HomeMy WebLinkAbout142 Eclipse West DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
l.8-00000??9 DaEe 5/23/18
484390
142 ECLIPSE WEST DR
05-30 07-4-4-012S-0000-
EI,ECTRICAI, ONLY
INDUSTRIAL LIGHT
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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\Applicat ion Nuftber
Application pin number
Property Address
ASSESSOR PAICEI, NI-'MBER:
Application tlTe descrip!ion
Subdivision Name .
Proper!y Use
Property zoning
Appfica!ion valuation
Applica!ion desc
Lighting retsrofit
ConE!actor
LA(ESIDE INDUSTRlES
PO BOX '015ISSAQUAH
OWNER
ltA 980277015
PermiL
Additional desc
Permi! Fee
I ssue Da!e
Expiration Date
88.00
s /23 /18
1L /:19 /L8
ELECTR]CAL AI,TER COMMERClAL
PIan Check Fee
Valuation
l0
0
Qty Unit Charge Per
1.00 88.0000 EcH EL COMM- SIGN
Exteasion
88. 00
Fee suflmary Charged Paid Credited Due
Plan Check Total
crand Toral,
88 .00
.00
88.00
88.00
.00
88.00
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00
00
.00
.00
.00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUCH.IN th ln w @-
FINAL q1a:\iR #w
COMMENTS:I
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signahrre ofowner or Electrical Contractor X Date
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CIrv op PoRT ANGELES PERMTT Appr,rcarrox
Building Division/Electrical Inspections
321 East Fifth Sreet - P.O. Box 1150 / Port Angetes Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
oate:S-lg-/(X Multi-Family or Commercial*
- Plan Re
Job Address
view l\4av Be Reoui/41'Ecii Please Compe w<)r lete Electrica
OA
Plan Review lnformation SheetPcir E/19.A ) .<-'t jb31r
Building Square Footage:
Descripion ol above al C,tn
owner lnformation
Name
zip:
Item Unit Charqe
Service/Feeder 200 Amp. $ 132.00
Service/Feeder 201-400 Anp. $ 160.00
Sorvice/Fe€der 401-600 Amp $ 225.00
Servic€Feeder 601-1000 Amp. $ 288.00
Service/Fe€der over 1000 Amp. $ 410.00
Branch Cirqrit W Service Feeder $ 5.00
Branch Cto./it WO Service Feeder $ 74.00
Each Additional Branch Circuit $ 5.00
Branch Cirq./its 1-4 $ 86.00
Temp. Service/ Feeder 200 Amp. $ 102.00
Temp. Servic€/Feeder 201400 Amp. $ 121.00
Temp. Servic€i Feeder 401 -600 Amp. $ 1 64.00
Temp. Service/Feeder 601-1000 Amp . $ 185.00
Portalto Porlal Hourly $ 96.00
Sigrrou{ine Lighting $ 88.00
SignalCircuiu Limited Energy - Mutti-Family $ 64.00
SignalCirglriu Limited Eneqy/ Firct 1500 sf-Commercial $ 96.00
Noter $5.00 for each additional 1500sf
Renewable Electrical Energy - sKVA Systern or Less $ 113.00Thermostat $ 56.00
Nole: $5.00 for each additional T-Stat
5+Ff HnqaY
Contractor lntonnation
Namei
S*n<-
[.,lailing Address
Clty Statel ztp:
Phone
Lrcense # / Exp._
n)z-
ax
qu Total (cltv Multiplied bv unit charqe)
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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 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 296468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical nlractor or electrical administrator:tr cash A ch€ck
0 Credit Card *?lr /(
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License # / Exp._