HomeMy WebLinkAbout321 E 5th St (2)Application Nunber
Application pin nudber
Pr:opertsy Address
]\SSESSOR PAX,CEL NUT''BER:
Application, t!.pe description
Su.bdivision Name
ProperEy Use
Propertsy Zolj.ng
Application valuation
ELECTRICAL PERMIT
CITY OF PORTANGELES
3604174735
PUBLIC BUII]DINGS & PARKS
0
19- 00000440 Datse 3 /25 /L9
o42240
321 E 5TH ST
05 -30 -oo- o- 1-7050- oo00-
ELECTRICAL O}]IIY
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
t-c
t
Application desc
Privacy room 2JzI *E=.
CITY OF PORT ANGEIJES
PO BOX 1150
PORT ANGELES WA 9836202!1
OWNER
Permit
Additional desc
Permit Fee
Issue Datse .
Expiration Date
ELECTRICAI, AIJTEE COMMERCIA.L
1-4 CIRCUITS
85.00 Plan Check Eee
3 /26/ 19 valuat ion 0
Otsy Unit Charge per
BASE FEE
Extension
86 .00
Eee summary Charged Paid Credited Due
Permit Fee Toial
PIan Check Total
86.00
.00
85.00
85. O0
.00
85. 00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN rlulrq '\P
-nlP
FINAL sl.ril fi-s
COMMENTS:.rr- 1
Signa ture of owner or Electrical Contractor X Date:
. o0
. o0
.00
.00
DATE:
-B>
ELcom M ULTI-FAM ILY / COMMERCIAL
C P P ICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | wwwcityofpa.us I electricalpermits@cityofta.us
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{_aProject Address <2t E. 5 r{* {nr e/cs eeL o4/7q<
E Nilulti-Family Residential Commercial / lndustrial / Public Building Square footage
Name Email
Mailing Address "at €. 5a Phone 3Ao <- oLlt I
Name:
lvlailing Address
License
Phone
Expiration Date
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Email
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Servic€/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Houdy
Sign / Outline Lighting
Signal CircuauLimited Energy - Multi-Family
Signal CircuiuLimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Ouantitv IglE! (Quantity x Unit Charge)lJnit Charqe
$132.00
$160.00
$225.00
$288.00
$410.00
$s.00
$74.00
$5.00
$86.00
$102.00
$121.00
s164.00
$185.00
$96.00
$88.00
$88.00
$96.00
-xa,oo
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
$ _ TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the struclure for two years afler this electrical permit is tlnalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires afrer 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 lic€nsed electrical contraclor. I
am making the electncal installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The Caty of PortAngeles Municipal Code, and utility Specifications and PAMC 14.05.050 regading Electrical Permit Applications.
3-2-5- tq 8"6 f<rfl a
Date Print Name Signature (Owner E Electrical Contractor / Administrato0
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
Project Oescription:
{
Clrv oF Ponr ANGELES PERMTT AppLrcATroN
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Box I150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax:(360) 4t747tt
_ ilulti-Family or Commercial*
- PIan Revi
Job Addressi
ew Mav Be Reouired.
='7-( 'E PlealgCgnplete Electrical Plan Review lnformation Sheet
e
Euilding Square Footage
above t
owner lnformation o
Name:
MailirE
City
llem
Service/Feeder 200 Amp.
Servicafeeder 201 400 Arnp.
SeNiceiFeeder 401 600 Amp
SeNiceiFeeder 601 I 000 Amp.
ServiceiFeeder over I 000 Amp.
Branch Circuit W Seryice Feeder
BBnch Circuit WO Seryice Feeder
Each Additional Branch Ciouit
Branch Circuits 14
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201 -400 Amp.
Temp. ServiceFeeder 401{00 Amp.
Temp. Service/Feeder 6011000 Amp .
Porlal to Portal Hourly
Sign/outline Ljghling
SignalCircuiu Limited Eneey - L,lulti-Family
SignalCircuiu Limiled Eneey / Firsl 1500 sf- Commercial
Nole: $5.00 for each additional 1500 sf
Renewable Electrical Energy ,sKVA System or Less
Thermostat
Note: $5.0010r each additional T-Stat
@ Total (Qty Muhiplied bv Unit Charoe)
s
$ " 5b*. LL,G.P+
Contrac{or lnformation
Name:
State:_Zip:
ax
Lrcense # / Lrp
City:Stater _ Zip: _
Phone:at
LiceGe # /E(p._
s
Unit Charue
$ 132.00
$'t60.00
$ 225.00
s 288.00
$ 410.00 s
5.00
7{ 00
500
86.00
102.00
121.00
164.00
185.00
$
$
$
$
$
$
$
$
$
$
$
$
s
$
s
96.00
88.00
64.00
96.00
T_--
$
$--zTfc'o
s
lNTL.{
6u*-*<
3fl.*tt-
$ 113.00
$ 56.00
s
$
$- Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for t'r/o years afrer this electdcal permit is finalized. (2) O,amer is required
to hire an elec[ical conf&tor ifabove said property is for sale, rent or lease. Permit expires after six mont]s of last inspection.
After reading the above statement, I hereby certify that I am the owner ofthe 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 port
Angeles Municipal Code, and Utility Specifcations and PAIIIC 14.05.050 regarding Elecfical Permit Applications.
si of slectical conlGctor or elec{rical administrator:
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