HomeMy WebLinkAbout1403 E 1st Street - BuildingApplication number . . . . .
Application pin number . . .
Property Address . . . . . .
ASSESSOR PARCEL NUMBER;
Application type description
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning .. . . . . .
Application valuation . . . .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
16-00001813 Date. 12/06/16
707452
1403 E IST ST A
06 -30 -99 -1 -0 -1040 -0000 -
ELECTRICAL ONLY
COMMERCIAL ARTERIAL
0
Owner
Contractor
------------------------
HUBERT E HERTZOG
--------------------
DAVID STUCK ELECTRIC
----
LLC
122 W LAURIDSEN BLVD
PO BOX 2582
PORT ANGELES
WA 983627752
EUGENE
OR 97402
(206) 940-8771
(541) 48S-8855
----------------------------------------------------------------------------
Permit . . . . . .
ELECTRICAL ALTER COMMERCIAL
Additional desc . .
1-4 CIRCUITS
Permit Fee . . . .
74.00
Plan Check Pee
.00
Issue Date . . . .
12/06/16
valuation . . . .
0
Expiration Date
6/04/17
Qty Unit Charge
Per
Extension
BASE
FEE
74.00
----------------------------------------------------------------------------
Fee summary Charged
----------------- ----------
Paid Credited
Due
----------
Permit Fee Total
74,-00
---------- ----------
74.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
- 74.00
74.00 .00
.00
INSPECTION TYPE I DATE: RESULTS:
DITCH
SERVICE
ROUGH -IN
FINAL
CON04ENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of own" or Electrical Contractor X
G-AEXCHANG&BURDING
REPORT SALES TAX
on your excise tax form
to the City of Poit Angeles
(Location Code 0502)
INSPEGI70R.
Date:
419
c1b
?OR r
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date:
— Multi -Family or Commercial* Commercial Addition / Alteration Remodel Repair*
Plan Review e Maf y Rewired, ired, Please Complete Electrical Plan Review Information Sheet
, c,!�
Job Address: 4 , �- / _Vr
Building Square Footage:
Description of work 4- Ir. *Y' CY41 )v
Owner Information Contractor Information
Name: Name: _JZW.�O JV-& 40r &C
Mailing Address: Mailing Address: #'*-- 9C;x? 7-c-2rz-
City: State: - Zip: City: _4-Z7 1.` State: 4-K Zip: 9710�1 47.2
Phone: Fax: Phone: -r-axC,7a/9
License Exp. License # I Exp. - V4P'140 IrA- V-9 7 Qom' 171.wv 7
Item
Unit Charge
Service/Feeder 200 Amp.
$132.00
Service/Feeder 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 Circuits 1-4
$ 86.00
Branch Circuit W/ Service Feeder
$ 5.00
Branch Circuit W/O Service Feeder
$ 74.00
Each Additional Branch Circuit
$ 5.00
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 I 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
(Qty Total (Qty Multiplied by Unit Charge)
$ -7AI
4'0 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., RCK Chapter 19.28, 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: El cash PIC Check
C3 Credit Card #
X Dated: 64,-
141111TIM11y,
ELEMUCAL PERMrr
MY Of PORT ANGELES
360-417-4t5
Application Number . . . . . 16-0000i859 Date 12/19/16
Application pin number . . . 790939
Property Address . . . . . . 1403 9 IST ST A.
ASSESSORPARCEL NUMBER: 06 -30 -99 -1 -0 -1040 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Outlets and lights 10 circuits
----------------------------------------------------------------------------
Owner Contractor
----------------------- ------------------------
HUBERT 9 HERTZOG OWNER
122 W LAURIDSEN BLVD
PORT ANGELES WA 983627752
(206) 940-8771
----------------------------------------------------------------------------
.Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee . . . . 119.00 Plan Check Fee ..00
Issue Date . . . . 12/19/16 valuation . . . . 0
Expiration Date . . 6/17/17
Qty Unit Charge Per Extension
1.00 74.0000 BCH -.-EL-COMM BRANCH CIR WO/ S/F 74.00
9100 5.0000 BCH SL-ECH ADDNT BRANCH CIRCUIT 45.00
----------------------------------------------------------------------------
Fee summary Charged Paid 'Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 119.00 119,00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 119,00 119.00 .00 .00
INSPECTION TYPE DATE:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
POWT WL EXE WSX (0-MOMM FROM LAST wspwrm
RESULTS:
Signature of owner or Electrical Contractor X
Q\EXCHANOMUILDING
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
Date: -
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711 -
Date:
Multi- amity or Commercial* _ Commercial Addition / Alteration / Rem
oif rA r*
* Plan Review May Be R aired, Please CorOpletelectcicalTian review Info ation Sheet-,
(�/
_
T
Jb Address: 1�
�lrr p} / 36
U t
Building Square Footaag�e: I t i CJ
t
Descr,iptionofwork l�Oo(AjG Iv /3i4C-�ifrrlt...> t��r'i
l`=cM-
oc) LETS t (Ctf{7S
rt�lJ�S+{ 0t=P
vti I T" A
Owner Information
Contractor Information
Name: U!�C-L (A-ALJ1A'✓,)CA/
Name: N;Gk DL ,lJ'2
Mailing Agdress: )4O-? 15 15T" Sf-rtet
Mailing Address: I szv 3
P-- / 4� 5i l P 1
City: ivrr Xzt-e� state:.__ A zip: '(;K-36,'
City:
State: `-/j} Zip: 6f;' Z411
PhonplOO k IL m ax:
Phone360 `Rkf 3537 Fax:
License # / Exp.
License # / Exp.
Item
Unit Charge
QtV
Total (Qty Multiplied by Unit Charae)
Service/Feeder 200 Amp.
$13200
$
Service/Feeder 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 Circuits 1-4
$ 86.00
$
Branch Circuit W/ Service Feeder
$ 500
$ p b
Branch Circuit W/0 Service Feeder
$ 74.00
$ -74
Each Additional Branch Circuit
$ 5.00
$'
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 / First 1500 sf - Commercial
$ 96.00
f
$ . `f
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
$
Thermostat
$ 56.00
$
Owner as defined by RCW.19,28.261: (1) Owner will occupy the structure for two years after this electrical permeg 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 296-46B, 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: ❑ cash ❑ check
1t / 11 Credit Gard �
X f �-�_ Dated: I Z ({t l �� It L' 0110112012
v