HomeMy WebLinkAbout213 W 11TH ST - Building (2) ELECitICAL PERMIT 5
CITY ?RT ANGELES
166.4174735
Application Number . . . . . 19-00000314 Date 3/05/19 f.
Application pin number . . 851396 REPORT STATE SALES TAX
Property Address . . . 213 W 11TH ST 017 yOUr eXC/Se taX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2675-0000
form
Application xYpe description ELECTRICAL ONLY t0 the City Of Port Angeles
Subdivision
Use pn game
Prop (Location Code 0502)
Property
Property Zoning . . . UNtCWM
Application valuation . . 0
Owner Contractor
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CATHOLIC DIOCESE OF SEATTLE OLYMPIC ELECTRIC CO INC
910 MARION ST 4230 TL WATER
SEATTLE WA 981041274 PORT ANGELES WA 98363
(360J 457-5303 .
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Permit,
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Permit ELECTRICAL ALTER COMMERCIAL
Additional desc FA DIALER, PWR SUP 1-4 CIR
Permit Fee 86.00 Plan Check Fee .00
Issue Date 3/05/19 Valuation 0
Expiration Date 9/01/19
i
Qty UnitiCharge Per Extension
BASE FEE 86.00
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Fee summary
--------------------------------- ---------- -- ----Feesummary Charged Paid Credited Due i
- ------ ---------- ----------
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total :00 .00 100 .00
Grand Total 86.00 86.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
i
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
Feb 28 2019 12:13PM HP Fax
page 1
MAR 011019
raarq, 1
CITY OF PORT ANGELES PERMIT APPLICATION
Building Dhision/Electrical Inspections 1
321 East Fifth Street--P.O.Box 1150/Part Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711
Date: -Z- `Z-6' t G Multi-Family or Commercial'
"Plan Revie 4Required,Please Complete ric:al Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of ebove Ant) A 1=ieil T)(0. lx. 1�Dli�
Owner information Contractor Information
Name: cey u c_-Y.j ar- A1_3 OLYWPIC gECI (C
Mailing Address: 24 9 L&-'.) 1 f n4 I&T- Mailing Pddress: A=TUMATER
City: rp► State:W'Q zip: A "i Sr Z City. POR TANCELEa State: WA Zip: Ol
Phone: S 2 t3St Fax Phone:3wo m-mw Fax: 380452.9408
license 1f/Exp. License#I Exp.OLYwEc2m'
em Unit OgEgelyt Total 10ty Mufti lu ied by Unit 9harae)
ServicelFeeder 200 Amp. $132.00 $
ServkWFeeder 201.400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $
ServicetFesder 601-1000 Amp. $288.00 $
ServicelFeeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $ 5,00 $
Branch Circuit W10 Service feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Cirajits 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.ServicelFeeder 601-1000 Amp. $185.00 $
Portal to Portal Houriy $ 96.00 $
Sign/Outline Lighting $ 86.00 $
Signal Circult/Limited Energy-Multi-Family $ 64.00 $
Signal Circuit!Limited Energy i First 1500 sf-Commercial $ 96.00 $
Note: $5.00 foreach additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
Note:$5.00 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 elecftal cmtractor I 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 complianoe with the electrical lanes,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296468,The City of Port
Angeles Municipal Code,and Lhility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or el I administrator: o cash 0 Check
® credit caro
x Dated: 2 - Z'�S — l 9 orro�norz