HomeMy WebLinkAbout1014 0 ST - Building (2) ELECTRICAL PERMIT
CITY OF PORT ANGELES W
310-417-4735 S
`-.Application Number 18-00000344D ate 3/19/18
Application pin number . . . 736720
Property Address . . . . 1014 o ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-8-4-0130-0000
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . to the City of Port Angeles
Property Use .
Property Zoning . . . . RS9 RESDNTL SINGLE FAMILY (Location.Code 0502)
Application valuation . . . . 0
Application desc'
New home
- Owner - Contractor
------------------------ ------------------------
ACE MICHAEL INC BOB'S ELECTRIC INC
1329 W 10TH ST 2293 DEER PARK RD.
PORT ANGELESWA 98363 PORT ANGELES WA 98362
` (360) 460-6172 (360) 451-6887
----- --- ------------------------------------- --------
Permit . . ELECTRICAL NEW RESIDENTIAL
��tlppal desc '
160.00 Plan Check Fee .00 j
ilk 3/19/18 Valuation 0
UP, katic4n- L-{ 9/15/18
Qty Unit Charge Per Extension
1.00 120.0000.ECH BL-R-SQFT FIRST 1300 120.00
1.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 40.00-
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Fee summary Charged Paid Credited Due
Permit Fee Total 160.00 160.00 .00 .00
= Plan Check Total .00 .00 40 .00
- ' Grand Total 160.00 160.00 .00 .00
`r
INSPECTION TYPE DATE: RESULTS. INSPECTOR:
j
DITCH
SERVICEhe
ROUGH-IN
FINAL,
COMMENTS: -
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION f
Signature of owner or Electrical Contractor X Date:
r_ , �
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and L'tilitics j)cpartmcnt17
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32 l F, 51h Street. Port Angeles. NVA 98362
360.417,4735 tNww.cit3o,pa.us cicctricalpermitticr;cit�ofpa.us W
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Project Address:
Project Description: S f
Single-Family Residential Duplex/ARU Building Square footage:
NamJ ,.
Nam . ` GC ✓kiCt t� l/t EmaU
Mailing Address Phone: 7bD 6'-/;2
Name: �.. . QG ✓'r C . License: 0
'i2
MailingAdd ess Expiration Date:
Email: r ec ivG`° p y"t,, . CG'S Phone: 6 0— y.�'7— _OT' __
..,�,. tf ,�..,.:re;'"`.PT'anC,.rgy .. '. t'_'-•" j+ _ i�_t �z *..'
Nam Unit Cha rgg II{RDIft I"(Quantity x Unit Charge)
Servioe/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $_.
Branch Circuit W/Service Feeder $5.00 $__.
Branch Circuit WJO Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp.Servioe/Feeder 200 Amp. $9300 $
Temp.Service/Feeder 201-400 Amp. $110.00 $_.
Temp.Service/Feeder 401-6W Amp. $149.00 $_.
Temp.Service/Feeder 601-1000 Amp $168.00 $_
Portal to Portal Hourly $96.00 $_
Signal Circuit/Limited Energy-182 DU. $64.00 $_
Manufactured Horne Connection $120.00 $_
Renewable Elec.Energy:5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56.00 $_
First 1300 Square Feet $120.00 �_ $
Each Additional$00 square leaf' $40.00 _ $
Each Outbuilding/Detached Csanige $74.00 $
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $__
�=o
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.
P
After reading the above statement,I hereby certify that I am the owner of the above named property ora 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-
466he C" of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
7
C/;Je'� a2�*o�AA k-
Date Pri Name Signa re( OOFer 00� Electrical Gontractor!Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa us or faxed to 360.417.47111
Gly op -ANGELES
Application Number 52920oo1si2 Date 2/13/19, REPO/7T STATE SALES TAX
Applicatibtt pin neer 529200
Property Address 939 CAROLINZ'ST
ASSESSOR PARCEL NUIWM: - „ 06-30-00-1-0-:3325-0400- on your exdse tax form
Application type ELECTRICAL ONLY to the City,of Port'AngeW
Subdivision Name Location Code 0502
Property Use ( )
Property Zoning . . . . . . PUBLIC BUILD-IMS & PARKS
Application valuation . 0
----------------- -------------
Application desc
Plan review Central Sterile Process
Owner Contractor
-----------------------
PUBLIC HOSPITAL DISTRICT' #2 OWNER
939 CAROLINE ST
PORT ANGELES WA 98362
(360) 417-7170
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----------------
Permit
------ - ---- ----------------
Permit . ELECTRICAL PLAN MMIEW
Additional desc PLAN RXVVIEW FEE BALANCE
Permit Fee 625.97 Plan Check Fee Ofl
Issue Date 12/19/18 valuatb= 0
Expiration Date .
Oty: Unit Charge Per Extension
BASS FEE 125.97
500..00 1.0000 BCH EL-PLAN REVIEW 500.00
------------7—----------------------------7---- ------------- ----
Fee summary ' Charged Paid Credited Due
- -------- -----7----
Permit Fee Total 625.97 625.97 j .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 625.97 625.97 .00 .00
INSPECTION TYPE DATE` RESULTS: INSPECTOR:
DrrCH
SERVICE
ROU,011-IN
FINAL
CON14ENTS:
PERMrt WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or ElectricalContractor X Date:
1/24/19 Invoice No. 18-1912
To
Olympic Medical Center
Attn: Lee Swanson
939 Caroline Street
Port Angeles WA 98362
Electrical plan review final fee.
Central Sterile Processing
Quantity Description Unit Price Total
3.5 BHC consultant fee 90/94.50 315.00
1 BHC Postage 27.32 27.32
1 City shipping FedEx ground 18.75 18.75
1 Labor City of Port Angles 97.65 97.65
1 Penprint copies 85.60 85.60
15%Administrative fee 81.65
Sub Total 625.97
Cost estimate deposit 500.00
Balance Total 125.97
Due upon receipt
Thank you for your business!
City of Port AngelesoCPORr�ry `Fs
Tel 360 417 4735 tpeppard@cityofpa.us
Fax 360 417 4711 1�
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