HomeMy WebLinkAbout4300 Old Mill Road - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES -
360-417-4735
Application Number 16-00001069 Date 7/19/16
Application pin number . . 167032
Property Address 4300 OLD MILL RD REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-22-2-2-9060-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning (Location Code 0502)
Application valuation . . . 0
Application desc
Temp pole
Owner Contractor
ANDERSON, RICK L OWNER
618 S PEABODY ST STE H
PORT ANGELES WA 983626244 -
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Fee . . . 93.00 Plan Check Fee . . .00
Issue Date . . . 7/19/16 Valuation . . . . 0
Expiration Date . 1/15/17
Qty Unit Charge Per Extension
1.00 93.0000 ECH -' EL-TEMP SRV 0-200 SRV FDR 93.00
Fee summary Charged Paid ,Credited Due
Permit Fee Total 93.00 93.00 .00 .00
Plan Check Total .00 .00 .00 .00
' Grand Total 93.00 93.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
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SERVICE '743P Iii,ROUGH-IN
FINAL 7)11:51/10
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGENBUILDING
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CITY OF PORT ANGELES PERMIT APPLICATION ,� r `�''�r,'�►- t
Building Division/Electrical Inspections 3' - 1
321 East Fifth Street—Port Angeles Washington,98362 kr`
Ph: (360)417-4735 Fax: (360)417-4711 - W
Date: ti/84
Mul -Familyor Commercial*
ommercial* Commercial Addition/Alteration/R mode//Rept' '
*Plan Review May Be Required, Please Complete El al Plan Review Information Sheet
Job Address: �„3'ieV /e?/ //f j ` 7--,4
Building Square Footage:
Description of work
Owner I a on � Contractor Information
Name: /74-"- ,lJ//.4i)'--(` Name:
Mailing dre s: x'.36' O/L/ /7/// P Mailing Address:
City: 7 State: c>tT4. Zip: y8, I City: State: Zip:
Phone:`1 -013 e Fax: Phone: Fax:
License#/Exp. License#/Exp.
Item Unit ChargeQ�(t Total(Qty Multiplied by Unit Charge2
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 $ 5.0_a--"-- 3ov $- �
Temp.Service/Feeder 200 Amp. $_102:150 $
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 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $ 1)
$ 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.
Signature of owner el-- contra , or electrical administrator: ❑ Cash ❑ check
❑ Credit Card#
X `� 440
Dated: 01101/2012
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