HomeMy WebLinkAbout903 W 8th 8th Street - Building f ,g " tai "
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ELECTRICAL PERMIT Z
CITY OF PORT ANGELES 5
360-4174735 ql
Application Number 17-00001257 Date 9/05/17
Application pin number . . 091711
Property Address 903 W 8TH ST B REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-4094-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning COMMUNITY SHOPPING DISTR (Location Code 0502)
Application valuation . . . 0,
Application desc
Freezer circuit
Owner Contractor
RONALD AND LESLIE DIIMMEL TTES SIMPSON ELECTRIC
128 DIAMOND VIEW DR 243036 W HWY 101
PORT ANGELES WA 983639437 PORT ANGELES WA 98363
(360) 452-0226 (360) 457-9270
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . . 86.00 Plan Check Fee . . .00
Issue Date . . . 9/05/17 Valuation . . . . 0
Expiration Date . , 3/04/18
Qty Unit Charge Per Extension
BASE PEE 86.00
Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 .00 r
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
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FINAL /0? ; .040" =
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 Inspections
` '' tit 1111111111-
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 > —i.--w
Ph: (360)417-4735 Fax: (360)417-4711 r:; NIIIOIIPF
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Date: 7 X Multi-Family or Commercial*
-
*Plan Review May Be Required,Plea4e,Complete Electrical Plan Review Information Sheet
Job Address: 903 AJ <F ,S7-11-
Building Square Footage:
Description of above Galt c C r r G<--..--X z3-1.-t..e z e-1i
Owner informationContractor Information
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Name: 5l3O..i Thew' Name: STmPSOf E/ec i c L-LC_
Mailin•Address: '?0 3 W. ii.'_ MailinaAddress: PO i io x 100
City i.r 1-., - - State: U)P+ Zip: 8 34,3 City: Pori- /as State: LJ* Zip: 5'83 6 L
C-e -0 l� - Sir. Phon o)VS q2 icFax: �•1
se#/Exp. License#/Exp. '1.SEPS'&L 973 R.Q
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Item Unit ChargeQ_yt 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. $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 $ $'b•6D
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 I 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
$ gb tJzl 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 1928,WAC.Chapter 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signa of owner,electrical cont or or electrical administrator: 0 Cash 14 Check
r , 0 Credit Card#
t • Dated: Ed///7 01/0112012
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