HomeMy WebLinkAbout1704 Melody Circle - Building ELECTRICAL PERMIT zribr-
CITY OF PORT ANGELES
360-417-4735
Application Number 17-00001163 Date 8/21/17
Application pin number . . 800339
Property Address 1704 MELODY CIR REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-6-6-0030-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the Cityof Port Angeles
Property Use 9
Property Zoning (Location Code 0502)
Application valuation . 0
Application deec
Load bank
Owner Contractor
HIGHLAND COURT HOLDING COMPANY E.S. WEST COAST LLC
20300 S SOUTH END RD 7100 LONGE ST STE 300
OREGON CITY OR 97045 STOCKTON CA 95206
(209) 870-1900
Permit ELECTRICAL ALTER COMMERCIAL
Additional deec .
Permit Fee . . . 102.00 Plan Check Fee . . .00
Issue Date . . . 8/21/17 Valuation . . . . 0
Expiration Date . 2/17/18
Qty Unit Charge Per Extension
1.00 102.0000 ECH EL- COMM 0-200 TEMP SRV / FDR 102.00
Fee summary Charged Paid Credited Due
Permit Fee Total 102.00 102.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 102.00 102.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
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DITCH
SERVICE
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FINAL 17
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or,Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION .,�
Building Division/Electrical Inspectionsa, .
321 East Fifth Street-P.O.Box 1150/Port Angeles Washington,98362 - r.e ; ti,,,,.;;fir
Ph; (360)417-4735 Tax; (360)417-4711 t 11:, I
Date: 08/15/2017 _Multi-Family or Commercial* ''';,;
*Plan Review Maya R9quifed, lease Complete Electrical Plan Review Information Sheet
Job Address: /7C`j /y161_34c.“- y Court Par'+ An,e-1�`5, i& )A 9 cF.�:��r.,2
Building Square Footage: 1
Description of above 11:s s'. 4-�c1 1_�, ,,• 1 y N FPI) /f C` /1 ,i .,...,f; r''{'Li r c C-3 cia ICI 1.c t i c) %c+jy l
Owner Information Contractor Information
Name: Highland Court Memory Care Name: L. . A.. s t C-cv—,-s i- L L C-'
Mailing Address: 1704 Melody_Lane Mailing Address: 21.00 Longe Street,Suite 300 _
City: Port Angeles State: WA Zip: 98362 City: Stockton State:CA Zip: 95206
Phone: 360.452.9086 Fax: 360.452.9877 Phone:209.870.1900 Fax: 21 9.870.1950
License#/Exp._ — ._ —_�_.___._ r License#/Exp. l 2 5,-C_ _/_!_ ------- -----
Item Unit Charge (fit Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 ._ $
Service/Feeder 201400 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 W/Service Feeder $ 5.00 —`_ $
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 86.00 $ I Q. (`✓
Temp.Service!Feeder 200 Amp. $102.00 _. 1 $ 102 00 L�ic-c; `---
Temp.Service/Feeder 201-400 Amp. $121.00 $ /e- f``hC
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
$ 102.00 _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 Municipal Code,and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: 0 Cash 0 Check
0 Credit Card it 011012012
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