HomeMy WebLinkAbout321 e. 5TH ST - Building 'PERMEF
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ApPliC&ti0if*48d, . . . . . 18-00001683 Date 10/30/18
ftbUtiqu pin number . . . 437850
REPORT STATE SALES TAX
Irty'�AO#Dix 321 E 5TH ST
�'Agik -11, , on your excise tax form
WOR PARCRL NUMBER: 06-30-00-0-1-7050-0000-
Application'type description ELECTRICAL ONLY to the City of Port Angeles
Subdivisio� Name . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . .. COMMERCIAL ARTERIAL
Application valuation . . . . 0
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Application desc
2 20 amp rcpt for IT , Weather station conduit
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Owner Contractor
------------------ -------- ---------------
CITY OF PORT ANGELES OWNER
PO BOX'.-1150
PORT ANGELES WA 993620217
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Permit . . . . .. . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee 86.00 Plan Check Fee .00
Issue Date . . . . 10/30/18 Valuation . . . . 0
Expiration Date 4/U/19
Qty Unit Charge Per Extension
BASE FEE 86.00
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. Fee summary Charged Paid Credited Due
------------ ---- ---------- ---------- ---------- ----------
Permit Fee Total 86.00 86.00 .00 .00
Plan Cheek Total .00 .00 .00 .00
Grand .Total 86.00 86.00 .00 .00
INSPECTION TYPE DATE: RESULTS: - INSPECTOR:
DITCH
SERVICE
ROUGH-IN, hw
FINAL
COWENTS:
PERMrr WILL EXPUtE SIX(6)MONTHS FROM LAST INSPECTI(W
Signature of owner or Electrical Contractor X_ Date:
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RICENED
CITY OF PORT ANGELES PEP,,NuT APPLICATION
BuRding Division/Electrical Inspections oil,
321 East Fifth Street—Port Angeles Washington,98362
ELM"
-,i-"70
Ph: (360)4174735 Fax: (360)4174711
Date: 10— 2,*1—
" /014
Multi-Family or Commercial* Commercial Addition Alteration Remodel/Repair*
Plan Review May Be Required, �Ieffie Complete Electrical Plan Review Information Sheet
Job Address: %SZ_( IF— 5 mn s a—
Building Square Foo e: _� ?__— U�g jo
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Dgription of WZ� C---.itzc.1
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Owner Information Contractor Information
Name: Name:
Mailing Address: Mailing Address:
City: State: Zip: City: State:—Zip:
Phone: Fax: Phone Jax:
License#/Exp. License# Exp.
Item Unit Charge ON Total(Qtv Multiplied by Unit Change)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00
Branch Circuits 1-4 $ 86.00 $ X
Branch Circuit W/Service Feeder $ 5.GO $
Branch Circuit W/O Service Feeder $ 74.00 $_
Each Additional Branch Circuit $ 5.00 $
Temp.Servicel Feeder 200 Amp. $102.00 $
Temp.Servic6l�eeder 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/Outline Ughting $ 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 $
$ 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.,RCK 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,electrical contractor or electrical administrator: 0 Cash 0 Check
El Credit Card#
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