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HomeMy WebLinkAbout112 E 8TH ST A - Building (3) ELECTR- ICAL PERMIT CITY OF PORT ANGELES 304i7-4735 Application Number . . 19-00000034 Date 1/08/19 Application pin number . . . 438530 REPORT STATE SALES TAX Property Address . . . . . 112 E STH ST A on your excise tax form ASSESSOR PARCEL NUMBER: 06-30700-0-2-6831-00-00- Application type description ELECTRICAL ONLY to the (City of Port Angeles Subdivision.Name . . . . . . Property Use (Location Code 0502) . . Property Zoning . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . 0 Application desc - Data / phone ---------------------------------------------------------------------------- Owner Contractor PENINSULA COMMUNITY MENTAL ANGELES COMMUNICATIONS INC. HEALTH CENTER 102 ROSS LN. 118 E 8TH ST PORT ANGELES, WA � PORT ANGELES WA 983626129 PORT ANGELES WA 98362 (360) 457-0431 (360) 457-4375 Permit ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 106.00 Plan Check Fee :00 1 Issue Date 1/08/19 valuation . . . �,7 0 t�`tL Expiration Date 7/07/19 Qty Unit Charge Per Extension 1.00 96.0000 ECH- EL-LIMITED 1ST 1500 SQ FT 96:.00 2.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 10.00 Fee summary, Charged Paid Credited Due Permit Fee Total 106.00 106.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 106.00 106.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 2Z z FINAL COMMENTS: PERMrr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEM ION Signature of owner or Electrical Contractor X Date: s MULTI-FAMILY / COMMERCIALHlt(;EIVED V ELECTRICAL PERMIT APPLICATION JAN 0 Al"i Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 ELECTRICAL INSPECTIONS360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us W Project Address: -Fe y s r G,�t©f�, >!�c%� , 712 E,. b' S -. 671 - Project Description: (—t-) T ❑ Multi-Family Residential Commercial/Industrial/Public Building Square footage: 3eOD OWNER Name: a x!4 VJ°yam(:7—L Email: 7c, ewPiOPelit 0.0 Mailing Address: 114f $ e _ tJ4- Phone: 310 41�70Y3 t ELECTRICAL O. INFORMATION Name: -17 Gmr)-) uh i C'x ,o License: l d'(o 5-/Z Mailing Ad ss. 102- R.Ac G ✓ e I'v.4 Expiration Date: 30 2-07 Email: C1 o n Cg a rxyn an c4`ti Phone: 3 o y.3 7 1(3 75– PROJECT DETAILS !,tem Unit Charge 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. Servioe/Feeder 201-400 Amp. $121.00 $ Temp.Servioe/Feeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy-Multifamily $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 $ $ 0 1-J 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- 468,The City of Port Angeles Municipal Code,and Utility Specificaf s anOY C 14.05.050 regarding Electrical Permit Applications. 7 1 q Date Print Name SI ture(❑ Owner, Electrical Contractor/ ministrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711 J