to hire an electrical contractor it 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 nr 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 Appdoations,
5lgnat of er,electrlca ontra r or electrical administrator: El Crreh 0 checlr
ELECTRICAL PERMIT r
t
CITY OF PORT ANGELES
360-417-4735 �..
Application Number . , , . , 13-00000674 Date 6/19/13
Application pin number . . . 784552 n �s _,q�/
Property Address , . . . 216 N LAUREL ST 8 REPORT SALES Tf-IA
ASSESSOR PARCEL NUMBER: 06-30-00-5-0 5000-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning , . , , . , , UNKNOWN (Location Code 0502)
Application valuation , . , , 0
Application desc
1-4 circuits heating
----------------------------------------------'------------------------------
Owner Contractor
BLACK BALL TRANSPORT INC CASCADE ELECTRIC & VAC INC
10777 MAIN ST STE 106 PO 30X 369
BELLEVUE WA 960045968 PORT HADLOCK WA 98339
(360) 379-5347
----------------------.______---_-__°_--_-_. _------------ _--__---------- V
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . , . . 86,00 Plan Check Fee 00 n,w,
Issue Date 6/19/13 Valuation . , , . 0
Expiration Date 12/16/13
Qty Unit Charge Per Extension
BASE FEE 86.00
Fee summary Charged Paid Credited Due
Permit Fee Total 66.00 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
FINAL
COMMENTS;
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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