HomeMy WebLinkAbout120 E 5th - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00060872 Date 6/11/18
Application pin number . . . 810504
Property Address . . . . . . 120 E 5TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6715-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . COMMUNITY SHOPPING DISTR (Location Code 0502)
Application valuation . . 0
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Application desC
Alter circuits for grill area
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Owner Contractor
VERNON D PETERS ANGELES ELECTRIC
PO BOX 2461 524 E. IST ST.
PORT ANGELES WA 983620315 PORT ANGELES WA 98362
(360) 452-9264
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee .00
Issue Date . . . . 6/11/18 valuation 0
Expiration Date 12/08/18
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 Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE -
ROUGH-IN
FINAL
CONQviENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
_ �
m �
'�. ..
06/08/2018 12:12 FAX 360 452 9265 Angeles Electric 100001/0001
E,LcOf M T -F MLY commE.RaA RECEIVED �
ELECTRICAL PERMIT APPLICATION jUtj r� 7
Public X-Varks and Utilities Depart-m.ent ELECTRO
321 E. 5th Street, Port Angeles,NVA 98362 INSPF Tt(1NS
360.417.4735 (www.cityofpa.u.s I electricalpemi ts'&ityafpa.us
Project Address: s Off I�
Project Description: I
❑ Multi-Family Residential Commercial/industrial/ uhlic Building Square footage: 14
OWNER INFORMATION
Name: Email:
Mailing Address: 120 ` Phone: �a0
ELECTRICAL CONTRACTOR INFORMATION
Name: ANGELES ELECTRIC, INC. License: ANGELE1460RS
Mailing Address: 524 E�l*.l, .STREET Expiration Date: 02/01/2019
Email: ksim son Qt. - «n Phone: 360-452-9264
PROJECT eTAILS
!�1 - UnitGharae � . '; `:Quantlt�'z unit Charge}
Service/Feeder 200 Amp. $)32 00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. 5225.00 $
Service/Feeder 601-1000 Amp. $28$700 $
Service/Feeder over 1000 Amp. $410.00
Branch Circuit W/Service Feeder
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.Service/Feeder 201-400 Amp. $'121.00 $
Temp.Service/Feed '01�698xAtrip' �K
Temp.Service/Feed -000 Amp. _
Portal to Portal Hourly
Sign/Outline Lighting •:-' = " '--g
Signal Circuit/Limited Energyd -
Signal Circuit/Limited Energy/
(Note:$5.00 for each
Renewable Elec.Energy:5KVA Syste $
Thermostat(Note:$5 for each additional) x-. $
r115 030111
$____ 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.
am matting 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.
Date Print Name Signature(❑ Owner leetrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]