HomeMy WebLinkAbout105 W 4th Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number . . . . . 16-00001807 Date 12/06/16
Application pin number . . . 271229
Property Address . . . . . . 105 W 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -7070 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
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Application desc
Ductless heat pump
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Owner Contractor
Peninsula Funerals LLC BLACK DIAMOND ELECTRICAL CONTR
PO Box 1427 502 BLACK DIAMOND RD
SEQUIM WA 98382 PORT ANGELES WA 98363
(360) 452-9701 (360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee 86.00 Plan Check Fee .00
Issue Date 12/06/16 Valuation . . . . 0
Expiration Date 6/04/17
Qty Unit Charge Per Extension
BASE FEE 86.00
------------ m --------------- --
Fee summary Charged Paid Credited Due
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Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IIT
FINAL
COMMENTS:
DATE: RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANGEWH DING
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR
Date:
Q)
0%PORr.14r �
CITY OF PORT ANGELES PERMIT APPLICATION j►"�.r.•-
Building Division/Electrical Inspections �.
321 East Fifth Street — Port Angeles Washington, 98362 L ��
Ph: (360) 417-4735 Fax: (360) 4174711 _r `
Date: 0 " S-- l6
_ Multi -Family or Commercial* k Commercial Addition / Alteration / Remodel 1 Repair*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: /ds- W q"4
Building Square Footage:
Description of work
7?�?LEa.1
Owner Information
Contractor Information
Name: _,.._ WjA0&PFIi_ R 106r1vV l lE
Name:
Mailing Address:
Mailing Address:
City: State: Zip:
City: State: Zip:
Phone: !&1- 4701 Fax:
Phone: Fax:
License # / Exp.
License # I Exp. J704 Yui 2 -
Item
Item
Unit Charge
Ch Total (Qtv Multiplied by 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.
Branch Circuits 14
$ 410.00
$ 86.00
$ f
$
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 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 / 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
$
$ 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 296-466, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatureof/ovyner, ecltical contractor or electrical administrator: ❑ cash "Check
1 �/ ❑ Credit Card #
x 2� Dated: ! t~ ' 01101/2012
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