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Home My WebLink About1022 E St - Building Aug. 21. 2013 11 . 21AM No. 7475 P. 1 41ECEIVED CITY OF PORT ANGELES PERNIT APPLICATION r� l ftilding Division/Electrical Inspections AUG 2 1 2093 321 East Fifth Street—PA Box 11301 Port Angeles Washington,98362 ID Eta: (360)417-4735 Fax: (360)417-4711 Date; —Multi-Family or Commercial' x Plan Review May Be Re uired Please Complete Electrical Plan Review Information Sheet Job Address: Cti 5 Building Square Footage; Deacription of above o^ 12W11— Owner Information Contrac or Information Name:� f C f Name' Mailin Address: Mailing Address: 1 City; r Ste: zip; �39. City: S A Stake: 2ip:.d 7 Phone, 2— i Fau; R5�� 9—I zz — Phone: X 17 Fax: I License#1 Exp, License#f Exp. AM nl Char Charg ki Total Muhl plied by Unit Char e ServicelFeeder 200 Amp, $132.00 $ Ser&WFseder 201.400 Amp, $160.00 $ ServiceTeeder 401-600 Amp $225.00 $,— ServicelFeeder 601.1000 Amp. $288.00 $ Service/Feeder over 1000 Amp, $410.00 $ Brandt Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit 5.00 $ — Branch Circuiks 1-4 $ 86.00 S Temp,$ervicel Feeder 200 Amp. $102.00 $ Temp.ServiedFeecler 201-00 Amp. $121.00 $ Temp.5ervlce0eeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 601.1000 Amp, $195.00 $ Portal to Portal hourly $ 96.00 $_ 2 Sign/Outline Lighting $ 88,00 $ Signal Circuit!Limited Energy—Multi-Family $ 64.00 S Signal Circuit!Limited Energy 1 First 1500 sf—Commercial $ 96.00 $ j 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 $ Q,�.G,�b 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)Cwner 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, I After readi 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 eleotri installation or alteratlon in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC,Chapter 296.46B,The City of Port Angel e u icipal Code,and Utility Specifications and PAMC 14.06.050 regarding Electrical Permit Applications. Ognat A r owner,electrical contractor or electr[cai administrator: ❑ cattt ❑ Check I Azi_CredRcard# j r- 3 a1101r1Utz J� r C1� ELECTRICAL PERMIT ` CITY OF PORT ANGELES 360-417-4735 Application Number 13-00000947 Date 0/22/13 Application pin number 655926 Property Address . . , . . . 1022 E ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1685-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . to the City of Port Angeles Property Use Property Zoning . . . . UNKNOWN (Location Code 0502) Application valuation , . . , 0 Application deso Hourly tower grounding Owner Contractor CITY OF PORT ANGELES CCLVICO INC PO SOX 1150 2812 N PITTSDURG PORT ANGELES WA 983620217 SPOKANE WA 99207 ------T- (509) 536-1875 - � permit , . ELECTRICAL ALTER COMMERCIAL Additional desc , Permit Fee 96.00 Plan Check Fee .00 7 Issue Date. 8/22/13 valuation . . , . 0 Expiration Date 2/18/14 Qty Unit Charge Per Extension 1,00 96.0000 ECH EL-TRIP FEE-INSPECT EX. INSTAL 96.00 Fee summary.r Charged Paid Credited Due Permit Fee Total 96.00 96.00 .00 .00 plan Check Total . .00 .00 .00 Grand Total 96.00 96.00 .00 .00 INSPEC'T'ION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE y ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type Subdivision Name Property Use Property Zoning Application valuation Application desc Aerial attachment Owner CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES T \Policies \1102 15 [10/08] descrir.cion Permit RILjT OF WAY Additional desc FIBER CABLE AERIAL ATTACHMENT Permit pin number 141408 Permit Fee 70 00 Plan Check Fee 00 Issue Date 2/06/09 Valuation 0 Expiration Date 8/05/09 Qty Unit Charge Per WA 983620217 Signature o 6ontactor or Authorized Agent 09 00000127 279761 1022 E ST 06 30 00 0 3 1685 0000 WAVE BROADBAND PUBLIC WORKS UTILITES UNKNOWN 0 BASE FEE Contractor Fee summary Charced Paid Credited CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 EXCEL UTILITIES CONSTRUCTION 54 MISTY LN PORT ANGELES WA 98362 (360) 452 1110 Date 2/06/09 Due Permit Fee Total 70 00 70 00 00 00 Plan Check Total 00 00 00 00 Grand Total 70 00 70 00 00 00 Extension 70 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the wok as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Date Signature of Owner (if owner is builder) Date I PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies\1102 1 [10/08] PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES NO I I I I I I I I I COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED ES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I