HomeMy WebLinkAbout321 E 5TH ST - Building (6) 7T
ELECAICAL PERMrF
CrrY Of PORT ANGELES
3A50-417-4735
Application Number . . . . . 19-00000440 Date 3/26/14
Application pin number . . . 012240 REPORr SrATE SALES M
Property Address - . I. . . . 321 9 STH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000- on your excise.tax form
Application'type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
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Application desc
Privacy room_
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Owner Contractor
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CITY OF PORT ANGELES OWNER
PO BOX '1150
PORT ANGELES WA 983620217
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee 86.00 Plan Check Fee .00
Issue Date . . . . 3/26/19 valuation . . . . 0
Expiration Date 9/22/19
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., wspkcm:
DITCH
S. ERVICE
ROUGH-IN 0
FINAL
COb04ENTS:
PERMrF WILL EXPIRE SEX(6)MONMS FROM LAST INSPECTION
Signature of owner or Eledrical Contractor X Date:
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MULTI-FAMILY / COMMERCIAL VE
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 vvww.cityofpa.us I electricalperrnits(��cityofpa.us
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ProjectAddress: 4�_1-7 1010yee Z-e-?C41'7!qC
Project Description: .&1 1/0 c,�-4 R�)Ot'71
El Multi-Family Residential X Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: 01:64 i�E h2 Z n a e— Email:
Mailing Address: Phone:.S40
ELECTRICAL CONTRACTOR INFORMATION
Name: A-%4 'n-F &r4 Anael�& License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charae Quantity Total(Quantity 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 $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 PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Name Sign�ture(8 Owner E] Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)4174711
Date: /&( b Multi-Family or Commercial*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Discription of above 1-4:5-g -r- rz_ 1�
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Owner Information Contractor Information
Name: n i-m r— 1� All-k. Name:
Mailing Ad�rg;:—) Mailing Address:
City: State: Zip: City: State: Zip:
Phone: Fax: Phone: Fax:
License#/Exp. License# Exp.—
Itern Unit Charcie Total(QtY Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $_
ServiGe/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 14 $ 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 Circuitl Limited Energy—Multi-Family $ 64.00 $
Signal Circuit/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 additional T-Stat
$ Total
Owner as defined by RCK 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 PAMC 14.05.050 regarding Electrical Permit Applications.
I ct I ntractor or electrical administrator:
ated:
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