HomeMy WebLinkAbout100 S Oak St - BuildingCITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 7-30-13
Multi- Family or Commercial*
* Plan Review May Be Re u11' d, Please Complete Electrical Plan Review Information Sheet
Job Address: 1 �tJ b K L�
Building Square Footage:
Description of above CAAAAA.- ITS
Owner I ormation Q Contractor information
Name: r Name:
Mailing Address Mailing Address:
City: State: Zip: City: State: Zip:
Phone: Fax: Phone, Fax:
License # ! Exp. License # 1 Exp,
Item Unit Charge Qty Total [Qty Multiplied by Unit Charge]
Service/Feeder 200 Amp, $132.00
$
Service/Feeder 201 -400 Amp. $160,00
$
Service/Feeder 401 -600 Amp $ 225.00
$
Service/Feeder 60 1 -1000 Amp. $ 288,00
$
Service/Feeder over 1000 Amp. $ 410,00
$
Branch Circuit WI Service Feeder $ 5,00
$
Branch Circuit VVIO Service Feeder $ 74.00
$
Each Additional Branch Circuit $ 5.00
$
Branch Circuits 1 -4 $ 86,00
$
Temp, Service/ Feeder 200 Amp. $102.00
$
Temp Service /Foodor 201 -400 Amp, $121.00
$
Temp. Service/Feeder 401 -600 Amp. $164.00
$
Temp. Service/Feeder 601 -1000 Amp. $185.00
$
Portal to Portal Hourly $ 96.00
$
Sign /Outline Lighting $ 88.00
$
Signal Circuit/ Limited Energy - Multi - Family $ 64.00
$
Signal Circuit] Limited Energy I First 1500 sf - Commercial $ 96.00
$
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $113.00
$
Thermostat $ 56.00
$
Note: $5.00 for each additional T -Stat
$Total
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 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 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
❑ Credit Card #
X Dated: ". I3
L
01/0112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . . . 13- 00000867 Date 8/02/13
Application pin number . . , 571091
Property Address. . . , . . . 100 S OAK ST
ASSESSOR PARCEL NUMBER: R6-30-00-0-D- 0000 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . , . , , . , UNKNOWN
Application valuation . , . . 0 -
Application desc
1 -4 circuits replace light circuits
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620211
Permit . . . . . . ELECTRICAL ALTER COMMERCSAL
Additional deSc 1 -4 CIRCUITS
Permit Fee 86,00 Plan Check .Fee .00
Issue Date . . . , 8/02/13 valuation . . . . 0
Expiration Date . , 1/29/14
Qty Unit Charge Per Extension
BASE FEE 86.00
Fee summary Charged Paid Credited Due
Permit Fee Total 86,00 86.00 .00 .00
Plan Check Total .00 DO 00 .00
Grand Total 86.00 86.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS.
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
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