HomeMy WebLinkAbout2140 Bldg 1020 W 18th St - Building CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical InspectionsE
321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 �9
Ph:(360)417-4735 Fax:(360)417-4711
Date:,.� �°.� ��.�
,Z Multi-Family or Commercial*
*
Plan Review Ma quired, Pieaser�ompiete FI trical P� Revi w information Sheet
Job Address: d! tE �° �'' n
Building Square Footage:
Description or above
Owner I rm ion Contractor Information
Name: r�e Name: M ail,
Marlin dr ss:, - jD, e / Mailin Rdd ss: J .cq: StaletE% City: jtle , tate: Zip:
Phone: ax: Phone: ax:
License#l Exp. License#l Exp.
Item Unit Cltarae My Total Multiplied by Unit C ar e
Servlce[Feeder 200 Amp. $92.00 $
ServicelFeeder 201400 Amp. $160.00 $
ServicelFeeder 401-600 Amp $225.00 $
ServicelFeeder 6014000 Amp. $288;00 $
ServioelFeeder 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
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp,Service/Feeder 401.600 Amp. $164.00 $�
Temp.Sery€ce[Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $ 96.00 $
Sign[Outllne Lighting $ 86.00 $
Signal Circu€t[Limited Energy—Multi-Family $ 64.00 $
Signal C€rcuIV Limited Energy[First 1500 sf—Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 --
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
$_Total
Owner as defined by RCK19,28.261:(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 instailafion or alteration in compliance with the electrical laws,N.E.C.,ROW.Chapter 19.28,WAC.Chapter 296-468,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Slgn to a of owner,electrica c `r ctor or electrical administrator: CI cash ❑ check
Credit Card 9
x Dated: "/ oirntlzata
ELECTRICAL PERMIT
CITY OF PORT ANGELES {�
360-417-4735
Application Number 13-00000216 bate 3/12/13 +-w
Application pin number 227216
Property Address . . . , , , 2140 BLDG 1020 W 18TH ST p�nO17T[*�Yd�� rev
ASSESSOR PARCEL NUMBER: 06-30-00-1-1-2100-5001- REPORT R SAL. fA
Application type description ELECTRICAL, ONLY on your excise fax form
Property Name . . , . , . to the City of Port Angeles
Pro ert Use
Property Zoning , . . . . . . INDUSTRIAL LIGHT (Location Codes 0502)
Application valuation , , . . D
----------------
Application desc
1-4 circuits new heaters
---------------------------- -
-
------- ------------------------------------
Owner Contractor
PORT OF PORT ANGELES OWNER
PO BOX 1350
PORT ANGELES HA 983620251
(3601 457-8527
Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee 86.00 Plan Check Fee .00
Issue Date . . . . 3/12/13 Valuation 0
Expiration Date . . 9/08/13
Qty Unit Charge Per Extension
BASE FEE 86.00
Special Notes and Comments
March 4, 2013 8:38;42 AM handers.
OK
g--------------------------------- -----------------------
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 86.0.0 .00 00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCT-1
SERVICE
ROUGH-IN
FINAL
COMMENTS: D
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . 13-00000216 Date 3/12/13
Application pin number . . . 227216
Property Address . . . . . . 2140 BLDG 1020 W 18TH ST
ASSESSOR PARCEL NUMBER: REPORT SALES TAX
06-3D-00-7-1-2100 5001- F
Application type description ELECTRICAL ONLY on your excise tax form
Property Name . . . . . . to the City of Port Angeles
Prp ert Use
Property Zoning , , . . . . , INDUSTRIAL LIGHT (Location Code 0502)
Application valuation . , . . 0
_ ------------------------ _.__--_
Application desc
1--4 circuits new heaters
Owner Contractor
------------------------ ------------------------
PORT OF PORT ANGELES OWNER
PO BOX 1350
PORT ANGELES WA 983620251
(360) 457-8527
Permit . . . ELECTRICAL ALTER COMMERCIAL - f l- -----
Additional deac 1-4 CIRCUITS
Permit Fee . . , . 86.00 Plan Check Fee .00
Issue Date. 3/12/13 valuation . , . . 0
Expiration Date 9/08/13
Qty Unit Charge Per Extension
BASE FEE 86.00
Special Notes and Comments
March 4, 2013 8:38:42 AM banders,
OK
--`-'-----------------
Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 q0
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:
G:IEXCHANGMBUILDING