HomeMy WebLinkAbout112 E 8th St - Building02/05/2015 11:23 FAX 360 452 9265
Angeles Electric
LID 0001/0001
Owner as deirned by RCW.19.28.261: (1) Owner will occupy , structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is far sal irent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am 'owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or afteratlon in compliance with the e ' tdcal laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296 -468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAM 4.05.050 regarding Electrical Permit Applications.
Signature of owner, etech ical contractor or electrical a i istrator: 0 Cash ❑ Check
4!; 01101/202
1
R t
CITY OF PORT ANGELES PERMIT
APP t
.""CEIVED
CATION FER, Qp
Building Division/Electriad Inspections
321 East Fifth Street — P.O. Box 1150 / Port An
les Washington, 98362 ELECTRICAL
Ph: (364) 4174735 Fax: (360) 4174711
INSPECTIONS
Date: /
_
M- Family. or commercial*
Plan Revfew.May. Be Required, Please Complete Ele
cal Plan Review Information Sheet
Job Address:
8uildng Square Footage:
Description of above
a
V AL
Owner l af armation
Contractor Information
Name N
Name: r
Mailing.A rasa:
Meiling d ass:
City: State: Zip:
F`
Cfty; State: Zip:
Phone: Fax:
Phone: — a>c
License.# l Exp.
License # I Ex. G
Zees -- 4765
Item
Unit Ch`
go 911 Total (QW Multiplied by unit Charge)
ServicelFaeder 200 Amp.
$132.5
$
ServicaTeeder201.400.Amp.
$160..
$
SeMWFeeder 401.600 Amp
$ 2254
$
Service/Feeder 501 -1000 Amp.
$ 280.
S
SerricelFeeder over 1000 Amp.
$ 410.
S
Branch Circuit W1 Service Feeder
$ 5.
S
Branch Circuit W10 Service Feeder
$ 74.
$
Each AddMonW Branch Circuit
.$ S.
$
Branch Circuits 1-4
$ 86.
Temp. Service/ Feeder 200 Amp,
$102,
$
Temp. ServicelFeeder 2011-00 Amp,
5121. ,
$
Temp. Service/Feeder 401.MAmp,
5164. ;
$
Temp. ServicetFeeder601-1000Amp .
$166''
$
Portal to Portal Hourly
$ 96,
S
SlgnlOuVIne Lighting
$ 88.1.'
&
Signal CircutV Limited Energy — Multi- Famhly
$ 64.
S
Signal Orcultl Limited Energy 1 Rrst 1500 at— Commerdal
$ 96.
€ $
Note: $5.00 for each additional 1500 at
Renewable Electrical Energy - 5KVA System or Less
$ 113,09
$
Thermostat
$ 56.
$
Note: $5.00 for each additional T -Staff
$ _ _ Total
Owner as deirned by RCW.19.28.261: (1) Owner will occupy , structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is far sal irent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am 'owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or afteratlon in compliance with the e ' tdcal laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296 -468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAM 4.05.050 regarding Electrical Permit Applications.
Signature of owner, etech ical contractor or electrical a i istrator: 0 Cash ❑ Check
4!; 01101/202
1
ELECTRICAL PERMIT
CITY Or PORT ANGELES
360- 417 -4735
Application Number , . . , . 1.5- 00000097 Date 2/06/15
Application pin number 764850
Property Address 112 E 8TH ST A
.ASSESSOR PARCEL HUMBER; 05- 30- 00 -0 -2 «6831 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . , .
Property Use , . . , . . , .
Property Zoning , . . . . . . COMMUNITY SHOPPING DISTR
Application valuation . , , . 0
- - ----------------
Application desc
3 led wallpacks west side
Owner Contractor
PENINSULA COMMUNITY MENTAL ANGELES ELECTRIC
HEALTH CENTER 524 E, 19T ST.
118 E $TH ST PORT ANGELES WA 98362
PORT ANGELES WA .983626129 {360) 452 -9264
{360) 457 -0431
Permit . , . . , , ELECTRICAL ALTER COMMERCIAL
Additional desc 1 -4 CIRCUITS
Permit Fee . , 86.00 plan Check Fee . .00
Issue Date , , . , 2/06/15 Valuation . . . . 0
Expiration Date 8/05/15
Qty Unit Charge Per Extension
BASE FEE 86.00
Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 DO
Plan Check Total .00 .00 .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
�1,6_
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Data:
GAEXCHANGMBUILDING