HomeMy WebLinkAbout520 E PARK AVE - Building (2) \IJV
ELECTRIMCAL PERMrF
CITY O"ORT ANGELES
36(�417-4735
Application Number . . . . . 18-00000104 Date 2/15/18
Application pin number . . . 117480
PropertyAddress . . . . . . 520 E PARK AVE � REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-15-5-0-9160-2001-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . .. . . . . . (Location Code 0502)
Application valuation . . . . 0
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Application desc
Ductless heat pumps x4
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Owner Contractor
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ST ANDREW'S RETIREMENT COMNTY BLACK DIAMOND ELECTRICAL CONTR
'703 CALLAHAN DR 502 BLACK DIAMOND RD
BREMERTON WA 983103347 PORT ANGELES WA 98363
(360) S6t-1035
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee .00
Issue Date . . . . 2/15/18 Valuation . . . . 0
Expiration Date 8/14/18
Oty Unit Charge Per Extension
BASE FEE 86.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86-00 .00 .00
INSPECTIONTYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FWAL
COMMENTS:
PERM1T WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date-
QQ)
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street-P.O.Box 1150/Port Angeles Washington,98362
Ph:(360)4174735 Fax: (360)4174711
Date: /_'�5--/S K-Muki-Family or Commercial*
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1,12 P�& f I—
Building 6quare Footage:
Description of above
Owner Information Contractor Information
Name: Ar"C�-s Name: f3(_K
Mailing Address: Mailing Address:
City: State:—Zip: City: State: Zip:
Phone: Fax: Phone: Fax:
License#/Exp. License# Exp.
Item Unit Charge QtV Total(Qtv Multiplied by 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 $ Aao
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 $ 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 $ %00 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.
Signature of owner,electrical contractor or electrical administrator:
x —Dated:
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