HomeMy WebLinkAbout109 E 1ST ST - Building (2) ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application;Number . . . 17-00000275 Date 3/09/17
Application pin number 475175
Property Address . . . . . . 109 E 1ST ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 106-30-00-5-1-1639-0000-
Application type description ELECTRICAL ONLY on your excise tax font?
Subdivision-Name . . . . . . to the City of Port Angeles
Property.Use . . . . .
Property Zoning . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502)
Application valuation . . . . 0
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Application deac
Service and circuits
Owner Contractor
BLACK DIAMOND BRIDAL INC NORTH PENINSULA ELECTRIC
263 ALICE RD 761 FRESHWATER PARK RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 477-1764
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Permit . . . . . . ELECTRICAL,;ALTER COMMERCIAL
Additional deac .
Permit Fee . . 232.00 Plan Check Fee .00
Issue Date . . . 3/09/17 Valuation 0
i > Expiration Date 9/05/17
t
Qty Unit Charge Per Extension
2Q.00 5.0000 BCH EL-BRANCH CIRCUIT W/FEEDER 100.00
1.00 . 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 232.00 232.00 .00 .00
Plan Check Total 00 .00 .00 .00
Grand Total 232.00 232.00 .00 00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
8,MICE
ROUGH-IPF I D
FINAL
CoNfli ENTS:
PERMIT WILL E SIX(6)MONTHS FROM LAST INSPECTION
R
Signature of owner or Electrical Contractor X Date:
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE: PERMIT# INSPECTOR JOME
CONTRACT R
Q t, e�
ADDRESS
APPROVED NOT APPROVED
❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . ..
CORRECTIONS NEEDED: - C- yA-,fif7,I4) f(C F:.'b�-
c-K 1�s
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE---
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CITY OF PORT ANCELES PERMIT APPLICATION ►�►r►- "��
Building Division/Electrical Inspections v 1
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711 !r1
Date �_- �Multi-Family or Commercial'
*Plan ReAw May Be Required,P ase Complete ElecbtjPlan ReAevl Information Sheet
Job Address .-
3uidiag Square Footage:
Description of above
Owner Info ation Contractor Information `-
NA C`
Nam Name:�t t *�' 'f'c `(1 Y� `
Mai>ir Ma81na Address: -I IL
City: S� State:'. Z �1
tY �a P.
Phone:._--_ Fax:-- --- Phone: -\:). ax:
License#I Exp.--- - License#t Exp, c,�,, V, V g�_
Item Unit Charge Total(Qtv Multiplied by Unit Charge)
Se,vicelFeeder 200 Amp. $132.00 S -
Ser vicelFeecer 201-403 Amp. $160.00 S
SerAce/Feeder 401-600 Amp $225.00 S
ServicelFeeder601-1000 Amp. $288.00 S
Service/Feeder over 1000 Amp. $410.00 S _
Brand Circuit W/Service Feeder $ 5.00 C) $X-
Branen Circuit N1/0 Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 86.00 $
Temp.Servicet Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp. $?64.00 $
Temp.Service/Feeder 601-1000 Amo. $185.00 $
Portal to Portal Hourly $ 96.00 $
Sign/OutCne Jghting $ 88.00 $
Sigra:Circuit/Limited Energy-Muni-Fami:y $ 64.00 $
Signal Circuit/Limited Energy/First 1500 sf,-Commercial $ 96AC $ -_
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 5600 $
Note:$5.00 for each additional T-Slat -,
$ -� -_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 las: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 296-4613,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of pwner,electrical contractor or electrical administrator: ❑ cash ❑ Check 4
s
X 1 \ ,t L dated:_ ? _ C 1 01/0112012
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