HomeMy WebLinkAbout612 S Lincoln Street - BuildingELEC'T'RICAL PERMIT
MY OF PORT ANGELES
360-417-4735
Application Number 16-00000716 Date 5/17/16
Application pin number 432680
Property Address . . . 612 S LINCOLN ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -6600 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . COMMUNITY SHOPPING DISTR
Application valuation . . . . 0
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Application desc
Trim out expired permit 15-74
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Owner
Contractor,
------------------------
612 SOUTH LINCOLN
LLC
------------------------
BOB'S ELECTRIC INC
540 W WASHINGTON
ST
2293 DEER PARK RD-.
SEQUIM
WA 98382
PORT ANGELES
WA 98362
(360) 457-6887
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Permit . . . . .
. ELECTRICAL ALTER COMMERCIAL
Additional desc .
, 1-4 CIRCUITS
Permit Fee . . .
. 86.00
Plan Check Fee
.00
Issue Date . . .
5/17/16
Valuation . . . .
0
Expiration Date .
11/13/16
Qty 4it Charge Per -
Extension
-BASE
FEE
86.00
--------------------------------------------------------------
Fee summary
Charged
---------- ----------
-
Paid Credited
---------- ----------
------ -------
Due
-----------------
Permit Fee Total
86.00
86.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
86.00
86.00
.00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
DATE. RESULTS:
cz. .....
PERMIT WaL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
i
REPORT SALES TAX
on your excise tax forrn
to the City of Port Angeles
(Location Code 0502)
INSKUTOR:
Signature of owner or Electrical Contractor X Date,
GAEXCHANGBBUILDING
r
3
CITY OF PORT ANGELES PERMIT APPLICATION''re'"'
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: {360} 41174735 Fag: (360) 4174711
Date. ,�Ll // k _ Multi -Family or Commercial*
" Pian Revlyay Be,Begttijed, Please ( mpletgFlectr(cal Pian Review lnfbrmation Sheet
Job Address: // �ir+C'c, r.^� S rAC Y
Building Square Footage:
De-fdpfion of}bare re`M J i, 7� j %�iz,' jaL& LL*t, l e-
."✓ri , !`6 -iia /
Owner Infok- rm�tion�
Name. h/c,` P
Mailin A ess: �•"flt /=`n[:c�e�
Gity: r' State: WA ZiV 9V jt /
License # / Exp.
Item
ServicelFeeder 200 Amp.
ServicePeeder 201-400 Amp.
Service/Feeder 401-600 Amp
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. ServiceFFeeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign/Outline Lighting
Signal Gircuit/ Limited Energy - Multi -Family
Signal Circuit/ Limited Energy / First 1500 sf - Commercial
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
Unit Chame
$132.00
$160.00
$ 225.00
$ 288.00
$ 410.00
$ 5.00
$ 74.00
$ 5.00
$ 86.00
$102.00
$121.00
$164.00
$185.00
$ 96.00
$ 88.00
$ 64.00
$ 96.00
$113.00
$ 56.00
2
Contractor�tfor on 'ti'IJ2 i,-/�
Name: lt" tori A , G , r C ^00 h� ' p
mailil 9 c k C' es t� 7 h
Giif. 7l�.�+/� l State: WA zip: 91rjf, e j�lT{u y
Phone - ax
Licerse#/Exp.
tit Total (Qtv Muldolied by Unit Charqe
S
$
$
S
S
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 04 Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
Dated: S/I � // b
GIN1 012
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