HomeMy WebLinkAbout102 E 5th St (2)Application Nudber . .
Application pin number
Property Address
ASSESSOR PARCEI, NUT'IBER '
Application tx)e de6cripEj.on
subdivision Name . ,
Property Use
Property Zoning
Application valuaEioa .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
17-00000186 Date 2/22/17
515 75I
102 E 5TH ST
06 30 - 00 - 0,1- 6730 - 00 00 -
EI,ECTRICAI] ON1JY
COI4MUNITY SHOPPING DISTR
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
Location Code 0502)
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CDr
Application desc
LighLing retrofit
ConEracEor
CfTY OF PORT ANGELES
PO BOX 115 0
PORT ANGELES
OWNER
wa 983620217
Permit
Additional desc
PermiL Fee
Issue Dat.e
Expiration Date
ELECTR]CAIJ AITTER COIiIMERCIAI!
1.4 CIRCUITS
135.00 Plan Check Fee
2/22/t'1 ValuaLion
8/ 2! /11
00
0
QEy Unit Charge Per
10.00 5.0000 EcH
BASE FEE
EI,-ECH ADDNT BRANCH CIRCUIT
Extension
86.00
50.00
Fee summary charged Paid Credited Due
Permit Fee Total
PlaD Check Tolal
Grand To!al
136
135
o0
00
00
00
00
00
00
00
00
o0
o0
00
136
136
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI
COMMENTS
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Conkactor X Date;
f(lRt 1
CIrv or Ponr Axcnlns Prrurrr AppLrcATroN
Building Division /Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (3fi) 417-4735 Fax: (360) 417-4711
RECE,YED
FEB )I 2017
Dair.'. Z- Zl - 17 tUCIi,Cr
Commercial Addition / Albration / Remodel /@61r_ Multi-Family or Commercial'
B**p,"d,.E+l/se
C;g)lete Electrical Plan Review lnformation Sheet- Plan Review
Job Address'
Description of work
Owner lnformation
Naflre: a/f\ o
Contractorlnformationt: P,t Name
f,.lailing Add ress, 7 [/ailing Address
Cily:State: Zip.City Stale: _ Zip:
Phone _Fax
LicerEe # / Erp._
Phone:
License # / Exp
Item Unit Charqe
Service/Feeder 200 Amp $ 132.00
Service/Feeder 201400 Amp. $ 160.00
Service/Feeder 401600 Amp $ 225.00
Service/Feeder 6011000 Amp. $ 288.00
Service/Feeder over 1000 Amp. $ 410.00
Branch Circuits 14 S 86.00
Branch Circuit W Service Feeder $ 5.00
Branch Circuit W0 Service Feeder $ 74.00
Each Additional Branch Circuil $ 5.00
Temp. Service/ Feeder 200 Amp. $ 102.00
Temp. Service/Feeder 201400 Amp. $ 121.00
Temp. Service/Feeder 401$00 Amp. $ 164.00
Temp. ServicelFeeder 60'1-1000 Amp . $185.00
Portalto Portal Hourly $ 96.00
Sign/Outline Lighting $ 88.00
Signal Circuiu Limited Energy / First 1500 sf- Commercial $ 96.00
Notei $5.00 for each additional 1500 sf
Renewable Eleclical Energy - 5KVA System or Less $ 113.00Thermostat $ 56.00
au
I
d
5$_
gae
f 6.00
Total (Qtv Multiol ied by Unit Charqe)
3 ( .oo Totat
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 cer ry hat 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 la,rrs, 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 Elecmcal Permit Applications.
Signatu re owner, electrical contractor or electrical administrator E CEsh E check
E Credltc.rd #
x 01n1n012Datedz-et - I 1
aJot /ds{8- /
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Building Square Footage