HomeMy WebLinkAbout1017 E 1st - BuildingFROM
FAX NO. Nov. 20 2009 1:49PM P1
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street —P.O. Box 1150 /Port Angeles Washington, 95362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date; uA� Iti•Family or Commercial"
` Plan Review ax e R ctri
uifed lease Complete Placal Plan Review Information Sheet
N ur
Job A407m; L r�_s --
- -
Building Square Footage: ) 0
Description of above
4.L 1
Owner Infovg8tlon, s Contractor Inf,�rrtatlo �'f-r�1c
Name, 'CAM t S. �• a Name: C@c. 1�--
Mailing A ess 'b. ay Z $ r Mallin,," "� -Lv t r b �_ —
Gity: c` R `T�b'� t�
g lip; CI State: -� Zip: 3 sa
Phone: Fax: Phone: x i•'f z, y Fax: __ 5P.�.
Ucensa # I Exp. license #! Ex p I- Z a7 is I
item Total (gty,Multiplixd, b)(ynitChprael
SaMcelFeeder 200 Amp. $ 132.00 $
SerAc0seder 201400 Amp. $160.00 $
Se7vicelFeeder 401.600 Amp $ 225.00 $
Servlce!Feeder 601.1000 Amp. $ 288.00 $
SenricelF'eeder over 1000 Amp, $ 410.00 $
Branch Circuit W! Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00
Branch Clrcuits 1.4 $ 86.00 $ p u
Temp. Service/ Feeder 200 Amp. $102.00 $
Temp. ServlcaFeeder 201 -400 Amp. $1200
Temp. ServicelFeeder 401-600 Amp. $164.00 $
Temp. Service- Feeder 6011.1000 Amp. $195,00 $
Portal to Portal Hourly $ 96.00 _ _ - $______Y_
_
Signi0dineLighting $ 88,00 $
SignalCircuiULimited Energy - Multifamily $ 64.00 $ _._- .
Sigpol Circuit! Limited Energy ! First 1500 sf •- Commercial $ 96.00 $_, ,. _ __
Note: $5,00 for each addltional 1500 sf
Renewable E100dcal Energy - 5KVA System or Less $113.00 ___ $
Thermostat $ 56.00 $
Note: $5,00 for each additional TStat
I 'T c er- Total
Owner as defined by RCW.19.2$.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owner is required
W hire an electrical contractor if above said property is for sala, rent or 10W. Permit expines 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 eompllanoe with the electrical laws, N.E.Cr, RCW, Chapter 19,2$, 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: Ll cnh Q ctw
� Crodh Cud #
X 6�6_ Dmd: 2—
4Q
—
ELECTRICAL PERMIT
CITY Or PORT ANGELES
360-417-4735
Application Number , , , , . 14- 00000221 Date 2/27/14
Application pin number 9695$5
Property Address , . 1017 E 9ST ST
ASSESSOR PARCEL NUMBER; 06-30-00-6-2- 0310 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . , , , , ,
Property Use
Property Zoning . . , , COMMERCIAL ARTERIAL
Application valuation , . , . 0
-. -_._ _ -_ - __ - -._ ---_____.___-___..-_--_----------------------------------
Application desc
Heat. pump
Owner
Contractor
RESULTS:
PRIEST AND ZEIGLER
DITCH
ELECTRTC SERVICE
PO 30X 2281
82 DRAPER RD
PORT ANGELES
WA 95362
PORT ANGELES
WA 98362
(360) 452 -6424
Permit , . . . , .
ELECTRICAL ALTER
COMMERCIAL
Additional de,sc ..
1 -4 CIRCUITS
Permit Fee
86.00
Plan Check Fee
00
Issue Date
2/27/14
Valuation . . .
. 0
Expiration Pate
8/,26/14
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
.00 .00
,00
Grand Total
86.00 86.00
.00
DO
REPORT SALE'S TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
P000(,.- q
f 75� ` [
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
f
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGETUILDING
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