HomeMy WebLinkAbout142 ECLIPSE WEST DR - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES .`
360-417-4735
Application Number . , . . 18-00000779 Date 5/23/18
Application pin number 484390
Property Address . . 142 ECLIPSE WEST DR REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-07-4-4-0125-0000-
Application ,type description ELECTRICAL ONLY on your excise tax foam
Subdivision Name . . to the City of Port Angeles
Property Use .
Property Zoning . INDUSTRIAL LIGHT (Location Code 0507)
Application valuation . 0
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Application desc
Lighting retrofit
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Owner Contractor
LAKESIDE INDUSTRIES OWNER
PO BOX 7016
ISSAQUAH WA 980277016
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Permit ELECTRICAL ALTER COMMERCIAL
Additional desc ,
Permit Fee 88.00 Plan Check Fee .00
Issue Date . . . 5/23/18 Valuation 0
Expiration Date 11/19/18
Qty Unit Charge Per Extension
1.00 88.0000 ECH EL-COMM-SIGN 88.00 1
-----Fee summary - Charged Paid Credited Due
----------------- - -------- ------- -- ---- - ----------
Permit
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Permit Fee Total 88.00 88,00 ,00 0'0
Plan Check Total .00 00 .00 .40
Grand Total 88.00 88.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTaR:
DITCH
SERVICE
ROUGH-IN ru
FINAL
CONRAENTS:
PERMIT WILL EXPIRE SLC(b)MONTHS MOM LAST INSPECTION
Signature of owner or Electrical Contractor X Date.
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711 : . =a,
Date: I - X Multi-Family or Commercial* 6
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheat
Job Address:
Building Square Footage:
Description of above C7 Cft-5, c a r� ►/15
Owner Information Contractor Information
Name: b/zce- r, Name:
Mailing Address: Po R 0,K 7Lrr Mailing Address:
City: �r 410-t.i State:�-A Zip:W3Z, City: State: Zip:
Phone 3 6,1,i J7-t 'TY Fax: Phone: Fax:
License#/Exp. License#/Exp.
Item Unit Charge QtV 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 $
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
$8,e °' 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 296466,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical ontractor or electrical administrator: ❑ Cash I& Check
/
1-1 CreditCard#
X
Signature
_ / 01101/2012