HomeMy WebLinkAbout216 N Laurel St A - Building Oct 10 13 12:12p Straits Electric 3604520741 p.1
R ECE,
CITY OF PORT ANGELES PERMIT APPLICATION OCT 10 201
Building Division/Electrical Inspections
321 East Fifth Street—P.O. Box 11501Port Angeles Washington,98362 C R�CAE `W
Ph: (360) 417-4735 Fax: (360) 417-4711
Date; I 1 3 _ Multi-Family or Commercial*
* Plan Review May B quire , Pies C plete eclncal Plan Review Information Sheet
job.Address: I
Building Square Footage:
Description of above - —
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Owner Irgjo.rmatio J Contract fotmati� ��C Lr, ,
Name:m o --(1 Name!7 a I
Mailing Address: Mailing Address:
Cily: Slate Zip: City: State Zip:
Phone: Fax: Phone: Fax:
License#1 Exp. License 01 Exp
Item Unit Charge t Qty Total(Qty Multiplied by Unit_Charge)
ServicelFeeder 200 Amp. $132.00 $
ServicelFeeder 201.400 Amp. $160.00 $
ServicelFeeder 401-60C Amp $225.00 $
Service/Feeder 601!1 OCO Amp. $288.00 $
Service/Feeder aver 1000 Amp. $410.00 $
Branch Circuit Wl Service Feeder $ 5100 $
Branch Circuit NO Service Feeder $ 74.00 $
Each Addilioral Branch Circuit $ 5.00 $
Branch Circuits 14 $ 86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.ServicelFeeder201-400 Amp. $121.00 $
Temp.ServkcelFecder.401-600 Amp. $164.00 $
Temp.Service/Feeder 601-',000 Amp . $185.00 $
Portal to Portal Hourly $ 96.00 $
Sign/Outline Lighting $ 88.00 $
Signal Circuit/Limited Energy—Multi-Family $ 54.00 $
Signal Circuit!Limited Energy 1 First 1500 st—Commercial $ 96,00 $
Note. $5 00for each additlonal 1500 sf
Renewable Electrical Energy-SKVA System or Less $113.00 $
Thermostat $ 56.00 $
WE$5,00 for each additional T-Stal pct
Owner as defined by RCIN.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. Parmil expires after six months of last inspection.
After reading the above statement, I hereby cerlify 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,VVAC, Chapter 296.4513,The City of Port
Angel P !pal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications.
Si atur of o er,electrical contractor or electrical administrator: ❑ cash D Check
f ❑ Credit Card#
X Oated; ��r o1101f2Q14
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . , . 13-00001177 Date 10/11/13
Application pin number . . . 324155
Property Address , . . , . . 216 N LAUREL ST A
ASSESSOR PARCEL NUMBER: 06-30-00-5-0-50D0-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax.form
Property Name . . . ; . to the City of Port Angeles
Pro ert Use
Property Zoning , . , , _, . . UNYNowN (Location Code 0502)
Application valuation . . , , 0
Application desc
exterior lighting
Owner Contractor
BLACK BALL TRANSPORT INC STRAITS ELECTRIC
10777 MAIN ST STE 106 PO BOX 2914
13ELLEVUE WA 980045968 PORT ANGELES WA 98362
(360) 452-9-04
Permit , . . , ELECTRICAL ALTER COMMERCIAL y
Additional desc .
Permit Fee 88,00 Plan Check Fee 00
Issue Date 10/11/13 Valuation 0
Expiration Date 4/09/14
Qty Unit Charge Per Extension
1.00 88,0000 ECH EL-CORM-SIGN 88.00 a�+
_-----------------------_ ------------ ------- -- -
Fee summary Charged Paid Credited Due
Permit Fee Total 88.00 88.00 ,00 .00
Plan Check Total .00 OD 00 .00
Grand Total 88.00 88.00 ,00 00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-INS l ¢
FINAL
COMMENTS:
PERMIT WILT,EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date.
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