HomeMy WebLinkAbout131 W 5th Street - BuildingELCAL PERMIT
CFTY OF;PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001785 Date 12/02/16
Application pin number . . . 210550
Property Address . . . . . . 131 W 5TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -8850 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning .. . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
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Application desc
T -stat
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Owner Contractor
PIC LODGE #37 PENINSULA HEAT INC -
S OF NORWAY, BLDG ASSN 782 KITCHEN -DICK RD
PORT ANGELES WA 98362 SEQUIN WA 38382'
(360) 681-3333
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Bee .00
Issue Date . . . . 12/02/16 Valuation . . . . 0
Expiration Date 5/31/17
Qty Unit Charge Per Extension
1.00 56.0000 BCH • EL-LVT-THERMOSTAT 56,00
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Pee 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
.w=
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
Mjurt
DATE: 1 RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G: IEXCHANGMBUILDING
4 INSPECTOR
Date:
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
{Location Code 0502}
4 INSPECTOR
Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711
Date: 11 4� — Mufti -Family or Commercial*
Plan Review May Be Required, Please �mplele Electrical Plan Review Information Sheet
Job Address: L4/- r, Ith PA_
Building Square Footage: 206
'
Description of above C61)'5 671von'o
14
rT I
OL 4L
owner I formation
Name:- i(,,,
Mai AmFbss:f 10
fV. '7
Ci:ty: /7 V-1 ' A A., I Ilf- L,2 A zip: W3rg7,-
e-10 — Phoric. 3 &; - 0
License # I Exp.
Item
Unit Charge
Service/Feeder 200 Amp.
$132.00
Service/Feeder 201400 Amp.
$ 16HO
Service/Feeder 401-600 Amp
$225.00
Service/Feeder 601-1000 Amp.
$288.00
Service/Feeder over 1000 Amp.
$410.00
Branch Circuit W1 Service Feeder
$ 5.00
Branch Circuit W10 Service Feeder
$ 74.00
Each Additional Branch Circuit
$ Ho
Branch Circuits 14
$ 86.00
Temp. Service! Feeder 200 Amp.
$102,00
Temp. ServicelFeeder 201400 Amp.
$121.00
Temp, Service/Feeder 401-600 Amp.
$164.00
Temp. Service/Feeder 601 -1000 Amp.
$ 18&00
Portal to Portal Hourly
$ 96.00
Sign/Outline Lighting
$ 88.00
Signal Circuitf Limited Energy — Multi -Family
$ 64.00
Signal Circuit/ Limited Energy I 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
?OR r
Contractor taform;tion
Nam. _44,
Mailing Address: R - 0 14o)(
City: State: _4dj44_- Zip: — ZK9.A
Phone3(4 ti h 1-12 W s Fax:
License # / Exp.4;�' 44 j 4
A
9!Y Total ( Mufflolied by Unit Charue)
.1-6, 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 car* 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, el I I c tractor or electrical administrator: Cl Cash 2_1 n
0 credit cam #
x Dated: 01101012