HomeMy WebLinkAbout112 E 8th St AApplicalion Numlce r
ApplicaEion pin nunrber
ProPeity Address
ASSESSOR PARCEL NIIMBF]R:
ApplicaEion trce description
Subdivision Name
Propertsy Use
Property Zoning
Application valuatioa
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'735
COMMT]NITY S]IOPPINC DISTR
0
18-00001s97 Date 10/1"2/1A
9232r9
112 E ATII ST A
06-30-00 0-2 6 831- 0 000 -
E],ECTRICAL ONIY
REPORT STATE SALES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
T
)N
*DJ
Application desc
rire alarm
Contractor
PENINSUI]A COIIMUNITY MENTAI
I{EAITTH CENTER
118 E 8TH ST
PORT ANGELES WA 9A35251.29
(360) 457 0431
III TECH SECURITY
723 E FRONT ST
PORT ANGELES
135a) 452-2',72"1
lric
!,lA 9a352
Permit
Additionaf desc
Permits Pee
Issue Datse
Expiration Date
95.00
t0 / t2 /18
4/\o/ae
ELECTRICAI] ALTER COMMERCIA]T
Plan Check Fee
Valua!ion
00
0
Qty Unit Charge Per
1.00 96. 0000 ECII EL LTMTTED 1ST 1500 SQ ET
Extension
95.00
Charged Pa id Credi t ed Due
PermiE Fee Total
Pian Check ToEal
Grand Total
96. 00
.00
96.00
96.00
.00
95. 00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN z)*)D ta-38 -ta A@
FINAL t la )ts _,
Ad)
COMMENTS:
PERMIT WILL E)(PIRE Stx (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date
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ELcoM MULTI-FAM I LY / COMMERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. sth Street, Port Angeles, WA 98362
360.417.47 35 J www.cityofpa.us electricalpermits@cityofpa.us
RECEIYfD
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-.0JProject Address 112 E 8th St A
Project Oescription Rouqh in and install fire alarm in remodel.
E Multi-Family Residential 0 Commercial / lndustrial / Public Building Square footage
OWNER INFORMATION
Name: Peninsula Eehavioral Health Email:
Mailing Address 112E8thStA Phone: 360457-0431
Hi Tech Security, lnc li6gn5s H|TECTS955BS
PROJECT DETAILS
Item
Servicei Feeder 200 Amp.
Service/Feeder 20'l-400 Amp.
Service/Feeder 401S00 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit w/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601- 1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuivLimited Energy - Mulli-Family
Signal CircuivLimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional l50O s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Cluanlltv trggtl (Quanttty x Unit Charge)Unlt Ch.rqc
$132.00
$160.0o
$225.00
$288.00
$410.00
$5.00
s74.00
$5.00
$86.00
$102.00
$121.00
s t 64.00
$185.00
$96.00
$88.00
$88.00
896.00
$
$
$
$
$
$
$
$
$
$
$
$
$
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$
$
$
$
3
096
$113.00
$56-00
96.00 roral
Owner as defined by RCW 19.28.261. (1) Owner will occupy the struqture for two years after this electncal permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or leass. Permit expires after six months of last inspection.
After reading the above statement, I hereby certifi/ that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical insiallation or alteration in compliance with the electrical laws, N.E,C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code. and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
1011112018 Mike Shirle Mike Shirley Oigitally signed by [4ike Shirley
Oate: 2018.05.31 14:52:42 -O7 OO'
Date Print Name Signature (D Owner p Electical Contraclor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417 .471'll
v
ELECTRICAL CONTRACTOR INFORMATION
Name:
Mailing Address: 723 East Front St Expiration Date: 1/10/2019
Email. hitech@olypen.com phone: 360452-2727
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