HomeMy WebLinkAbout307 S Race StApplication Nunlcer
ApplicaEion pin number
ProperEy Address
ASSESSOR PARCEL NUIVIBER:
Application t,?e descripclon
Subdivision Name
Property Use
Property zoning
Application valuation
19- O0 000954 Date 5/25/a9
340816
307 S RACE ST
06 - 30 - 00 -? - 3 - 02 70- 0000 -
ELECTRICAI, ONI,Y
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4'735
OWNER
REPORT STATE SALES TAX
on your excise tax form
to the City of Pod Angeles
(Location Code 0502)
\"-o\ft
N!
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES IIA 983620247
Permits
AddlEional desc
Pemit Fee
Issue Date
Expiration Date
Qty Unit Charge
ELECTRICAL ALTER COMMERC I]\IJ
ADD 2 GFCI'S
86.00 Plan Chech Fee
6/25/19 ValLraLion
L2/22/1-9
00
0
BASE FEE
Extension
86. 00
Charged Paid Credited Due
Perm.rt !'ee'1oEa1
Plan Check Toral
Grand Total
86. 00
.00
86 .00
85.00
.00
86.00
.00
.00
.00
- 00
.00
.00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM I-AST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN tlztls +F -(AF
FiNAI-i lzalfi BP
COMMENTS:
Signature of ovner or Eleotrical Contractor X Date:
PUBLIC BUIIDINGS & PA.RXS
0
TUULTI-FAMILY / COMMERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.4 17.4735 www.cityofpa.us I electricalpermits@cityof!a.us
Soa A)- G4<R s'r.
HEClii'eD
JUN:O OE 5\*N
\
Project Description: FdJ 2 6fCg Circq,+<
E MultiFamily Residential ff Commercial / lndustrial / Public Building Square footage
Name: C Email
lvlailing Address 3r-r e 5-Phone ?LC </7-oltl
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name License
lvlailing Address
Email:
Expiration Date
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1400 Amp.
Servic€/Feeder 401€00 Amp.
Service/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 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1100 Amp.
Temp. Servicei Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuiulimited Energy - Multi-Family
Signal Circuiulimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
IElectrical Permit AF
Ouantitv fgta! (Quantity x Unit Charge)Unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$s.00
$74.00
$s.00
$86.00
$102.00
$121.00
$164.00
s185.00
$96.00
$88.00
s88.00
$96 00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$s6.00
TOTAL
Owner as deflned by RCW 19.28.261 r (1) Owner will occupy the structure ior two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspeclion.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electncal installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
D D Electrical Contractor / Administratoo
r4,
Print Name Signature (E
faxed to 360.417.47'1'11
ELcor
Project Address:
--x-
L lz" I 17 fioh Po-rr$ 6,, €-*,,