HomeMy WebLinkAbout622 E Front Street - Building ELECTRICAL PERMIT I
1
CITY OF PORT ANGELES ,,
360-417-4735 - l. ?
Application Number 17-00000044 Date 1/13/17
Application pin number . . 548468
Property Address 622 E FRONT ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-7-0-6200-3010-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning UNKNOWN (Location Code 0502)
Application valuation . . . 0
Application desc
Dryer circuit
Owner Contractor
i
CAREGIVERS HOME HEALTH INC ELECTRIC SERVICE
PO BOX 3157 503 RHODES RD
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457-1644 (360) 452-6424
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . . 86.00 - Plan Check Fee . . .00
Issue Date . . . 1/13/17 Valuation . . . . 0 '
Expiration Date . 7/12/17
Qty Unit Charge Per Extension
BASE FEE 86.00
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 86.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH •
SERVICE
ROUGH-IN c4r1 ,smPr ___75;4)
FINAL IV . I'7
'411111111111P6'''. 50°P
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION •
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Signature of owner or Electrical Contractor X Date:
��=w" ELECTRICAL INSPECTION
WIRING REPORT
4thiscss� 417-4735
DATE. PERMIT# INSPECTOR
2/E0)17 17- G>(
GR2.6—ccVf 1Z.S }-f9 H ,r 7-1
CONTRACTOR i
ADDRESS
APPROVED N APPROVED
❑ DITCH ❑
❑ ROUGH IN/COVER ❑
❑ SERVICE 0
❑ FINAL 0
CORRECTIONS NEEDED: 1*Z_ :112 1L 0 _ ,
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE--
•
RECtctiiir4''
' u
C(FY OF PORT.ANGELES - ,
3 uildfig Division/EleCtri4�l ERM1T APPLICATION r "` - '`Ir''
Z 1 East Frith Street—P. ' 's ,
PIR O.Box it ,�". ,. .. `��
h:(360)4I7--4735 Fax. /Port Ani Washirrgtpp,98362 ,(360)417-4711
Date:______* ' i \sm-= Allf,: xgaric:/
Multi-Family or Comm *p
*Plan Review Ma
Job Address: Y Lilted, • _ •Dl triCal Plan Review Information Sheet
Building square Footage:- '�
Desaiptlon of above
^ X 2 "1"‘
Gamer Information .
N C"atr,. i V P,�rS Contractor
CM ng Address: '` Slit Zip fi, WIN p ��� p- ,'h
- eic
,ruse# r cdr. "to.
. Ssie. L►'A .Tip' " 2-
. License#/Exp.
• 1101 Unk chew
Site Total(Qty Middalled by Unit Chase).
Service/Feeder 200 Amp. $132.00
Service/Feeder 201-400 Amp. $160,00 ;
Service/Feeder 401-600Amp $
Service/Feeder 801-1000 Amp. $2268.0 00 0 $
Sc vice/Feeder over 1000
Branch Circuit MO $415.00 $
Branch Circuit Wt0 Service Feeder S 74.00 $
Each Addifcnal Branch Gloved $ 5.00 $
Branch Circuits 1-4 S 86.00 — $ gt- k o
Temp.Service/Feeder 200 Amp. $10200 $
Temp.Service/Feeder 201.400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp. $164.00 $
Temp.Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Horny $ 86.00 $
Sign/Outhne Lighting $ 88.00 $
Signal CircuW Umked Energy–Multi-Family $ 64.00 $
Signal Circuit/Limited Emily/Fest 1500 sl–Cornmeroal $ 96.00 $ .
Note $5.00 for each additional 1500:#
Renewable Electrical Energy-SKVA System or Less $113.00 $
Thermostat $ 58.00 $
Note:$5.001 or each edam*T-Stat
$ $<Lt*.t50 Total
Owner as defined by RCW.19.28.261:(1)Owner va ll occupy the structure for two years alter 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 ager six months of last inspection.
After reading the above statement,I hereby certify that lam the owner of the above named properly or a icensed electrical contractor.I art making
the electrical installation or alteration in oornp6srice with the electrical laws.N.E.C.,RCW.Chapter 1928,WAC.Chapter 296-46B,The City of Part
Angeles Municipal Code,and Utility Specification and PAMC 14.05.050 regardteg Electrical Pernik Applications.
Signature of owner,electrical contractor or electrical administrator: d Cub 0 Caselto h )ey'f
Airirt / O Cisartwias
X 2117
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