HomeMy WebLinkAbout1217 E 1st Street - Building 4F TORT ANGELES
360-417-4735
Application Number 20-00001055 a+i+1'E�X�i kTE SALES TAX
Application pin number . . . 365260 On your excise tax fOrl71
Property Address . . 1217 E 1ST ST
ASSESSOR PARCEL. NUMBS,R: 06-30-00=7-5-0120-0000- to the City of Port Angeles
Application type description ELECTRICAL ONLY (Locat%oR Code�302)
Subdivision Name . . . . .
Property Use
Property Zoning . . COMMERCIAL ARTERIAL
Application valuation . p
-Application desc
DHP
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Owner Contractor
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PAYNE JERRY/KIMBERLYA BLACK DIAMOND ELECTRICAL CONTR
C/O 1217 E FIRST ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT AN{ELES WA 98363
(360) 565-1035
-- Permit . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee 74.00 Plan Check Fee .00 .
Issue Date . . 9/18/20 Valuation 01
Expiration Date 3/17/21"
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL-COMM-:BRANCH`CIR NO/ S./F 74.00
-----------•------ ------------ ----
Fee summary Charged Paid Credited Due
------ --------- ------- -- --
Permit Pee Total 74.00 74.00 .00 ' .00
Plan Check Total .00 00 .00 .00
Grand Total 74.00 74.00 .00 .00
I
INSPECTION TYPE ' DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN 11 17- '2 0
FINAL yh7=
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
1
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department
321 E. 5th Street, Port Angeles. WA 98362
360.417.4735 1 w,vw.cityofpa.us I electricalperinits@,cityofpa.us
Project Address: 1217 1 rst St
Project Description: Ductless
❑ Multi-Family Residential E7 Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: First St Chiro Email'
Mailing Address: Phone: 360-452-3017
ELECTRICAL CONTRACTOR INFORMATION
Name: BDE License: BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone: 360-461-3957
PROJECTJ AILS
1 91 Unit Charge Quantilu TQtal(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 $
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-so
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56.00 $
$ 74 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.
9-3-20 Benjamin Shamp
Date Print Name Signature(V Owner ElElectncal Contractor/Admirnstrator)
[Electrical Permit Applications may be submitted to City Hall or electrical permits@cityofpa.us or faxed to 360.417.4711]