HomeMy WebLinkAbout321 E 5th St (3)ELECTRICAL PERMTT
CITY OF PORT ANGELES
360-4t7-4735
-o
-.t-.-l
DO
COM}4ERC IAI, ARTERI,AL
0
Application desc
Ligh! fixEure in DCED director office Ilr{.f'. scr(f cdAZZt-, :Dr<\.tta
'N4 %eAYlrr{_)_
Applicatio[ Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type descript j.on
Subdivision Name .
Property Use
Property Zoning
Application valuatsion
19-000001?8 DaEe 1-/29/1-9
172542
321 E STIi St
o6-30- o0- 0- 1- 7050 - 0000 -
ELECTRICAL ONLY
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Oirner ContracEor
CITY OF PORT ANGEIES
PO BOX r.150
PORT ANGELES
OWNER
9lA 98352021'7
Permit
AddiEional desc
Per$its Fee
Tssue DaEe
Expiration Date
ELECTRICAL ATTER COI4MBRCIAL
1-4 CIRCUITS
86.00 Plan Check Fee
l/29/19 va luaE i on
7 /28 /79
00
0
Oty Unit Charge Pe!
BASE FEE
Exteng ion
86.00
Fee summary charged Paid Credited Due
PermlE !'ee'loEa1
Plan Check ?oEa1
Grand Total
86.00
.00
86. 00
86. 00
.00
86.00
00
00
00
. oo
- 00
. o0
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVTCE
ROUGH-IN rlr.z)n &*
FINAL t ln) tq #.N
COMMENTS:
Sigmture ofowner or Electrical Conkactor X Date:
MULTI-FAMI LY / COMMERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. sth Street. Pon Angeles. W.A 98362
360.417.4735 www.cityolpa.us electricalpermits@cityofpa.us
,42t f 5ft 9,.-l- -Dcrg .{1-,;
i',f;{rl,i
1'o
3
-s
)
-.J
o^
Project Address
Pro.iect Description 5r^,'klr <,,-F ,/ S\L <.r4.f ,^ bCsu b'^.d--- "4
Name t-Email: aErl-LUt
Mailing Address 3zt f, 8'I phone: 3ba-,+lT-q+3)
O\^NER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name License
Mailing Address:
Email:
Expiration Date
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1600 Amp.
Service/Feeder 601-'1000 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 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601- 1000 Amp.
Portalto Portal Hourly
Sign / Outline Lighting
Signal ClrcuauLimited Energy - Multr-Family
Signal CircuivLimited Energy/First '1500 sf - Commerc,al
(Note: $5.00 foreach additional 1500 sf)
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121 .00
$164.00
$18s 00
$96.00
$88.00
$88.00
$96.00
Ouantitv fqEl(Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-G-{
$_
s AL@ ,oro,
Owner as defined by RCW19.28.261: (1) Owner will occupy the structure for two years after this eleclrical 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 installataon or alteration in complianc€ with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468. The City of Port Angeles lllunicipal Code, and Utility Speciflcations and PAMC 14.05.050 regarding Electncal Permit Applications.
$113 00
$56.00
1 *tt14 E" kLv"-
Date Print Name Signatu (n Owner Electrical Contractor / Adminrstrator)
lEtectrical Permit Applications may be submitted to City Hall or eperrnits@cityofpa. us or faxed to 360.417.47111
ELcot
\-r--
!Multi.FamilyResidential.commercial/lnduStrial/PublicBUildingSquarefootage:-
I
i
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
4174735
DITCH
ROUGH IN/COVER . .
SERVICE
tr
D
D
D F|NAL.......D
)
4 dEl*! ttLvlAl finrvr-Y- ti--E-,Y-
t\v-c- l\D, tZ *
Pt
NOTIFY INSPECTOR TVHEN CORRECTIONS
ARE COMPLETED \flITHIN 15 DAYS
_ OO NOT REMOVE-
?
DATE.INSPECION
ofC
CONTRACTOB
5ADDBESSZ
NOT APPR
coRnEcroNs NEEDeo: Darr.l !6t NL . Erp+r-fxrrsf ar Eco 6-
lVE}ia-t')cEfrort e*,,qt",F-d7 L5eL LlOF...Ll
*+a?*<-r- fit\r.rz<- ez- *i.sts <.--vrR _
u>\Gr4C t'1.t,<r,@r ryvr.Z- tl1,7*