HomeMy WebLinkAbout2408 S FRANCIS ST - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00001042 Date 7/24/18
Application pin number . . . 024682
Property Address . . . . . . 2408 S FRANCIS ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER. 06-30-10-5-2-1305-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY (Location Code 0502)
Application valuation . . . . 0
-------------------------------------------------------------------------
Application desc
Data, phone and TV wiring
----------------------------------------------------------------------------
Owner Contractor
7-------------- ------------------------
PENINSULA HOUSING AUTHORITY ANGELES COMMUNICATIONS INC.
2603 S FRANCIS ST 102 ROSS LN.
PORT ANGELES WA 983626710 PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 457-4375
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL NEW COMMERICAL
,Additional desc . . LOW VOLTAGE
Permit Fee . . . . 88.00 Plan Check Fee .00
Issue Date . . . . 7/24/18 Valuation . . . . 0
Expiration Date 1/20/19
Qty Unit Charge Per Extension
BASE FEE 88.00
i-----------------------------------------------7-----------------------
Fee summary Charged Paid Credited Due
------ --- ----- ----- ----- --- ---
Permit Fee Total 88.00 88.00 00 00
Plan Check Total .00 .00 .00 .00
Grand Total 88.00 88.00 .00 .00
INSPECTIONTYPE DATE: RESULTS: INSPECTOK-
DITCH
SERVICE
ROUGH-IN
FINAL
CONRAENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contmetor X Date:
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE: PERMIT# INSPECTOR
-B I ig-loLi
OWNEA
CONTRACTOR
ow�l
ADDRESS
I!i Qs I;e-pr)q
APPROVED NOT APPROVED
. . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 13
1.i=. . ROUGH IN/COVER . . . . . . . . . . . . . . . 13
[3. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0
-20& )os 2t)R Z�o
CORRECTIONS NEEDED: /()& 41 N- :1 w
L
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE—
'0
MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street,Port Angeles,WA 98362
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us
ProjectAddress, rg-,tAiciS Pee r /4v6r-Z&�
Project Description:_
)0—�- b-Familyftsidential [] Commercial I Industrial/Public Building Square footage:
OWNER INFORMATION
Name:— P7t-^% 5"-1 0VX/W 1 2=7 —Emai
MailingAddress: �7-1�43 FfAtJ44-; A,-4CZ�r 'JA Phone:_kc) V12-W
ELECTRICAL CONTRACTOR INFORMATION 7
Name: 747,777M C70 72,77 "C"A 7 74 License: 60/3,fLSY Z-
Mailing Address:LY02 4'1,eZ-d-t]�-M;piration Date: V!V�
Email: "10, 42 6L'�.P/ec C-0 """n"g .6 0 -;,- L----2Phone:_&Q Y ?
PROJECT DETAILS
&M Unit Charge Quaaft IgN(Quantity x Unit Charge)
ServicelFeeder 200 Amp. $132.00 $
ServicelFeeder 2011-400 Amp- $160.00 $
Service/Feeder 401-600 Amp- $225-00 $
Service/Feeder 601-1000 Amp. $288.00 $
ServicelFeeder over 1000 Amp. $410.00 $
Branch Circuit W Service Feeder $5-00 $
Branch Circuit WIO Service Feeder $74.00 $
Each Additional Branch Circuit $5.0D $
Branch Circuits 1-4 $86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Serviceffieeder401-M Amp. $164.00 $
Temp.Service/Feeder 601-1000 Amp. $185-00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy-Mul&Family $88.00 $
Signal Circuit/Limited Energy/First 15M sf-Commercial $96.00 $
(Note:$5.00 for each additional 15W sl)
Renewable Elec-Energy:5KVA System or less $113.00 $
Then-nostat(Note:$5 fbr each additional) $56-00 $
$ 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 malting the electrical installation or alteration in compliance with the eIdG-c-atVws,_tV.,q..RCW.Chapter 19.28,WAC.Chapter 296-
46B The City of Part Angeles Municipal Code,and Utility Specifications and PAIV!kt�fJ�0 regarding Electrical Permit Applications.
Print Name Signat6—re([-]�'�er 7 Electrical Conb7!r-'�mn
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or haxed to 360.417-4711]