HomeMy WebLinkAbout403 S Lincoln 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; f Multi- Family or Commercial*
* Plan Review
Job Address; _
Building Square FP
Electrical Plan Review Information Sheet
Owner Information
Contractor I
Name:
Name;
Mailing Address:
Malin s
C3 �
C ity: State: zip:
4Ad
City:
�t F - State: Zi
!�
Phone: Fax:
Pho
ax: b D
License # 1 Exp.
License # ! Exp,
L
Item
Unit Charge
Cwt
Total (Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp.
$132.00
$
ServicelFeeder 201 -400 Amp,
$160.00
$
Service/Feeder 401 -600 Amp
$ 225.00
$
Service/Feeder 601 -1000 Amp,
$ 288.00
$
Service/Feeder over 1000 Amp.
$ 410.00
$
Branch Circuit WlService Feeder
$ 5.00
$
Branch Circuit W10 Service Feeder
$ 74,00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1 -4
$ 86,00
_ -1
$�
Temp. Service/ Feeder 200 Amp.
$102.00
$
Temp. Service/Feeder 201 -400 Amp.
$121.00
$
Temp. Service/Feeder 401 -600 Amp.
$164.00
$
Temp, Service/Feeder 60 1 -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 1 First 1500 sf - Commercial
$ 96.00
$
Note: $5.00 for each additionai 1500 sf
Renewable Electrical Energy - SKVA System or Less
$ 113.00
$
Thermostat
$ 56,00
$
Note; $5,00 for each additional T -Stat
$ 3 6
.- __._.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., I Chapter 19.28, WAC. Chapter 296 -46B, The City of Port
Angeles Municipal Code nd Utility Specifications and 1 14.05,050 regarding Electrical Permit Applications.
Signature o w r, ei c ical cont for o electrical administrator: ❑ Cash ❑ check
Credit Card #
X Dated: 0110112012
ELECTRICAL INSPECTION
WIRING REPORT fi
%RKS 417-4735
D TE: IERMIT A
III PFGT09 � � ~
OWNER
CONTRACTOR
ADDRESS
APPROVED � 0 �TA P P �ROLV �ED.
...... ........ DITCH.— .. ..... ........ 0
0 ...... — ....... ROUGH IN/COVER ..........
El ..... .............. SERVICE ................... 11
0– � .................. FINAL ............... – — 0
CORRECTIONS NEEDED: -8L- lh- b<O S, L- 10
�)' 1 CW rz-re-- ML,- *4 L-L] c000rn�
2mp;? Fzp
-yov'y � —4+8 - -1--c-)
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
INSPECTION TYPE
r
DATE:
ELECTRICAL PERMIT
INSPECTOR:
DITCH
CITY OF PORT ANGELES
360- 417 -4735
SERVICE
Application Number 13- 00000541 Date 5/21/13
Application pin number , . , 797968
Property Address . , . . . 403 S LINCOLN ST 5
FINAL
REPORT SALES TAX
Q
ASSESSOR PARCEL NUMBER! 06- 30- 00 70 -1 -6920 -0000-
il your excise tax form
plication type description ELECTRICAL ONLY
Application
Subdivision Name . . , . . .
to the City of Port Angeles
Property Use
(Location Code 0502)
Property Zoning COMMUNITY SHOPPING rJISTR
Application valuation . . . . 0
Application desc
1 -4 circuits cooler, Reefer and display
Owner Contractor
KEN W PRICE POTTER ELECTRIC LLC
5418 S OLD MILL RD 1132 G ST
PORT ANGELES WA 983621972 CENTRALXA WA 98531
(360) 460 -8310 (360) 508 -6802
----- - - - - -- - -- -- -- -- -- ------- - - -- - - - _
`.✓
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc 1 -4 CIRCUITS
Permit Fee . . . . 86.110 Plan Check Pee 00
V �
issue Date . . . . 5/21/13 valuation 0
Expiration Date , . 11/17/13
Qty Unit Charge Per Extension
BASE FEE 86.00
Fee summary Charged- Paid Credited Due
("mot
- -
Permit Fee Total 66.00 86.00 00 ~00
Plan Check Total .00 ,00 00 00
Grand Total 56.00 86.00 .00 .00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
Q
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date.
G:IEXCIIANGE\BUILDING