HomeMy WebLinkAbout124 E Front StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4r'1-4735
CENTRAL BUSINESS DISTRICT
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
\
s*e
Application Number
Application pin number
Properly Address
ASSESSOR PARCEIJ NI'MBER:
Application t),pe desclip! ion
Subdivision Name .
Property Use
ProperLy Zonittg
Appfication valuation
19- oooo1484 Dare 9/24/L9
605760
124 E FRONT ST
06 - 30 - 00 - 5 - 1- 1607- 0000-
EI,ECTRICAI ON],Y
Application desc
Lighting update
EDWARD BoYD/MoNICA sfEIc}IEN
8OO OLYMPIC DR
FORKS WA 98331
BI,ACK DIAMOND ELBCTRICAL CONTR
502 BI.ACK DIA!'IOND lID
PORT ANGELES WA 98353
(360) 55s-1035
Permit
Additional desc
Permit Fee
Issue Date
ExpiraEion Date
ELECTRICAI AL?ER COMMERCIA]-
1-4 CfRCUITS
86.00 Plan Check Fee
9/24/19 Valuation
3 /22 /20
00
0
Oty Unlt Charge Per
BASE FEE
Extension
86. O0
Fee summary charged Paid Credited Due
PermiE Eee TotaI
Plan Check TotaI
Grand Total
85.00
.00
86, 00
86.00
.00
86.00
.00
,00
.00
. o0
-00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN tt 14 )n 4P EP
FINAL lv AP
COMMENTS:
III
Signature ofowner or Electrioal Contractor X Date
n )a'/h
IVULTI-FAIVI ILY / COMMERCIAL
ELECTRICAL PER MIT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 I wu"wcityofpa.us i electricalpermits@cityofpa.us
12 tl € Fp.>*tT
PFCOrs,_,
sEP 21 20t;
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POect Address
Project Description A+N LIC-$( .r-th
D lvlulti-Family Residential Commercial / lndustrial / Public Building Square footage
Name ]o Email
Mailing Address:Phone:
ELECTRICAL CONTRACTOR I NFORMATION
Name:
Mailing Address
Email:
License
Expiration Date
Phone ,7
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Servic€ Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'1600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Houriy
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal CircuiULimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Ouantitv IOEI(Quantity x Unit Charge)Unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$s.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00 I 6/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
am making the electrical installation or alteration in compliance with the laws, N.E C., RCW Chapter 19.28, WAC. Chapter296-
468 The City of PortAngeles Municipal Code, and Utility S PAMC 14.05.050 regarding Electrical Permit Applications.
Q'Xo-l tr)
Date Print Name
property or a licensed electrical contractor. I
Owner ! Electrical Contractor / Administrator)S
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
ELcoM
o Wl\,IER INFORMATION