HomeMy WebLinkAbout106 E 1st StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 00000460 Dare 3/30/!8
362580
106 E 1ST ST
05-30 00 5 1 3135 0000
ELECTRICAL ONLY
CENTRAI, BUSINESS DISTRICT
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
Applicatiorl pin number
Property Address
ASSESSOR PARCEL NIIqBER:
ApplicaLion L],?e description
Subdivision Name
ProperEy UEe
Property zoning
Application valuation
Application desc
Iteat pump
JOHN/EVELYN WESTREM, TRUSTEES
WESTREI4 REV I,IVTNG TRUST
1006 E BAI,BOA 81,!.D
NEIIPORT BEACH CA 926 61
(360) 683 3 414
BLACK DIAMOND ELECTRICAI CONTR
502 BLACK DIAIVIOND RD
PORT ANGELES WA 983 63
(360) 565-1035
PermiE
Addit.ional
Permit Fee
Issue Datse
u:":
79.00
3o/18
25/aA
Plan Check Fee
Valuarion
ELECTRICAL ALTER COMMERCIAI
00
03/
e/Expiration Date
Qty uniE charge
1 .00
1 .00
74.0000
s.0000
Per
ECH EL COMM BRANCH CIR I,IO/ S/E
EL-ECH ADDNT BRANCH CIRCU]T
Extension
?4.00
s.00
Charged Paid Credited Due
Permit Fee TotaL
Plan Check Total
Gralld Tolal
79 .40
.00
19.40
79. 00
.00
79. 00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:ds
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
INSPECTOR:
M U LTI-FAIVI I LY / COM M E RCIAL
ELECTRICAL PERM IT APPLICATION
Pubilc lVcrks ard t-ltiiiiies Deparlment
321 ir. 5lir Slfiet. Pofi ,Angeies. \&A 98352
360.417.4735 I www.cityofpa.us electricalpermits@cityofpa.us -,.;
/na tr Frcsr
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Project Address
Project Description
E Multi-Family Residential D(Commerciat I tndustrial / Public Building Square footage
Name Email
Mailing Address Io Phone
Name
Mailing Address
Email:
@atrD 4)L 7cr@1 D
License: KCt*E{c-ta( o L-
EEx piration Date
Phone 60-fs-
Item
Service/Feeder 200 tunp.
Service/Feeder 201 400 Amp.
Service/Feeder 401€00 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over,l 000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuils 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Houdy
Sign / Outline Lighting
Signal Circuivlimited Energy - Multi-Family
Signal Circuit/Limited Energy/Fi6t 1500 sf - Commercial
(Note: $5.00 for each additional 15O0 s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each addiiional)
Ouantitv fgts! (Suantity x Unit Charge)tlnit Chame
$'r32.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$ 102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
--T-
I
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
a1 -TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the struclure for two years afier 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 of the 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 296-
468, The City of Port Angeles Municipal Code, and utility Specifications C 14.05.050 regarding Electrical Permit Applications.
28-tt
Date Print Name re Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to C
S
all or electricalpermits@cityofpa. us or faxed to 360.417.47111
ELcorl 1'o
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OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS