HomeMy WebLinkAbout939 CAROLINE ST - Building (9) ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
'Application Number 18-00001238 Date 8/07J18
Application pin number 527398 --
Property Address . . . 939 CAROLINE ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-3325-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name t0 the City Of Pott Angeles
Property Use (Location Code'0502)
PropertyToning PUBLIC BUILDINGS & PARKS
Application valuation 0
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Application desc - -
Access upgrade
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Owner Contractor
PUBLIC HOSPITAL DISTRICT #2 EPIC ELECTRIC INC
939 CAROLINE ST PO BOX 357
PORT ANGELES WA 98362 SNOHOMISH WA 98291
(360) 417-7170 (360) 568-5985
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Permit . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee . . . . 96.00 Plan Cheek Fee .00
Issue Date 8/07/18 Valuation0
Expiration Date_. 2/03/19
Qty Unit Charge Per bxtension
1.00' 96.0000 ECH EL-TRIP FEE-INSPECT EX. INSTAL 96,00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 96.00 96.00 00 00
Plan Check Total .00 .00 00 00
Grand Total 96.00 96.00 .00 0:0
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INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SER'iCE
ROU GH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department { Aa
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 ; www.cityofpa.us ; electricalpermits@cityofpa.us
Project Address: DMC,
Project Description: Acc::,e:>s Ubod,k< ,
❑ Multi-Family Residential ❑ Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: /1(y1 "C_ Email:
Mailing Address: Phone:
ELECTRICAL O. INFORMATION
Name: ��f i;, l"C�_ . License: EI"l CL( T. (_)_Zj_��,_
Mailing Address: `' 1 k . �`` 1� Expiration Date:
Email C 00^ Phone:3U) , (, �
PROJECT DETAILS
item 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.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp. $164.00 $
Temp.Service/Feeder 601-1000 Amp. $185.00 $
.a
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 $
by
$ 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-
466,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature(❑ Owner EJ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111