HomeMy WebLinkAbout9ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001505 Date 10/05/16
Application pin number . . . 770230
Property Address . . . . 105 W 1ST ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -1566 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Service repair
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Owner
Contractor
------------------------
BRANDO S BLORE
------------------------
ANGELES ELECTRIC
PO BOX 3029
524 E. IST ST.
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 808-0970
(360) 452-9264
---------------------=------------------------------------------------------
Permit . . . . .
. ELECTRICAL ALTER COMMERCIAL
Additional desc
.
Permit Fee . . .
. 132.00
Plan Check Fee
.00
Issue Date .
. 10/05/16
Valuation
0
Expiration Date .
. 4/03/17
Qty Unit Charge
Per
Extension
1.00 132.0000
ECH -EL-COM
0-200 SRV FEEDER
132.00
--------------------------------,------------------------------------=-------
Fee summary
Charged
---------- ----------
Paid Credited
---------- ----------
Due
-----------------
Permit Fee Total
132.00
132.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
132.00
132.00 .00
.00
INSPECTION TYPE DATE.
DITCH
SERVICE /b A a,
ROUGH -IN
FINAL I D lam -/l
COMMENTS: .
PERMIT WELL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
Q\EXXCHANGEWILDING
RESULTS:'
EN
- a
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Ao,
Date:
10/04/2016 19:41 FAX 360 452 9265 Angeles Electric
CITY OF PORT ANGELES PERMIT APPLICATION
Bttllding PmsionMectrical Inspections
321 Ettstllfth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 4114735 Fax: (360) 4174711
Date: &
ZMUftWWnl1yorCoMM0*r*GW
IM 0001/0001
* Plan Review.May Be Required, Please Complete ElscWcal Plan Review Irtfamtatlon Sheat
JO Address:
8wlding Square Footage:.
Du#gm of above
Ownerinformation
Name:
MaMng.Ad&m
W. State: 2Ip:
Phone: Fax:
License 8 t Exp.
11 m
ServicelFeeder• 200 Amp.
ServicelFeedar201-400 Amp.
SeroicWFeeder 401-600 Amp
ServicelFeeder 601.10W Amp.
Servic alFeeder over 1000 Amp.
Branch Circuk WlSerWce Feeder
8ranch.Circuk W/O Service Feeder
Each AddMwW Branch Mcuk
Brandt Urcu a 1.4
Temp. Service! Feeder 200 Amp.
Temp. SgMce/Feeder201.400 Amp.
Temp. ServicelFeeder401.600AmP.
Temp. SmvkWF4eder 601-1000 Amp.
Portal b PoM Hourly
SionlOudins Ughfing
Signal CkmW Lim(ted Energy — MWd-Fwiy
Signal CkcuW Lknbd Energy l First 1500 sf — Comm=W
Note: $500 fcr eadt addklorw11500 d
Rana*" Eleddcal Energy -5WVA System or Less
Note: $5.0D for each add dad T-Stat
Charge
$132.00
$100.00
$225.00
$2K00
S41040
$7A
s 500
S 86.00
$102.00
$121.00
$164.00
$ 18500
$ g6.00
s 66.00
s 6400
$ 4600
$ 11300
$ 56.00
��by Unt Charge)
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Owner as defined by RCW.1g.28.261: (1) Owner wM occupy the struckn for two years atterthis ei mkW psmtlt is ka Ized. (2) Owner is required
to hire an electrical contractor N above said properly Is for sate, rentor lease. permit—e ager six months of lad Inspection. ,
After reading the above statement, I hereby oertlij► that I am the owner of the above named propmV or a 40WH ed etecWcal cnrt0ft. I am makkp
the electrical insta0atim or attetation in =nplance with the *WMcai Ism KE.C., RCW. Chapter 1929, WAC. Chapter 296.4$13, The City of Port
Angeles Municipal Code, and Utdily SpedMatlona and PAMC 14.05.050 regarding Elect ice! PerrrtltApglcetfons.
Signature of owner, electrical contractor or eteotr M administrator. El cob t] chow
"Cwds owe
A/1 oat Ia aueirmtz