HomeMy WebLinkAbout622 S FRONT ST - Building ELECTRICAL PERMIT -
CITY OF PORT ANGELES v't
350-417-4735
Application Number . . . . . 17-00000556 Date 5/02/17
Application pin number . . . 628992
Property Address . . . . . . 622 E FRONT ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-7-0-6200-3010-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . t0 the Cit of Port Angeles
Property Use . . . . . . . . Y 9
Property zoning . . . . . . . UNKNOWN (Location Code 0502)
Application valuation . . . 0
-------------------------------------------------
Application desc
Ductless heat pump
----------------------------------------------------------------------------
i
Owner Contractor
------------------
CAREGIVERS HOME HEALTH INC NORTH PENINSULA ELECTRIC
PO BOX 3157 761 FRESHWATER PARK RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 457-1644 (360) 477-1764
---------------------------------------- ------------------------------
Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . . 74.00 Plan Check Fee .00
Issue Date 5/02/17 Valuation . . . . 0
Expiration Date 10/29/17
Oty Unit Charge Per Extension
1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ SIF 74.00
-----------------------------
Fee summary Charged Paid - Credited Due
---------- ----------
Permit Fee Total 74.00 74.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 74.00 74.00 .00 .00
I
{
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
211S
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections ?k4
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711
Date: --t--
!Mulfl+amily or Commercial*
Plan ReAew May Be Required..Please Complete Electrical Plan Review Information Sheet
Job Address: 2— 2—
30ding Scuare Footage:
Description of above L
Owner Information Contractor Information
Name:
Name
Mailirg Address Mading Address:
Gi'j: V i`-\ late: Zip: City: 1;>\ State,
Phone:t'\-'J Fax PhcW-A--\-*N-N71 l,,--(Fax
License#,Exp.-------- License#t Exp. !Qv— =Nc-
Item Unit Charge (qty Total(Qty Multiplied by Unit Charge)
Se-Ace/Feeder 200 Amp. $132.00 $.--
Service/Feeder 201400 Amp. $160.00 $----
Service/Feeder 401-600 Amp $225.30 S
Service/Feeder 601-1000 Amp. $286.00 S
Service/Feeder over 1000 Amp. $410,00 S
Brancq Circuit W/Service Feeder $ 5.00 $
B!arwA Circuil W/O Service Feeder $ 74.00 j $
Each Additional Branch Circuit $ 5.00
Branch Circuits 14 $ 86.00 $
Temp.Service/Feeder 200 Amp, $102.00 $—
Temp.ServicelFecder 201400 Amp. $121.00 $—
Temp.Serv'ce/Feeder 401-600 Amp. $'64.00 $
Temp.ServicelFeeder 601-1000 Amo. $'85.00
Poral to Portal Hourly $ 96.00
Sign/OuUe'Jghting $ 88.00
Signa Circuit/Limited Energy-Multi-Fami.ry $ 64.00
Signal Circuit,'Limited Energy/First 15.^0 s.,-Ccmirercial $ 96.00
Note: $5.00 for each additional 1500 sf
Renewable ElerLdcal Energy-5KVA System or Less $11100
Thermostat $ 56,00 $
Note:$50 for each additional T-Stat
$ 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.,RCVV.Chapter 19.28,WAC,Chapter 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAW-C 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: 0 Cash 11 Check
�""�--
X 0110112111112