HomeMy WebLinkAbout1215 W Hwy 101 Ste 19 - BuildingCHY OF PORIT ANGM-TES F2RWT A-PPLIECA710N RECEIVE4"'
RUilding D&I sloe /Blocal Apedjow MAY
31-.12+ ast jj4fth Streat - p.(). ]Box 11:50 1 part Angeles ',,VRsh,n*H"9
836,
Ph: (360) 4!7-4735 Fax- (360) 417�7jj
Date: CToi
I & 2 Single Family Dwelling
Plan Review May Be Required, Ple&(M CDIrnp ete Elea cal Plan Review Irtformagon Sheri
Job Addrass. CA
Building Square r00rQ8-'—
Description of above—
Owner In at n
T contrartor 1=0011
Nam-
I
Mailing ft- -L'
5S.
City Slate: zil:
(;Ily-
Ltsm
,ServiwT'beder2flO Amp,
gakgftqr92
-ServicalFesdar 201-400 Amp.
$120,00
$146,00
Sefflc&JFeeder 401-600 Arm
$205-00
SeWl caFeeder 601 1 OW AMP.
$262-00
Servic&Faeder over MO Amp,
S373-00
Branch QWa WI Service Feeder
S 5.00
Branch OucWt WIC) Service Feeder
S 63-M
Each Additional Branch CimVII
S E00
13ranch Circuits 1-4
S 75.00
TerT. SsrWCEIJ Radar 200,Amp.
S 91W --
Tamo. SSNWFeeder 201-400 Ampe
$110.00
•GM6, SeIlAce/FeederQl t-,00 Amp.
$ 149M
Temp. ServicafFeeder 601-1000 Amp.
5168.00
Portal to Portal HoMy
S 96M
Sigrid CIFOuld UffRed Rergy -1 &2 Fadly Dwaijing
S 64,00
ManufactuWi Horne connemon
S120,00
-ReMWBbI5 BEddCal Energy -%VASysjern or-Lm
$ 102A00
I hermo3trt
S 56.00
Now, D;).UU tar each add nWT-Sta
NEW CONSTRUCTIf3N ONL�f
Fist 1300 Squares Ft. S 12040
Each Additional 50D Square Ft. or portion of $ 40,00
Each OulbWding or Detachna Garage S 74,00
--
Each SWjMqqng pool or Hot Tub
$110-00
*Total
Owner as defined by RCW, %2& - (1)
to hire an electdcal contractor if ' 2ft Omer v�jj occupy the shcbumfor two years afterthis electrical permit is finalised. 0 Owner is revired
@bI)Ve said PrOPWY is for sale, rent or lease, permit expires after siy, Months of last r6spe0an.
After reading the aboveslatemLmt, j hereby CLr*
Cheer
electrical installation or altepaljon that I ain the owner of the above named properly or a licensed ejecW061 conhatoc I am Making
in =Plianea with the electrical laws, N.E.C., RM Chapter 19.28, vvAc chapter-49"6B, The city of port
ipal Cody, and UUj4,9p6ejflc-Aofls and PAMC 14.05.050 regarding Electrical PerrnitApplicao
Angeles Mun��
'919naIure Of MAU, OleMICHI contractoror eleaMcaj adminftmtor: Cash 0 Chen
-G-Creo cad 4 G rN
Kam" rr2.� poked, LT - - I r- —
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . , . 15- 00000553 Date 5/19/15
Application pin number , . . 244801
Property AddreQs , . , . . 1215 W HWY 101 ##19
ASSHSSOR PARCEL NJMBE�2 06-30-08-5-1- 0200 -0000-
Application type descrigion ELECTRICAL ONLY
subdivision Name . . , . .
Property Use
Property Zoning , . . , . . , RESI TIAL TRAILER PARK
Application valuation 0
___- _.__________ ____ _____ .-- .._-- -_ - - -_
Application clesc
Service replacement
----------------------------------------------------------------------------
Owner Contractor
-- --- ---- --- ------ - -- - -- ------------------------
UN CHIN INC NORTH PENINSULA ELECTRIC
BB17 WELLER RD SW 761 FRESHWATER PARK RD
LAKEWOOD WA 98498 PORT ANGELES WA 98363
(350) 477 -1764
----------------------------------------------------------------------------
Permit , . . , . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . 120.00 Plan Check Fee 00
Issue Date , , -, . 5/19/15 Valuation , . . , 0
Expiration Date . . 11/15/75
Qty Unit Charge Per Extension
1,00 120.0000 ECH EL -0 -200 SRV FEEDER 120,00
--------------------------------------------------------------- - - - --- .-
Fee summary Charged Paid Credited Due
Permit Fee Total 120,00 120,00 .00 .00
Plan Check Total. .00 .00 Q0 ,00
Grand Total 120.00 120,00 .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:IEXCHANGE\BUILDING