HomeMy WebLinkAbout903 W 8th St BELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
COMIIUNITY SHOPPING DISTR
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
o\
s:
--- J)
Application Number
Application pin number
ProperEy Addr.ess
ASSESSOR PARCEL NWBER:
Application type description
Subdivision Name
Property Use
Properly zoning
Application valuaLion
18 00000169 DaEe 2/Oe/18
522944
903 W 8TH ST B
06-30-00 0-2 4c94 0000
ELECTR]CAL ONLY
Appllcatron desc
Appliance circuit under hood
Owner Contractor
RONAITD AND LESLfE D]IMMEL TTES
12A DIAI,IOND VIEW DR
PORT ANGEIES WA 983639437
\360 ) 452 a226
SIMPSON ELECTR]C
243036 W HWY 101
PORT ANGEIES
136a) 457 9270
wA 9835i
Permit
Addit.ional desc
PermiL Fee
Issue Date
ELECTRICA! AI,TER COMMERCIAL
1-4 CIRCUITS
86.00 Plan Check Fee
2 /08 / LB valuaL ion
8/07 / 1-8Expiration Date
Qtsy Uait Charge
00
0
BASE FEE
Extsension
86.00
Charged Paid Creditsed Due
Permit Fee TotsaI
Plan Check Totsal
Grand 1otsa1
85. 00
.00
85.00
85.00
- 00
86. 00
00
00
00
00
00
00
INSPECTION TYPE RESLTLTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS w
II
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Date;
DATE:
Signature ofowner or Electrical Contractor X
I
6
N
-__\)
CITY oF PORT ANGELES PERMIT A"PLICATION
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360\ 4174735 Fax: (360) 417-4711
x ttlulti-Family or Commercial*
- Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
903 W 8th SlJob Address:
G-
--I
Building Square Footage:
DescriDtion ol above
owner lnformation
Name: Srhai Thei
w 8th st
state: wA zipi 98363
phone.360-452-4505 Fax
License#/
Item
Seruice/Feeder 200 Amp.
SeruicdFeeder 201400 Amp.
Service/Feeder 401 -600 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 Circuils 1-4
Temp Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp Service/Feeder 401600 Amp.
Temp Service/Fe€der 6011000 Amp .
Portal to Po(al Hourly
Sign/0utline Lighting
Signal Circuiu Limited Energy - [.tulti-Family
Signal Circuiu Limited Energy / Filst 1500 sf - Commercial
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - sKVA System or Less
Themostat
Note;$5.00 for each additional T-Slat
Name SimDson-Eleckic l-LC-
llarling Addrels: PO RoY 1086
City: Port Angeles Shre. wA Zip 98362
Contractor lnf ormation
phone.s60a57-s270 Fax.s60457 9274
Llcense # / Exp
unit Charoe
$ 132.00
$ 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
$ M.00
$ 96.00
@ Total (Qtv MultiDlied by Unit Charqc)
s
c
$
s
$ 36 0o
$
x
s
$
$
$
$ 113.00
$ 56.00
$
$
$
$
$
35 o0 Total
oMer as defined by RCW.19.28.261: ('1) owner will occupy the structure for two years after this eleckical 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 eleckical 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 and PAMC 14.05.050 regarding Eleckical Permit Applications.
Signature o, owner, electrical contraclor or electrical administrator:
02t0612018
Date: ?/6/2n 18
$
^//l<<-y /-/4.Doa4tL ./--4)4*rqP4ztl Drted:
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