HomeMy WebLinkAbout1601 E FRONT ST - Building (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735``
Application Number . . . . . 18-00000206 Date 2/15/18
Application pin number . . . 253476
Property Address . . . . . . 1601 E FRONT ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -1 -0 -2725 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation 0
----------------------------7-----------------------------------------------
Application desc
Replace roof top heat pump
----------------------------------------------------------------------------
Owner Contractor
WYCOFF ASSOCIATES INC PENINSULA HEAT INC
1807 SW 356TH ST 782 KITCHEN -DICK RD
FEDERAL WAY WA 98023 SEQUIM WA 98382
(360) 417-2810 (360) 681-3333
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee .00
Issue Date . . . . 2/15/18 Valuation . . . . 0
Expiration Date . . 8/14/18
Qty Unit Charge Per Extension
1.00 56.0000 BCH. EL-LVT-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
DITCH
DATE: RESULTS:
SERVICE
ROUGH -IN Ak_5_1h9__. Ak-
MAL
COMMENTS: -
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
1
INSPECTOR:
Date:
ELECTRICAL INSPECTION
WIRING REPORT
RKS & 417-4735
DATE PERMIT 4 NSPECTOR
OW4NE
CONTRACTOR
I
ADDRESS
APPROVED NOT APPROVE
_
0 .................... DITCH .................... 0
0 ................ ROUGH IN/COVER ............. -0
0 .................... SERVICE ................... 13
0 ..................... FINAL .................... 0
CORRECTIONS NEEDED:
V 5;0 I -r- 14.
r,?
Z-7 6
, Js,4 k -i, k rq u4
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- DO NOT REMOVE —
?OR T
CITY OF PORT ANGELES PER -MIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711
Date: Mufti -Family ofComrrlerciar
Plan Review May Be Required, Please Complete Eleical Plan Review Information Sheet
Job Address: !1;ci & 151-.11 ;S& �;'f-
Building Square Footage:
Description of above
Owner Information
Contractor Information
Name: C
Name:
Maiiirl.gAddress: -e 7 vu = 57rT
Mailing Address:
City: �=t $ c. I State: iyy Zip: qFz,x
city.. C'. State: Lv'�* Zip: Vii; x
Phone. Fax:
Phone: Fax: 6 0
License # I Exp.
License # Exp. VL- Ilk; 4 �
Item
Unit Charge
Qty Total (Qty Multiplied by Unit Charae)
Service/Feeder 200 Amp.
$132.00
$
Service/Feeder 201400 Amp.
$ 160Z
$
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 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
S
Temp. Service/Feeder 201-400 Amp.
$ 121100
$
Temp. Service/Feeder401-600 Amp.
$164.00
$
Temp. Service/Feeder 601 -1000 Amp
$185.00
$
Portal to Portal Hourly
$ 96.00
$
Sign/Outline Lighting
$ 88.00
S
Signal Circuit/ Limited Energy - Multi -Family
$ 64-00
S
Signal Circuit/ Limited Energy / First 1500 sf - Commercial
S 96,00
S
Note: $5-00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
$
Thermostat
S 56.00
$ rz-
Note: $5.00 for each additional T-Stat
$ 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 296-46B, 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:
X
Dated:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000206 Date 2/15/18
Application pin number . . . 253476
Property- Address . . . . . 1601 E FRONT ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -1 -0 -2725 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Replace roof top heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WYCOFF ASSOCIATES INC PENINSULA HEAT INC
1807 SW 356TH ST 782 KITCHEN -DICK RD
FEDERAL WAY WA 98023 SEQUIM WA 98382
(360) 417-2810 (360) 681-3333
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee .00
Issue Date . . . . 2/15/18 valuation . . 0
Expiration Date . . 8/14/18
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-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
I INSPECTION TYPE DATE:
DITCH
SERVICE
IROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
RESULTS:
REPORT STA'- SALES TAX
on your ext tax form
to the City of Port Artgs
(Location Cods 0542)
INSPECTOR:
G
Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES =a -
360417-4735
Application Number . . . . . 17-00001382 Date 9/28/17
Application pin number . . . 785592
Property Address . . . . . . 1601 E FRONT ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-2725-0000-
Application type description ELECTRICAL ONLY 017 ,YOUP excise tax form
Subdivision Name . . . . . . t0 the City Of Port Angeles
Property Use
Property Zoning . . . . . . . COMMERCIAL ARTERIAL (Location Code 0502
Application valuation . . . . 0.
-----------------------------------------------------------------------------
Application deac
Replace soffit light
----------------------------------------------------------------------------
Owner Contractor
BIG PICTURE PROPERTIES LLC APS ELECTRIC
11626 7TH AVE SW 546 BENSON RD.
SEATTLE WA 98146 PORT ANGELES WA 98363
(206) 419-7616 (360) 452-6753
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional. desc . .
Permit Fee . . . . 74.00 Plan Check Fee .00
Issue Date . . . . 9/28/17 Valuation 0
Expiration Date . . 3/27/18
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ SIP 74.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ----------------------------------------
Permit Fee Total 74.00 74.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 74.00 74.00 .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:
J
1
I
cny OF PORT ANGELES PER11!I T APPLICAT[QN
ift*lkg DMdonakdrkd. Impecdogs
321 East IM Suet —P.O. Boz 1150 / .Port Angees Washington, 9lt362
Ph: (360) 417-4733 Fox: (360) 417-4711
�-7
. WAW --a"* comms
` b A Review Be , Piease Couple- Ebcir A Pian Review k� Stint
JobA i�o - jFmht 4Vr�-e.Q-�
oPsv ortorsbotre 1 A °PX j�G �` N SCS ,�` i V+to f`ec:;
owmb
l taeie "r, �. 11J C U �r i r C,1 {� r C'ct .cA� G`e r�if
.VAVAddmw, M+OV Ad*w,_ 0 W_2 ZS
t)oemeSlE�. iicet+se#lExp_ _..
" as4ct (rxr Oiulfi�ied by ura
SsrvicelFeedet 200 ArM $132.00 $
Sir ofeedw201.400As t, $1411.00 $
Ser affieeder401-sao Amp $225.00 ;
SerAcWFee*601-IOOD Aw 5288.00 s
9er&WFeederow 1OWAtrtp. $ 410.00 $
8rertcb W/See mFseder $ 5.00 $
BmWhcftdWlosmWFoe& S 74.00 5 Z4.�
Eedt AdOaeal tit Chat $ 5.00 s
amcb Graft 1d s 86.00 $
Tengt. WvvW Fseder 200 Ante. $10200 $
Tm* 8~0 * 2M -W Amp. $121.00 s
Taal Sendr Vm dmAM-800 Amp. $164.00 s
Temp. SsybeiF%& 604 -MW Astp . $186.00 $
Pone) tD P&W HM* S 96.00 _ $
Sip re LWft 88.00 $
sq* Clmw Luftd FmW -Muth-Fat* $ "W $
Sowi ChmN l3tt Wd EmW t Firs€1500 of — OmmmW $ 96.00 $
NOW: $5m Sa est 8Q4i6ow 1500 sf
Renem ttj E>edW Energy - 5KVA Syme or fess s i i3.00 $
Thmnoefat s 36-00 $
ice: $500 for.each OWoW Tit5�Tow
Owner as definW by RCW.19.MIBI: (1) Owner M achy the s6*rs for two years after ft decMCd perff-A is Wsafa K (2) Owner is required
to hire an etetka oorkaolot if sttatre s6d try is for sate, fent or Isere. Pant.expW after * mon is of #art fteobm.
Abr ging file above sbbme t, i ttereby omy 6* 1 arty the owner of the above rtarttad p gmly or a 800wd eiectricat cm*aclDr, i an reeking
fie aiecbicat iris on of aWar M in: ; XR, :. vo the eiecbicaf la a% MEC., RCW. O► -W' 19.x, WAC. Cftaptlar M - 4W The Cly of port
Artgem Mrd Cude, and spodfiwbm and PAMC 14.05.050 regx&V Sealrical Perms Apooskm
;11 trey of owt , etaciricai C, ..� or ❑ ca& 13 cbeai
Cads
11 Coo
Z0/Z0 30Vd -It76I611S3-l3 'S'd'ti 69LKSb096 WVVZ:60 LTOZ/LZ/60
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 17-00000317 Date 3/15/17
Application pin number . . . 426617
Property Address . . . . . . 1601 E FRONT ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -1 -0 -2725 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . , COMMERCIAL ARTERIAL
Application valuation 0
----------------------------------------------------------------------------
Application desc
RTU replacement T-Stat
----------------------------------------------------------------------------
owner Contractor
------------------------ ------------------------
BIG PICTURE PROPERTIES LLC PENINSULA HEAT INC
11626 7TH AVE SW 782 KITCHEN -DICK RD
SEATTLE WA 98146 SEQUIM WA 98382
(206) 419-7616 (360) 681-3333
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee .00
Issue Date . . . . 3/15/17 Valuation . . . . 0
Expiration Date . . 9/11/17
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-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 I DATE:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
RESULTS:
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
Signature of owner or Electrical Contractor X Date:
ELECTRICAL PERMIT r
CITY OF PORT ANGELES '
360-417-4735
Application Number . . . . . 17-00000317 Date 3/15/17
Application pin number . . . 426617
Property Address . . . . . . 1601 E FRONT ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -1 -0 -2725 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . , . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
---------------------------------------------------------- ------------------
Application desc
RTU replacement T-Stat
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BIG PICTURE PROPERTIES LLC PENINSULA HEAT INC
11626 7TH AVE SW 782 KITCHEN -DICK RD
SEATTLE WA 98146 SEQUIM WA 98382
(206) 419-7616 (360) 681-3333
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee .00
Issue Date . . . 3/15/17 Valuation . . . . 0
Exp#ation Date . . 9/11/17
• Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-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
DITCH
DATE: RESULTS:
SERVICE
ROUGH -IN
FINAL
l
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
Signature of owner or Electrical Contractor X Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building DivisiowSlectrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 ,
Ph: (3620)/417-4735 Fax: (360) 417-4711
Date: a 31 /0-3 /l
Muni -Family or Commercial* 4 X
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above VsQd 44a.�1dx 1� P �, k�-i I—e f
Owner formation , .
Name: fl t �,h b! c�, a11.M1,,� i 1
Contract g�� Information
Name: !"Ci2ttt fir (;_ it, . f
Mailing Address: ' iI b ? /tv z `,7 L;
City:f State: W7t Tip 9t! `�`.
MaTing Address 144 / I? '
Cityy Ctr �i l,�: Zip: �lJd
State-
�=
Phone:.2ct - �L/ j - g- Fax:
Phone:te l-` I I Z Y Fax: 31,r -t, - 4 5
License # I Exp.
License # ( Exp. Ar`7viit.'r k/
Item
Unit Charge
QW Total fQty Muldolied by Unit Charael
ServicelFeeder 200 Amp.
$132.00
$
Service/Feeder 201-400 Amp.
$160.00
$
Service/Feeder 401-600 Amp
$ 225.00
$
ServicelFeeder 601-1000 Amp.
$ 288.00
$
ServicetFeeder over 1000 Amp.
$ 410.00
$
Branch Circuit WI 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. ServiceJFeeder 201-400 Amp.
$121.00
$
Temp. Service/Feeder 401-600 Amp.
$164.00
$
Temp. Service/Feeder 601-1000 Amp.
$185.00
$
Portal to Portal Hourly
$ 96.00
$
Sign/4utiine Lighting
$ 68.00
$
Signal Circuit! Limited Energy — Multi -Family
$ 64.00
$
Signal Circuit( Limited Energy I First 15W sf — Commercial
$ 96.00
$
Note: $5.00 foreach additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
$
Thermostat
$ 56.00
$ c
Note: $5.00 for each additional T-Stat
•
$ �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 cpwner, el rical ntractor or electrical administrator: ❑ cash ❑ Check
0 Credit Card #
x % Bated: �%/ �/t .
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
ICOMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
ELECTRICAL PERMIT
'e
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
17-00000257 Date 3/07/17
Application pin number . . .
732779
Property Address . . . . . .
1601 E FRONT ST
REPORT STATE -SALES TAX
ASSESSOR PARCEL NUMBER:
06 -30 -00 -1 -0 -2725 -0000 -
tax form
Application type description
ELECTRICAL ONLY
on your excise
Subdivision Name . . . . . .
to the city of Port Angeles
Property Use
Property Zoning . . . . . . .
COMMERCIAL ARTERIAL
(LOcatlon Code 0502)
Application valuation . . . .
- 0
------------------------------- — -------------------------------------------
Application desc
RTU replacement
Owner
Contractor
BIG PICTURE PROPERTIES LLC
BLACK DIAMOND ELECTRICAL CONTR
11626 7TH AVE SW
502 BLACK DIAMOND RD
SEATTLE WA 98146
PORT ANGELES WA 98363
(206) 419-7616
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00
Plan Check Fee .00
Issue Date . . . . 3/07/17
Valuation . . . . 0
Expiration Date 9/03/17
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
FINAL
ICOMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
ELECTRICAL' PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number . . . . . 17-00000257 Date 3/07/17
Application pin number . . . 732779
Property Address . . . . . . 1601 E FRONT ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -1 -0 -2725 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
*- - ----------- - -wApplication desc
RTU replacement
----------------------------------------------------------------------------
Owner Contractor
BIG PICTURE PROPERTIES LLC BLACK DIAMOND ELECTRICAL CONTR
11626 7TH AVE SW 502 BLACK DIAMOND RD
SEATTLE WA 98146 PORT ANGELES WA 98363
(206) 419-7616 (360) 565-1035
-------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit: -Fee. . 86.00 Plan Check Fee .00
Issue Date 3/07/17 Valuation . . . . 0
Expiration Date 9/03/17
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 100 .00 .00 .00
Grand Total 86.00 86.00 ,00 .00
INSPECTION TYPE
DATE: j
. DITCH
SERVICE
ROUGH -IN
FINALI
I
1-
__ 'ERMPr WILL miItE SIX (6) o Vii$ FROM LAST iNspECTION
S* —ature of owam or Electrical Contractor X
_
RESULTS:
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
Date:
�000AT,,; � ELECTRICAL INSPECTION
WIRING REPORT
fnmxs 9,'F`' 417-4735
DATE: I PERMIT # � INSPECTOR
OWNER
CONTRACTOR
Bup.r" K
ADDRESS
/A o/ )F--
APPROVED NOT APPROVED
❑ ....................DITCH.................... ❑
❑................ ROUGH IN/COVER ..............
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
CORRECTIONS NEEDED: �i�%3►d vhLf �i�C�� rD, 1rz 4
2) k-.avw ta ITO
r -t* cs4,r4 Fz ecD�z, AND dirf < < -z 15 ►'F fes,
AI �z-c Z� • �
- L t v r -c ®rs r.�v_ANw5Prte,.V tG rop
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- DO NOT REMOVE --
°Rr""4F ELECTRICAL INSPECTION
U �`FN
y WIRING REPORT
417-4735
�RKS &
DATE: PERMIT # �-/ INSPECTOR
3 I I I`� ZS / I leiSX
OWNER
CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
❑ ....................DITCH.................... ❑
❑................ ROUGH IN/COVER ............... ❑
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
CORRECTIONS NEEDED: C, j%LW
6mo J N r iii crp u g t>
V Sj n j / or(
o�t'D�r� U�)�i lV>� L • 2
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fag: (360) 417-4711
Date:
_ Multi -Family or Commercial" XCommercial Addition / Alteration / Remodel / Repair*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:—
Building Square Footage:
Description of work
Owner Information
Contractor Info mati in
Name: U S 8 Ar
Name:
Mailing Address:
Mailing Address:
City: State: Zip:
City:
State: Zip:
Phone: Fax:
Phone:
Fax:
License # / Exp.
License # / Exp. 9,L .W9yr0 2—
Item
Item
Unit Charqe
Qt (
Total (Qtv Multiplied by Unit Charqe)
Service/Feeder 200 Amp.
$132.00
$
Service/Feeder 201-400 Amp.
$160.00
$
Service/Feeder 401-600 Amp
$ 225.00
$
Service/Feeder 601-100 Amp.
$ 288.0
$
Service/Feeder over 1000 Amp.
$ 410.00
$
Branch Circuits 1-4
$ 86.00
$
Branch Circuit W/ Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 74.00
$
Each Additional Branch Circuit
$ 5.00
$
Temp. Service/ Feeder 200 Amp.
$102.00
$
Temp. Service/Feeder 201-400 Amp.
$121.00
$
Temp. Service/Feeder 401-600 Amp.
$164.00
$
Temp. Service/Feeder 601-100 Amp.
$185.0
$
Portal to Portal Hourly
$ 96.00
$
Sign/Outline Lighting
$ 88.00
$
Signal Circuit/ 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
$
$ 1—�o� 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 296-466, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, ele is contractor or electrical administrator:
x Dated: ^ I
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❑ Cash K Check
❑ Credit Card #
0110112012
IVY