HomeMy WebLinkAbout100 1/2 E FRONT Sl - BuildingELECMcAL PERMIT
MY OPPORT ANGELES
360-417-4735
Application Number . . . . . 16-00001664 Date 11/07/16
Application pin number . . . 790656
Property Address . . . . . . 100 1/2 E FRONT ST SGUAL
ASSESSOR PARCEL NUNBft.- R6 -30 -00 -0 -0 -0000 -0000-
-Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property zoning . . . . . . . UNKNOWN
Application valuation . . . . 0
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Application desc
Tree well Recept
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Contractor
------------=----------- ----------- ------------------------
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
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Permit . . . . .
. ELECTRICAL ALTER COMMERCIA1,
Additional desc .
. 1-4 CIRCUITS
Permit Fee . . .
. 86.00
Plan Check -Fee
.00
Issue Date . . .
. 11/07/16
valuation . . .
. 0
Expiration Date .
. 5/06/17
Qty Unit Charge
Per
Extension
-BASE
FEE
86.00
-------------- I --------------------------------------------------------------
Fee summary
Charged
Paid Credited
:
Due
-----------------
Permit Fee Total
---------- ----------
86.00
--------- ----------
$6.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
06.00
86.00 .00
.00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
CON04ENTS:
DATE: RESULTS:
.r) F S1 Jr7 aQ
PERMIT WELL EDMME SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G EXCHANGENBUILDING
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
I INSPECTOR
Date: -
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360)-473 Fax: (360) 417-4711
Date: Zmulti-Family or Commercial*
* Plan ReviewMa B RNPIred, Please Copplete Electrical Plan Review Information Sheet
Job Address: nw tf
Building Square Footage:
Description of above T— A) L-; k-1 Z t j 7VA L1.1 4
Owner Information
7
Contractor Information
Name:
Name: irks -r" ,kr
Mailing Address:
Mailing Address:
City: dt'4 e4U&jgjES StateceA Zip: flf& r; 17
City: State: Zip:
PhoneFax:
Phone: Fax:
License i/ xp.Oe" !12V * Air:� 77
License # Exp.
ftern
Unit Charae
Qtv Total (Qty Multiplied by Unit Charqe)
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 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 .
$ 185M
$
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
$ 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., RCK 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:
. ea— (,-T 0"", Daw: //— 7_/4
0 Cash El Check
F1 Credit Card #
01101012
2
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