HomeMy WebLinkAbout118 E 8th ST - Building (4) ELa I4 PERMIT ,
M Y OP PORT ANGELES `-
44 7-4735
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Application Number . . 18-00001:667 Date 10/26/18
Application pin number . 398471 REPORT STATE SALES TAX
Property Address . . . 118 E STU ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-686t-0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City Of Pod Angeles
Subdivision Name . . .
Property use (Location Code 0502)
Property Zoning . . . . . COMMUNITY SHOPPING DISTR
Application valuation, . . 0
Application desc
2 circuits
Owner Contractor
PENINSULA COMM MENTAL HLTH CTR BLACK DIAMOND'•ELSCTRICAL CONTR
118 E'8TH ST ,502 BLACK DIAMOND RD
PORT ANGELES WA 983626129 PORT A.N132LES WA 98363
(360) 565-1035
^Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4.CIRCUITS
Permit Fee . . . 86.00 Plan Check Fee .00
Issue Date . . . 10/26/18 Valuation 0'
Expiration Date 4/24/19
4ty Unit Charge Per Extension
BASE FES 86.00
--------------------------- ------
Fee summary Charged Paid Credited Dote
-- ------ - --
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 ?ATE: .RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN -
FINAL
PERMIT WILL.Expo ix(6)MONTHS PROM LAST INSPECTION
Signature,Of oVWEB' Electrical Contractor X Date:
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MULTI-FAMILY / COMMERCIAM�
ELECTRICAL PERMIT APPLICATIMCE'VE
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362 t
360.417.4735 www.cityofpa.us ! electricalpermits@cityofpa.uslNlc ?zc
Project Address.
11 g k � 4�
Project Description: 0 2 C R-c
❑ Multi-Family Residential 9,Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: JZ^-" Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: R (_ License:
Mailing Address: Expiration Date:
Email: Phone: ?60 VC 1^-74 C_9
PROJECT DETAILS
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 elecWal laws, N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code, and Utility Specif' ations AMC 14.05.050 regarding Electrical Permit Applications.
6 - Z�/T ge,� e
Date Print Name YgnAre( Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to CX Hall or epermits@cityofpa.us or faxed to 360.417.4711]