HomeMy WebLinkAbout727 LOPEZ AVE - Building (2) ELECTRI[CAL,PERMIT '
CITY OP PORT ANGELES
W
360-4174735 —�
Application Number 18-00000734 Date 5/16/18
Application pin number . . . 206634
Property Address . . . . . , 727 LOPEZ AVE REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-10-5-2-1300-0000-
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
Phone, Data and TV
----------------------------------------------------------------------------
Owner Contractor
PENINSULA HOUSING AUTHORITY ANGELES COMMUNICATIONS INC.
2603 S FRANCIS ST 102 ROSS IN.
PORT ANGELES WA 983626710 PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 457-4375
----------------------------------------------------------------------------
Permit . . . . ELECTRICAL NEW COMMERICAL
Additional desc PHONE, DATA AND TV
Permit Fee . . . 88.00 Plan Check Fee .00
Issue Date . . . . 5/16/18 Valuation . . 0
Expiration Date 11/12/18
Qty Unit Charge Per Extension 1
BASE FEE 88.00
----------------------------------------------------------------------------
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
WSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
CON04 NTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
• MULTI-FAMILY / COMMERCIAL ,h
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
Irl
Project Address: 7,)7 L o pe Z -b1c
Project Description: !-1-a cO( 1�) c—' TV i-1 4 1 1� (!�-
.Multi-Family Residential ❑ Commercial I Industrial/Public Building Square footage:
OWNER INFORMATION
Name: TV x/_,777 0✓ -177— 7 77 Email: e nU! >"✓ ar
Mailing Address: 7 C.y-? �'_ C;ey4-A1 GG-s . V C r Phone: � C VS-Z*76/-
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: x�02 piration Date:
Email- J o" o✓ i°fl n/- drip Gs Phone: �b u Y i7 5
PROJECTDETAILS
HIM Unit Charge Quantity Total(Quaff x 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 $
Servioe/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.Servioe/Feeder 201-400 Amp. $121.00 $
Temp.Servioe/Feeder 401-600 Amp. $164.00 $
Temp.Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $--T—K
Signal Circuit/Limited Energy-Muni-Family $88.00 $
Signal CircuittLimited Energy/First 1500 sf-Commercial $96.00 $
(Note:$5.00 for each additional 15W sf)
Renewable Elec.Energy:5KVA System or less $113.00 $
Thermostat(Note:$5 for 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 making the electrical installation or alteration in compliance with the electrical laws,N.E.0 CW.Chapter 19.28,WAC.Chapter 296-
468,The City of Port Angeles Municipal Code,and Utility Specifications and '14.98'Q50 regarding Electrical Permit Applications.
at Print Name Signature(0-64im Electrical Contracto minist*r)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]