HomeMy WebLinkAbout1706 W HWY 101 - Building (2) ; wy
ELECTRICAL PERMIT
CITY OF PORT ANGELES --
360 417-4735
Application Number . . 17-00001372 Date 9/27/17
Application pin number 485788
Property Address 1706 W HWY 101 REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-08-3-3-9010-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . to the City of Port Angeles
Property Use
Property zoning . . . . . . . UNKNOWN (Location Code 0502)
Application valuation . . . . 0,
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Application desc
Firepanel replace
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Owner Contractor
BRUCH LYNN R SIMPSON ELECTRIC
2446-E HIDDEN WAY RD 243036 W HWY 101 j
PORT ANGELES WA 983629033 PORT ANGELES WA 98363
(360) 457-9270
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Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-:4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee .00
Issue Date . . . . 9/27/17 valuation 0
Expiration Date , 3/26/18
Qty Unit Charge Per Extension
BASE 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 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:
�pe41 n-
CITY OF PORT ANGELES PERMIT APPLICATION 1
Building Division/Electrical Inspections /
321 East Fifth Street—P.O.Boz 1150/Port Angeles Washington,98362
Ph:(360)4174735 Fax:(360)417-4711
Date: 3�11 Multf-IFamily or Corm wciar
�s
t Plan Review May! R piete Electrical Plan Review Information Sheet
Job Address: i G /:c
Buffing Square Footage:
Description of above
Owner I Contractior Info tion
Nam:
Name: Na : i byL Lr�e f�i'e L e
pMat lg L Wfid. ® c D
GtY State:
Phone: Fax: Phone( ��7-
License#/Eke Lirxirhse !Exp. PSL[_ .�
Item Unit ChaM gtV Total My MWOPRed by Unit Champ)
Service/Feeder 200 Amp. $132.00 $
ServioelFeeder 201-400 Amp. $160.00 $
Service/Feeder 401-M Amp $225.00 $
ServioefFeeder 601-1000 Amp. $288.00 $
ServicelFeeder over 1000 Amp. $410.00 $
Branch Circxrit W/Service Feeder $ 5.00 $
Branch CircWit W/O Service Feeder $ 74.00 $
Each Additional Branch Cirabt $ 5.00 $.�
BranchCiraiits 1-4 $ 86.00 7-' $
Terre.Service/Feeder 200 Amp. $102.00 $
Temp.ServicelFeeder 20144 Amp. $121.00 $
Temp.Service/Feeder 401-M Arra. $164.00 $
Temp.Service/Feeder 601-1000 Amp. $185.00 $
Portal b Portal Hourly $ 96.00 $
SigNOutline Lighting $ 88.00 $
Signal Ciro d Limited Energy-MA-Family $ 64.00 $
Signal Q=W 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 additiorW TSfat
$ �•— Total
Owner as defined by RCW.19.28.261:(1)Owner vAH 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.Perrnft expires atter six mordhs of hast inspection.
After reading the above statement,I hereby certify that 1 am the owner of the above named property or a liasimd electrical contractor.I am malting
Ow electrical motion or alteration in compliance with the electrical laws,N.EC.,RCW.Chapter 1928,WAC.Chapter 29646B.The City of Port
Angles Mtinkipal Code,and Ut6ty Spe Amfi ns and PAMC 14.05.050 regarding BecMW Pw M App ions.
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of owner,elechicall contractor or electrf al administrator: ❑ Cann )' 0"
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