HomeMy WebLinkAbout100 W Railroad Avenue - Building Application Number . 16-60000862 Da10 WSTATE SALES TAX
Application pin'number 432234
Property Address . . . . . 100 W RAILROAD.AVE SLITY on Your exdse tax fornn
ASSESSOR PARCEL NUMBER: R6-30-00-0-4-0000-0000- to the City Of f off Ai19EleS
Application type description ELECTRICAL UNIX
Subdivision Name (Location Code 0502)
Property Use . .
Pippeirty, Zoning . .. . UNKNOW:
Applications-valuation p
Application desc
Event panel
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Owner Contractor
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CITY dF PORT ANGELES OWNER
PO BOX. 1i50
PORT ANG=S WA 983620217
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL ,
Additio"al deaf
Perm 3t ,Fee i22..40 'Plan Check Fee 00
Isatie mate . ., &/b3j20 " ='valuation o
Expiration Date 1131j21 ,
Qty Unit Charge Per— Extension
1.00 132.000 ECH EL-CUM 0-200 SRy FEEDER 132.00
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_Fes rU%fto y Charged Paid Credited Due
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Peres i Fens Total 132.06 132.00 0 00
Platt Check Total. .00, 00 .00 .00
Grand'Total 13200 133.00 , .00 .00
INSPECTION"TYPE DATE: : RESULTS: ;INSPECTOR
DUCH
SERVICE .
ROUGH-IN
FINAL
COMA+IENTS:
PERMIT WILL ExpatE Six(6)momms mom LAST,AV�iQN
Signature of owner or Electrical contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION 1
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 �• (�
Ph: (360) 417-4735 Fax: (360)4174711
Date: 6 V.3 -Z e _�$,Multi-Family or Commercial*
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: Ply 6 RA e_R ,,*0 , yig 14 i ee`—
Building Square Footage:
Description of above &-pE. �Ef,�� 1�. _
Owner Information ,� Contractor Information
Name: L'r r N +` J�4 ✓1 r ,47-+ "Ic Ces Name:
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone: Fax: Phone: Fax:
License#t Exp. License#1 Exp.
Item Unit Charge ON 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 $
Branch Circuits 14 $ 86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201400 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
$-ZYjL ` 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 296-46B,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: ❑ cash ❑ Check
�Q ❑ Credit Card#
X Dated: y° �` d1 �✓ 01101/2012