HomeMy WebLinkAbout1127 E 1st Street - Building •
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ELECTRICAL PERMIT _
CITY OF PORT ANGELES
y - 360-417-4735•
plicatcn Number 16-00001695 Date 11/14/16
lic number . 5470QS
rie
Propert . . . .2127.E 1ST ST
ASSESSOR P• 06-30400-771-0250-0000-, REPORT SALES TAX
Application type description ELECTRICAL ONLY • on your excise tax form
Subd*vision Name
aPE-o*ty Use to the City of Port Angeles
Zoning . . COMMERCIAL ARTERIAL (Location Code 0502)
i.pp dation valuatlos .,
- Application •
Wall removal and circuits '
Owner 'Contractor
CHARLES LAFOND AND OWNER
JENNIE HAJEK
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PO BOX 397
CARLSBORG WA 983240397 •
(360) 417-8215 -
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc,.
Permite . . . . 74.00 Plan Check Fee . . .00
saue Date . . . . 11/14/16 Valuation . . . . 0
Bkpiration Date . . 5/13/17
Qty Unit Charge Per -- Extension
1.00 74.0000 BCH EL-COMM BRANCH CIR WO/ S/F 74.00
Fee summary Charged Paid Credited Due
Permit Pee Total 74.00 74.00 .00 .00
- Plan Check Total .00 .00 .00 .00
° - Grand Total 74.00 74.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
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SERVICE
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ROUGH-IN 9 � l/ ,LJ) /44C2 l 11 GPIP--
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COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
CITY OF PORT ANGELES PERMIT APPLICATION I R',l --."- -.-�.: '. 1' 7frj
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Building Division/Electrical Inspections iii j� .; ' '�
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321 East Fifth Street—Port Angeles Washington,98362 1 �
Ph: (360)417-4735 Fax: (360)417-4711 1CCr`"Cl;'
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Date: `_` --` "..-..-.- ....
Multi-Family or Commercial* _Commercial Addition/Alteration/Remodel/Repair" '" ' ; ' '
*Plan Review May Be Required, Pleaseom lete ElectricalPlan Review In nation Sheet
Job Address: /17-7 G4 r 2 it} ( 2 ,g.3(0'2.._
Building Square Footage: __
Description of work Z. , - . . _'- -. ,--• .4 _ _x < a ,
C ,-2/ '- /32,e_.raet 7 1 ' i✓ ` ? t T . 69
Owner Information 4A 43J Contractor Information
Name:(;q�J,PI -C �O A�/11 b IC ii' 4/4_T--.Name:
Mailing Address: 40 Zd X 4 7Mailing Address:
City: C-fe-t-S qWA-A-zip: q1�?}f City: State: Zip:
Phonehhap.S'/ ! ' Phone: Fax:
License#1 Exp. License#/Exp.
Item Unit Charge Qtv Total(Qty 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. $410.00 $
Branch Circuits 1-4 $ 86.00 $
Branch Circuit W/Service Feeder $ 5.00
Branch Circuit W/O Service Feeder $ 74.00 1 $ .I Ai
Each Additional Branch Circuit $ 5.00 $
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/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 $
0.015
$ 7 / 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,electrical contractor or electrical administrator: D cash ❑ Check
did(4.,41
❑ Credit Card It
x ; , 2 Dated: (1, (i /4. 0110112012