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HomeMy WebLinkAbout1111 - Building EL u _ ALIPP-RMIT .. - CITY { - -ANGELES v I7- 735 ;Application Numbex . 19-00002028 'Date 1/02/20 } Ppgliction pin number 729072 REPORT STATE SALES TAX Property Address . . 1111 COLUMBIA ST onflUf '3CC�Se tax form ASSESSOR CEL'NL)MBER: 06-30-00-5-3-0265-0000- Ap0l,iO.Atlon type description ELECTRICAL ONLY to the City Of PQrf Angeles Subdivfsi©n Name (Location Cade 11502) Property Use Property Zoning COMMERCIAL OFFICE Application valuation . . . . 0 ----------------------------------------------------------------------------- Application desc Dental light circuit -------- ----=------ ---------- -- --- -- - ------ Owner Contractor' -------------- --------- ----- BIRCH, GREGORY BLACK DIAMOND ELECTRICAL CONTR 918 CAROLINE, STREET 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 457-3183 (360) 565-1035 Permit : ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 74.00 Plan Check-Fee c .00 i Issue Date 1/01/20 Valuation 0 Expiration Date 6/30/20 ! f Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ 'S/F 74.00 -- -- - -------- ------ -- —------------------ Fee summary Charged Paid Credited Due Permit Fee Total 74.,00 74.,.00 ..00 :00 Plan Check Total .00 .00 .00 .00` Grand Total" 74.00 74.00 00 .00 i I INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL' COMMENTS: PERMI" L EXPW SIX{6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: i i i i i i i - ` ^ MULTI-FAMILY / COMMERCIAL 41 ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 6. 5tb Street, Port Angeles, WA9@362 ItB 360'41/.4/35 1v/ww.citYntnuus1o|cotnoolpenmkagcdYoibnus Project Address: / COLU14 ITIA Project Description: se C_ go 2 El Multi-Family Residential X�,Commercial/Industrial/Public Building Square footage: OVMER INFORMATION Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total(Quantity x nit Charge) Service/Feeder 2VOAmp. $132.00 $__________ Service/Feeder 2O1-4VDAmp. u160.00 $________ Service/Feeder 4O1-8DOAmp. o225.00 $__________ Service/Feeder OO1'10OOAmp. *288.00 ----___ $-----____- Service/Feeder over 10OOAmp. *410.00 $_-----___- Branch Circuit wN Service Feeder *5.00 _---___ $ Branch Circuit W/O Service Feeder $74V0 $ Each Additional Branch Circuit $5.00 _---__ *----___-__ Branch Circuits 14 *06D0 ---___- $ Temp.Service/Feeder 2DOAmp. $102.00 $__________ Temp,Service/Feeder 2O14OOAmp. $121.00 $___-____. Temp. Service/Feeder 4U1'00OAmp. $184.00 $ 7emp Samice/Faedor6014000Amp. $185.00 $__________ Portal*o Portal Hourly *96.00 ----__' $--__--____- Sign/Outline Lighting $88,00 ----__- $_-__-____ Signal Circuit/Limited Energy'Multi-Family $88.00 $__________ Signal Circuit/Limited Energy/First 15OOof'Commercial o96.00 a (Note:$5.00 for each additional 1500mn Renewable Elec. Energy:5wVA System orless $113.00 $_________ Thermostat(Note: $5 for each additional) u50.00 $_-_---____ $ TOTAL Owner as defined uvR[W.1n.o&u61:(1)Owner will occupy the structure omrmvo years aptermio electrical permit is finalized.(o)Owner io 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, | hereby certify that|om the owner of the above named property oro licensed electrical contractor. | am making the electrical installation or alteration in compliance with the electrical laws,N.E.C., RCW Chapter 19.28,WAC.Chapter 296- 46B,ThaCityofPortAngeleoK8unicipe|Code.andUU|byGpeoificatiunsondFAMC 14.O5.U5O regarding Electrical Permit Applications. 1T_k4_1011i IV - Date Print Name '--'�fig(ature(k Owner E] Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]