HomeMy WebLinkAbout109 S Jones St SLIGT - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number
16- 00000572 Date 4 /22/16
Application pin number
690648
Property Address . . . . .
109 S JONES ST SLIGT
ASSESSOR PARCEL NUMBER:
R6- 30- 00 -0 -0 -0000 -0000-
REPORT SALES TAX
Application type description
ELECTRICAL ONLY
on your excise tax form
Subdivision Name . . . . .
Property Use . . . .
to the City of Port Angeles
Property zoning . . . . . . ,
UNKNOWN
(Location Code 0502)
Application valuation
0
Application desc
New service for street lights
Owner
Contractor
CITY OF PORT ANGELES
OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit . . . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 132.00
Plan Check Fee 00
Issue Date . . . . 4/22/16
Valuationa
Expiration Date 10/19/16
Qty U it Charge Per
Er.1..ension
1.00 132.0000 ECH " EL -COM
0 -200 SRV FEEDER 1.32,00
Fee summary Charged
Paid Credited Due
Permit Fee Total 132.00
132.00 .00 U0
Plan Check Total .00
.00 OU 00
Grand Total 132.00
132.00 100 1.00
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: "t{ Z!— lf..
Multi - Family or Commercial*
* Plan Review May Be Required, Ple orn lete Electrical Plan Review Information Sheet
Job Address +M1a9"
Building Square Footage:
Description of above 61 e j
Owner Information
Contractor Information
Name: _.._ i v- &
Name:-- . -_ - -.
Mailing Address:
Mailing Address:
City: _. — - _.....__._ .......... ... . ._.._ State: Zip:
City:.... . _..... _ State: Zip:
Phone:... __.. Fax:
Phone: Fax: ._ ......... ..............................r
License # I Exp.
License # I Exp.. .._.....
Item
Unit Charge
Total t Multiplied by Unit Charge)
Service /Feeder 200 Amp.
$132.00
Service /Feeder 201 -400 Amp.
$160.00
$.,,,,ITIT..........
Service /Feeder 401 -600 Amp
$ 225.00
$
Service /Feeder 601 -1000 Amp.
$ 288.00
$ __-
Service /Feeder 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 Circuits 1-4
$ 86.00
$
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 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 / 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 -4613, 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 #m
x [fated ........�� r�,.1_ ..... 0110112012
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