HomeMy WebLinkAbout206 S Valley Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
17-00000096 Date 1/27/17
Application pin number . . .
066672
Property Address . . . . . .
206 S VALLEY ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -0 -5000 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
INDUSTRIAL LIGHT
Application valuation . . . .
0
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Application desc
Lighting retrofit
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Owner Contractor
------------------------ ------------------------
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 74.00 Plan Check Fee . .00
Issue Date . . . . 1/27/17 valuation . . . . 0
Expiration Date . . 7/26/17
Qty Unit Charge Per Extension
1.00 74.0000 BCH EL -COMM BRANCH CIR WO/ SIF 74.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 74.00 74.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 74.00 74.00 .00 .00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
CONSIENTS:
DATE: RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
r jz
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
Signature of owner or Electrical Contractor X Date:
CITY OF PORT ANGELES ftRmrr AppmcAmN
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: A. Ij - I I — Mufti-Family or Commercial* lmpEr"O'N�
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: -- _5 %_1A L A &t,
Building Square Footage: I
Description of above A) W&LA->LK 1,, --,t6^e -r C>CC1'fAW
Owner Information
Contractor Information
Name:
Name:
MailingAddress:
Mailing Address:
City: State: Zip:
City: State: Zip:
Phone: Fax:
Phone: Fax:
License # I Exp,
License # I Exp,
Item
Unit Charqe
Qt v Total (Qtv Multiolied by Unit Charae)
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 Circuit W1 Service Feeder
$ 5.00
Branch Circuit W/O Service Feeder
$ 74.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 86.00
$
Temp. Service/ Feeder 200 Amp.
$102,00
$
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 - Multi -Family
$ 64.00
$
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
$
Note: $5.00 for each additional T-Stat
$_21=— 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 296-46B, The City of Port
Angeles nicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Sig ure f owner, elect r electrical administrator: F1 Cash El Check
171 Credit Card #
Dated: 0110112012