HomeMy WebLinkAbout200 N Francis St - Building ELECTRICAL PERMIT 1
CITY OF PORT ANGELES
360 -417 -4735
Application Number 12- 00000712 Date 6/06/12
Application pin number 401440
Property Address 200 N FRANCIS ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: R6-30-00-0-0-0000-0000- your excise tax form
Application type description ELECTRICAL ONLY on Y
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning UNKNOWN (Location Code 0502)
Application valuation 0
Application desc
Wireless Service WAP 31
Owner Contractor
CITY OF PORT ANGELES OLYMPIC ELECTRIC CO INC
PO BOX 1150 4230 TUMWATER
PORT ANGELES WA 983620217 PORT ANGELES WA 98363
(360) 457 -5303
Permit ELECTRICAL NEW COMMERICAL
Additional desc WIRELESS SERVICE WAP 31
Permit Fee 132.00 Plan Check Fee .00
Issue Date 6/06/12 Valuation 0
Expiration Date 12/03/12
Qty Unit Charge Per Extension
1.00 132.0000 ECH EL -COM 0 -200 SRV FEEDER 132.00
Fee summary Charged Paid Credited Due
Permit Fee Total 132.00 132.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 132.00 132.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE f �1 JI Z
ROUGH -IN E,
FINAL 614 11 c Nl/
COMMENTS: I 1
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
06/05/2012 14:34 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT 1001/012
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections e t A M U
321 East Fifth Street —P.O. Box 1150 Port Angeles Washington, 98362 iNSPECTIONS 4
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: L S I Multi.Family or Commercial*
Plan Review May RR RAauired. Please Complete Electrical Plan Review Information Sheet
Job Address: a O (2 N v 1a -cve. (-Ls S+
Building Square Footage:
Description of above r. ±.�L' 7
Owner of rmation Contrac o Information
Name: V Ib19 ,.F Z. .S
o k .)r\c.i�l o Name: pit U r 4 x'. i t+
Mailing Address: Z. 1 0
5& L Mellln Address c
City: P 4 State: t A Zip: CA 3 l.% City�i i IO k no r. State: l A) r3ZiP: l 3
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Phone: rt' 1 "•1 y 3'S` ti
Fax: M 1-i '11 1 Phone: ki s -1 no/ 3 Fax: -15.4. 0 .`-t rt
License d Exp. Li I Exp. 4FY tvi P 0 f r0.T:N 0.fl
Item Unit Charge gt1 Total (ON Muttlalled by UnIt Charnel
Service/Feeder 200 Amp. 132.00 _1—_
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 98.00
Sign /Outline Lighting 88.00
Signal Circuit/ Limited Energy Mull-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 TStat
t ,D- -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 end PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical adminletrator: O Cloth O Chock
I j_1 Credit Card
I_ Y Yom- V �J Datad: l J 01/01012