HomeMy WebLinkAbout315 N Lincoln Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
- 360417-4735
Application Number . . . . . 15-00001293 Date 10/13/15
Application pin number . . . 401574
Property Address . . . . . . 315 N LINCOLN ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-0-0250-0000- 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 . . . . . . . CENTRAL BUSINESS DISTRICT (LOcat/on Code 05O2)
Application valuation . . . . 0
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Application desc
City pier electrical upgrade
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Owner Contractor
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CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 191.00 Plan Check Fee .00
Issue Date . . . . 10/13/15 Valuation 0
Expiration Date . . 4/10/16
Qty Unit Charge Per Extension
BASE FEE 86.00
21.00 5.0000 BCH EL-ECH ADDNT BRANCH CIRCUIT 105.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 191.00 191.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 191.00 191.00 .00 .00
r
INSPECTION TYPE DATE: RESULTS: INSPECTOR--
DITCH
NSPECTOR:DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: I
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
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: /0 - �_ / 5'
---'Multi-Family or Commercial*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:r��-�2 Zl ty ,� ►y Cts a�a CT
Building Square Footage:
D nip inn o above AOAt OU / rJs—
i ""714 -
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Owner Information Contractor Information
Name: (Z% T -Y T39F a� r iLi 1 ; j�4 ._, Name:
Mailin Address: Mailing Address:
city: State: 44* Zip: 9R3&7 City:
State: Zip:
Phone: Fax: Phone:
Fax:
License # / Exp. License # 1 Exp.
Item Unit Charae Cty
Total (Qty Multiplied by Unit Charae)
Service/Feeder 200 Amp. $132.00
$
Service/Feeder 201400 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 W/ Service Feeder $ 5.00
$
Branch Circuit W/O Service Feeder $ 74.00
$
Each Additional Branch Circuit $ 5.00L_
_
$�
Branch Circuits 1-4 $ 86.00 /
$
Temp. Service/ Feeder 200 Amp. $102.00
$
Temp. Service/Feeder 201400 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
S
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
S
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 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signet f owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
❑ Credit Card #
C 1�1�/4) — t
x Dated: —15, 0110112412
0614,(-k" 6 �-�G ",,-r 0-E_