HomeMy WebLinkAbout401 E 5th ST - Building (2) x A
CITY CF PC>PT ANGELES
360417-4735
Application Number 20-06000285 Date 3/03/20
Application pin number 914535 REPORT�' , i 'TAX
Property Address . . . . 401 E STH ST on yOUt eXcise tax fol`t)9
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7145-0000-
Application type description BLECTRICAL ONLY to the City of Port Angeles
Subdivision Name (Location Code 0502)
Property Use . . . .
Property Zoning . . RESIDENTIAL HIGH DENSITY
Application valuation 0
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Application desc
Elevator modernization
Owner Contractor
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HOUSING AUTHORITY OF CLALLAM 16D LLC ,
2603 S FRANCIS ST PO BOX 804
PORT ANGELES WA 993626710 VASHON WA 98070
(206) 354-0876
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Permit . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . 162.00 Plan Check',Fee .00
Issue Date . . . 3/03/20 Valuation` 0
Expiration Date .. 8/30/20
Qty Unit Charge Per. Extension
6.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 30.00
1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 162.00 162.00 00 .00
Plan: Check Total .00 .00 .00 .00
Grand Total 162.00 162.00 .00_ 00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
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DITCH
SERVICE
ROUGH-IN Z
FINAL 7 I
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
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Signature of owner or Electrical Contractor X Date: C
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MULTI-FAMILY / COMMERCIAL '
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ELECTRICAL PERMIT APPLICATION 3
ro Public Works and Utilities Department
5
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us I electricalperinitst<�cityofpa.us
Project Address: o f E 15" S
Project Description: e-IeLra+—,(—
❑ Multi-Family Residential Q"-Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
���t cL(s�,. ii;tLnr� Email: i�t 'cr'
Name: r--_rk aN , . r s t 1 aorj S<to ,. r-
Mailing Address: 2Gn `, h , „ .,s r _ L1 3A ?C 2 Phone:
INFORMATION
Name: i&A t (c- License:
Mailing Address: P. c . 'P,oq wr't- QJ yizo Expiration Date: 5-).5-2c)Z
Email: r� r�� 1, . r �-�l Irv, Phone:7777777
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PROJECT
lLem ttis S2!lit11 13t ?Shill((Quantity x Unit Charge)
Service/Feeder 200Amp. $132;00 $_i 3
Service/Feeder 201400 Amp. $160.00 $
Service/Feeder 401.800 Amp. '$225.00 $
Service/Feeder 601-1 ODD Amp. $28$.00 $
Service/Feeder over 1000Amp, $410.00 $
Branch Circuit W/Service Feeder $5.00 .? $ +
Branch Circuit W/O Service Feeder $7400 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $88 00 $
Temp.Service/Feeder 200Amp. $102.00 $
Temp.Service/Feeder 201=400 Amp. $121.00 $
Temp.Service/FeederA01-600 Amp. f164{ ?a $
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Temp.Service/Feeder W1-1 000 Amp. aq 106.0 „�. ` $
Portal to Portal Hourly t . ,.� $
Sign/Outline Lighting $N.00 $
Signal Circuit/l-imited Energy-fulu*Femily
Signal Circuitft united Energy/First #St)t`!if Gonirt �icial $t :00 � $ '
(Note:$5.00 for each addiftorta1150(?st)
Renewable Elec.Energy:5KVA System oelase $ 13.E $
Thermostat(Note: $5 for each additional) $56.00 ' $
$ '/v 1_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.
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Date Print Name Signature(❑ OwnerPU Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]