HomeMy WebLinkAbout3rd st - Building (2) 'CAL P UP
ERMIT
CITY OF-PORT ANGELES
7-4735
4 'liCjtjon�Number . . . 18-00001650
pp Date 10/24/18
Applivation pin number . . . 369050
REPORT STATE SALES,TAX
Property,Addrsse 110 E 3RD ST
ASSESSOR PARCEL MIMBER- 06-30�99-0-0-6910-0000- on your excise tax form
Application type description ELECTRICAL ONLY tb the City of Port Angeles
Subdivision Name . . . . . .
Property Use (Location Code 0502)
Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR
Application valuation ,. 0
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Application desc
Deli oven
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Owner Contractor
----------------- ------ ------- -----------------
SAFEWAY STORES INC D&R ELECTRIC
C/o CPTs PO BOX 74-
1371 OAKLAND BLVD, STE 200 PORT ORCHARD WA 98366
WALNUT CREEK CA 94596 (360) 443-*2207
201-6420
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Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . Plan Check Fee .00
Issue Date 16/24/18 valuation . . . . 0
Expiration Date �4/22/19
Qty Unit Charge Per Extension
BASS FEE 86.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE DATF_ RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-11N
Lz rA
FINAL
Ak!
CON04ENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPOCTION'
Signature of owner or Electricall Contractor X Date:
ELcOm
MULTI-FAMILY / COMMERCIAL
C), 3
ELECTRICAL PERMIT APPLICAT104' " .
S
A Public Works and Utilities Department
321 E. 5th Street, Port Angeles. WA 98')62
360.417.4735 www.cityoFpa.us electrical perrn 1 tsCa c ityofpa.us
Project Address:
Project Description:
El Multi-Family Residential Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Email:
f
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: A,F6 SIT*Expiration Date:
0
Email: —Ph ne: 2_')
�k
PROJECT DETAILS
Item Unit Charae Quantity Total(Q"6*-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 $
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 1 $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 $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note: $5.00 for each additional 1500 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.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAIVIC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature(E] Owner OQ�Iectrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111