HomeMy WebLinkAbout723 E 4TH ST - Building (2) ram. --J �
ELECTRICAL PERMIT a
K. CTTY OF PORT ANGELES �
30 17-4735
Application Number . . 19-00001885 Date 11/26/19
Application pin number 952670 REPORT STATE SALES TAX
Property Address . 723 E 4TH ST on our excise tax farm
ASSESSOR PARCEL NUMBER: 06-30-00-6-0-0075--0000 y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . (Location Code 0502)
Property Use . . . . . .
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
-----Application valuation . . ------------0--
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Application desc
Relocate heater
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Owner Contractor
Y M C A OWNER
302 S. FRANCIS
PORT ANGELES WA 98362
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Permit . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee" . 74.00 Plan Check Fee .00
Issue Date . . . . 11/26/19 Valuation . . . . 0
Expiration Date 5/24/20
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ SIF 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:
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MULTI-FAMILY / COMMERCIAL M
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ELECTRICAL PERMIT APPLICATION
Public
and Utilities
Its 360.417.4735 , wwwcityofpa.us ! electricalperroitsCa,.cityofpa.us
Project Address:
[] Multi-Family Residential El Commercial/Industrial/Pub|k: Building Square footage:
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone
PROJECT DETAILS
Item Unit Charne Quantity Total(Quantity x Unit Charge)
Service/Feeder 20Amp, $13100 $______
Service/Feeder 201-400 Amp. $160.00 *______
Service/Feeder 4O1'8OUAmp. $225.00 $_________
Service/Feeder 6V1-1OOUAmp. $280.00 ----__- $—_________
Service/Feeder over 1OOOAmp. $410.00 $__________
Branch Circuit mV 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 20OAmp. $102,00 $--________
Temp. Service/Feeder 2O1-4OOAmp. $121.00 u
Temp. Service/Feeder 4O1-GOOAmp. $164.00 *-_____---'
Temp. Service/Feeder 0O1'1DOOAmp. $185.00 *_______—_
Portal to Portal Hourly *98.00 $_______—'
Sign/Outline Lighting $8800 $_________
Signal Circuit/Limited Energy-Multi-Family $8&00 $_____---_
Signal Circuit/Limited Energy/First 15OVuJ'Commercial $96.00 $
(Ncte:$5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5xVA System o,less *113.00 $_________
Thermostat(NoVa: $5 for each additional) $56.00 $_________
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,,RCW.Chapter 19.28,WAC.Chapter 296-
46B,TheChycfPort Angeles Municipal Code,and Utility 8pecifimmionsand PAMC14.V5.O50 regarding Electrical Permit Applications.
Date Print Name Signatureo Ownerf� Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]