HomeMy WebLinkAbout203 RESERVOIR RD - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
Application Number . . . . . 16-0 ' 0001834 Date 12/19/16
Application pin number . . . 197100 -
Property Address . . . . . . 203 RESERVOIR RD
ASSESSOR PARCEL NUMBER: 06-30-16-2-2-0040-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your exci-se tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the UY Of Port AngeleS
Property Zoning . . . . . . . UNKNOWN (Location Code 05o2)
Application valuation . . . . 0
Owner Contractor
CITY OF PORT ANGELES
OWNER
PO BOX 1150
PORT ANGELES
WA 983620217
----------------------------------------------------------------------------
Permit . . . . . .
ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit fee . . . .
96.00
Plan Check Fee
.00
Issue Date . . . .
12/19/16
Valuation . . .
. 0
Expiration Date . .
6/17/17
Qty Unit Charge
Per
Extension
1.00 96.0000
-
BCH BL -LIMITED IST 1500 SQ FT
96.00
----------------- ---------------------------------------------------
Fee summary Charged
Paid Credited
------
Due
----------------- ----------
Permit Fee Total
----------
96.00
---------- ----------
96.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
96.00
96.00 04
.00
INSPECTION TWE I
DITCH
SERVICE
ROUGH -IN
FINAL
PERMIT WILL EXPIRE SIX (6) MONTHS FROM j
DATE. RESULTS:
AST INSPECTION
INSPECTOR,
Signature of owner or Electrical Contractor x Date-
GAEXCHANGEWILDING
'V
CITY OF PORT ANGELES PERMIT APPLICATION t
R
Building Division/Electrical Inspections art
lam
321 East Fifth Street— P.O. Box 1150 /Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: %� ��"�� Multi -Family or Commercial*
"Plan Review ay Be Rerase Complete Electrica Plan Review Infor n Sheet r�
Job Address: 3 :� ►AQ li f /✓. el -l' t 0" t
Building Square Footage.
Description of above—j,yi,re t -r — j4=aV_9_ _/Z 0�A/J9 e rr
Owner Information
Contractor Information
Name: acts '46t&%
_.5
Name:
Mailing Address:
Mailing Address:
-
City: State: Zip:
City: State: Zip:
Phone: Fax:
Phone: Fax:
License # / Exp.
License # / Exp.
Item
Unit Charqe
QtV Total (Qtv Multiplied by Unit Charqe)
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
$
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
$ 99( 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.
Signatuf owner, elect ' al co tractor or electrical administrator: ❑ Cash ❑ Check
❑ Credit Card #
(/. Dated: `'J L rC� 0110112012
ey'e. 30_1( --2- Z -0"o
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001834 Date 12/19/16
Application pin number . . . 197100
Property Address . . . . . . 203 RESERVOIR RD
ASSESSOR PARCEL NUMBER: 06 -30 -16 -2 -2 -0040 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . 7 . . . . UNKNOWN
Application valuation . . . . 0
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
----------------------------------------------------------------------------
Permit . . . . . .
ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . .
96.00
Plan check Fee
.00
Issue Date . . . .
12/19/16
Valuation . . .
. 0
Expiration Date
6/17/17
Qty Unit Charge
Per
Extension
1.00 96-0000
----------------------------------------------------------------------------
ECH EL -LIMITED 1ST 1500 SO FT
96.00
Fee summary Charged
----------------- ----------
Paid 'Credited
Due
Permit Fee Total
----------
96;00
---------- ----------
96.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
96.00
96.00 .00
..00
REPORT SALES TAX
on your excise tax form
to the 0tY of Port Angeles
(Location Code o5o)
INSPECTION TYPE DATE. RESULTS: INSPECTOR
DITCH
SERVICE JI
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANGEBUILDING
Date.,