HomeMy WebLinkAbout2618 S FRANCIS ST - Building (2) k
a AL PERMIT
CITY 0#*MT ANGELES
3"7-4135 fl
Application Number . . . . . 21-00000584 Date 5/18/21
Application pin number 278584
Property Address . . . . . 2618 S FRANCIS ST
ASSESSOR PARCEL NUMBER: 06-30-10-4-3-0360-0000
Application type description` ELECTRICAL ONLY
Subdivision Name . . .
Property Use . . . . . . .
Property Zoning . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . 0
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Application desc
Lights and outlets
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Owner Contractor
PENINSULA HOUSING AUTHORITY OLYMPIC ELECTRIC CO INC
2603 S:FRANCIS ST 4230 TUMNATER
PORT ANGELES WA 983626710 PORT ANGELES WA 98363
(360) 457-5303
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Permit . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . 8600 Plan Check Fee .00
Issue Date . . 5/18/21 Valuation 0
Expiration Date . . 11/14/21
4ty 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
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 05021
INSPECTION TYPE DATE: RESULTS: INSPECTOR:'
DITCH
SERVICE
ROUGH-IN
FINAL ,;
COMMENTS:
PERMrr WILL EXPME SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIBUILDING
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MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, 1A,"A 98362
360.417.4735 1 w«,1A;.cityofpa.us I electricalpermitsL,cityofpa.us
Project Address: 2618 So Francis Street
Project Description: Trace out existing branch Circuits and add (2) outlets and (3) lights. clean
❑ Multi-Family Residential 0 Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Peninsula Housing Authority Email:
Mailing Address: 2603 So Francis Street Phone: 360 452-7631
Name: Olympic Electric License: QLYMPEC285D1
Mailing Address: 4230 Tumwater Trk Rout Expiration Date: 3/31/2023
Email: walth olymniceiectric.net Phone: 3604575303
PROJECTDETAILS
lt,im Unit charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 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 Circuit W/Service Feeder $5,00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 1 $ 8b.UU
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 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88`00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56,00 $
$ 86.U0 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.
05/14/202 Walt Hafer
Date Print Name Signature([] Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]