HomeMy WebLinkAbout600 E Park Ave HsblgELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4135
17 - 000 016 s9 Date 1-L/A9/1'7
569404
600 E PAR( AVE HSBLG
0 6 - 3 0 - 1 s - 1 - 2 - 0 0 0 0 0000
EI]ECTRICAL ONLY
PUBLIC BUIIJDINGS & PARKS
0
REPORT STATE SALES TAX
on your excise tax form
to the City of PorI Angeles
(Location Code 0502)
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ApplicaEion Nu$lcer
Appllcatsion pin number
Property Address
ASSESSOR PARCEL NUMBER I
Application type description
subdivision Naae
Pr:operty Use
Pr:operty Zonilg
Applicatsion valuation
ApplicaLion desc
Remodel apartments
UNITED STATES OF AMERICA
& NISOUALLY NATL WII]D REF
OLYMPIA WA 98506
OWNER
PermiE
Additio4al desc
Permits Eee
fssue Datse
Expiration Date
1192.00
aa/09/a'7
s/08/la
Plan Check Fee
Valuation
ELECTRICAL ALTER COMMERCIAIT
00
0
Qty Unit Charge Per
48.00 5.0000 ECH
6.00 132.0000 ECH
1 . 00 150 .0000 ECH
EL BRANCH CIRCUIT W/FEEDER
EL COM O 2OO SRV FEEDER
EL COM 201 4OO SRV EEEDER
Extension
244 . OA
'/92 . OA
160.00
Fee summary Charged Paid Credited Due
Permit Pee Total
Plan check Total
Grand Total
1t92 . O0
.00
1192.00
aa92
1L92
00
00
00
00
00
00
00
00
00
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PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROI'GH-IN 21rc)w +{B7
FINAL
COMMENTS:
Signature ofo\&Der or Electrical Contractor X Date;
."f$Se-"/'EY
%Vos
ELECTRICAL INSPECTION
WIRING REPORT
4174735
NOT APPROVED
DITCH
ROUGH IN/COVER . ,
APPBOVED
D
D
tr
D
tr
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NONFY INSPECTOR WHEITI CoRBECTIoNS
ARE COUPLETED wlTHIN 15 DAYS
-OO NOT REMOVE-
DATE:
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INSP
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CONTBACIOF
ADDRESS
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... SERVICE
.. . . FINAL
coRREcnoNS NEEoeo: I-{\C}.t f?PY j{zcgl\-a.1< _
toRT
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-47$
NOT APPBOVED
DITCH
yAZ{srr.p***-. RoucH rN./covER
CORRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIOMi
ARE COMPLETED W]THIN 15 DAYS
_ OO NOT REMOVE -
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tr
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DATE:n INSPECTOR
CONTRACTOB
AOOBESS
rAtY l-r Z-. e.asutl
ELECTRICAL INSPECTION
WIRING REPORT
4174735
n-lL INSPECTORED
owNkBl2S-
CONIRACTOB
ADDBESS
HrbLU
DITCH
ft -PW na,-wrJGH r N/covER
CORHECTIONS NEEDED:
u
tr
tr
D
L
OK €c,/"E E---
NONFY INSPECTOR WHEN CORRECNONS
ARE COUPLETED wlTHIN 15 DAYS
-DO NOT REMOVE-
NOT APPROVED
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Crrv or Ponr A,,r.vcnr,ns Pnnrlfir ApPLICATION
Building Division/Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 4174735Fax: (360) 417-47L1
Date: lt-4-t"ly' lVulti-Family or Commercial* / Commercial Addition / Alteration / Remodel / Repair-
* Plan Review Be Reo
PAT-K '
uired, Please Co mplete Electrical PIan Review lnformation SheetA.!e. 7e'(\TA.
QF
A OA uNr
Job Address
Building Square F
Description of work .lr.r
Owner Information
Name:l,AnAUcLPA^r<
Mail
City:State:LlLZp:v
License #/ Exp ,.h'4aOLo
Item
Service/Feeder 200 Amp.
Servicetreeder 20'1 400 Amp.
Service/Feeder 401 S00 Amp
Service/Feeder 601 -1 000 Amp.
ServicdFeeder over '1000 Amp.
Branch Circuits 14
Branch Circuit W Service Feeder
Branch Circuil W0 Service Eeeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401{00 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Po(ai Hourly
Sign/Outline Lighling
Signal Circuiu Limited Energy / First '1500 sf - Commerciat
Note: $5.00foreach additional 1500 sf
Renewable Electrical Energy - sKVA System or Less
Thermostat
Angeles l\4
Signature
unr
Cily:State: _ Zip
ex:
Total (Qtu MultiDl bv Linit Charoe)
$s ib o clL
$_.
$_
License #/ Exp
Unit Charqe
$ 132.00
$ 160 00
$ 225.00
$ 288.00
$ 410.00
$ 86.00
$ s.00
$ 74.00
$ 5.00
$ 102.00
$ 121.00
$ 164.00
$ 185.00
$ 96.00
$ 88.00
$ 96.00
S
$
$
$
$
$
$
E tl92Lrct"t
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 inspectjon.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed e{ectrical contractor. I anr 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 Po(
$ 113.00
$ 56.00
tility Specifications and PA[4C 14.05.050 regarding E lectrical Permit
I contraclor or electrical administrator:
Applicatrons
Checktr cash E
D Credit Card *
Ir-q-n
l1r Itil
0110112012
a
Contraclor Information
nlo-o
-
I\,,lailing Address:
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