HomeMy WebLinkAbout321 E 5th StAppl.ication Number
Applicati.on pin number
PloperEy Address
ASSESSOR PARCEL NU}4BER:
Applicatioq type descript j.on
subdivi€ion Name .
Propertsy Use
PloPeIEY ZoniI1g
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COHMERCIAL ARTERIAL
0
18 -00001583 Date 10/30/18
437850
321 E sTH ST
06-3 0- 00 - 0 - 1- 7050 - 0000 -
ELECTRICAL ONIJY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application desc
2 20 arnp rcpl for IT weather statsion conduit.
Collts!actor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
OWNER
wA 983520217
PermiE
Additional
PermiE l'ee
Issue Date
gxtrrj.rat ion
E],ECTRICAI AITER COMMERCIAI
1_4 CIRCUITS
86.00 Plan Check Pee
ta/30/ 18 valuarion
4/2a/A9
desc
Date
BASE EEE
.00
0
Extension
85 .00
Qty Unit Charge Per
Fee summary charged Paid C!edlted Due
Plan Check ToLaI
Crand Total
86 .00
.00
85.00
86. 00
.00
86. O0
.00
.00
.00
.00
.00
.00
PERMTT WILL EXPIR.E SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN rchDl/R A?Y$P
FINAL blolB s d
COMMENTS:
Signature ofowner or Electrical Confactor X Date:
F{lrr
t\
o.--b
\NDate:D-
_ Multi-Family or Commercial*-/Commercial Additlon / Alteration / Remodel/ Repaif
Complete Electrical Plan Review lnformation Sheetst--" Plan Review
Job Address:
Ivlav Be3zt Reouired. PleaseF s-{!
Building Square
of
Owner Information
Namei
[4aihng Address:
City;
CJ
,rg,<u-t)
Name:_
Mailing Address:State: Zo'City:State: Zo'.Phone: Fax:
License # /License # / Exp
Item
ServicdFeeder 200 Amp.
Service/Feeder 201 400 Amp.
Servic€/Feeder 401 -600 Amp
Service/Feeder 601J 000 Amp.
Service/Feeder over 1 000 Amp.
Branch Circuits 14
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Temp. Servicel Feeder200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 601,1000 Amp .
Portal to Portal Hou,iy
Sign/Outline Lighting
Signal Circuiv Limited Energy / First 1500 sf- Commerciat
Noter $5.00 for each additional 1500 sf
Renewable Electrical Energy - sKVA System or Less
Thermostat
Unit Charqe
$ 132.00
$ 160.00
$ 225.00
$ 288.00
$ 410.00
$ 86.00
$ 5.oo
$ 74.00
$ 5.00
$ 102.00
$ 121.00
$ 164 00
$ 185.00
$ 96.00
$ 88.00
$ 96.00
Total Multiolied bv Unit Charqe)
$
$
$_ag_:g
s
$_
$
$
$
$
$ 113.00
$ 56.00 s
$-6!Erotar
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 confactor 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 fie 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 296-468, The City of poi
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Elecftcal Permit Applications.
Signature of owner, electrical contractor or electrical administrator: E cash tr check
E cIedit Card #
x R-ea'o 5
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Crrv op Ponr ANcsr,ns PnRMrr Arpr;carrox
Building Division/Electrical Inspections
321 East Fifth Street - Port Atrgeles I ashington, 98362
Ph: Q60) 4174735Faxz (360) 4l147ll
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Contractor Information
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