HomeMy WebLinkAbout620 1/2 W 10th StElectrical Permit
620'AW lOthSt
12 -1449
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
it 140 11
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FINAL,
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COMMENTS:
Application Number 12- 00001449
Application pin number 061031
Property Address 620 1/2 W 10TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 2215 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
200 meter replacement
Owner
HALLER, ZACK T SHAINA
44 VERONA CT
DANVILLE
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Permit Fee Total
Plan Check Total
Grand Total
CA 94526
Fee summary Charged
120.00
11/06/12
5/05/13
120.00
.00
120.00
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Paid
Signature of owner or Electrical Contractor X
G: \E.XCHANGE \BUILDING
120.00
.00
120.00
Contractor
JEDI ELECTRIC
331 FORS RD.
PORT ANGELES
(360) 460 -0556
ELECTRICAL ALTER RESIDENTIAL
Qty Unit Charge Per
1.00 120.0000 ECH EL -0 -200 SRV FEEDER
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Plan Check Fee
Valuation
Credited
.00
.00
.00
Date 11/06/12
WA 98362
Due
.00
.00
.00
.00
0
Extension
120.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 11-5-ix
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 4 1 /2. 4./GST /D T
Building Square Footage:
Description of above .2 no
Item
Service /Feeder 200 Amp.
Service /Feeder 201.400 Amp.
Service /Feeder 401 -600 Amp
Service /Feeder 601 -1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1 -4
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 -1000 Amp
Portal to Portal Hourly
Signal Circuit/ Limited Energy -1 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
Note: $5.00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
0."- Serv char" e
Owner Information
Name: ZAGI( /!altar
Mailing Address:
City: State: Zip:
Phone: Fax:
License Exp.
1 2 Single Family Dwelling
Unit Charge
120.00
146.00
205.00
262.00
373.00
5.00
63.00
5.00
75.00
93.00
110.00
149.00
168.00
96.00
64,00
120.00
102.00
56.00
120.00
40.00
74.00
110.00
Dated:
�!2
I =LtEC t i�iCr�!_
INSPECTIONS
0110112012
Contractor Information
Name: G l ex-T �c
Mailing Address: FDf S
City: P P. A State: G.J c. Zip: X1$34
Phone: Fax:
License /Exp. Gat lee it cis 7G Z
Total (Qty Multiplied by Unit Charge)
1.3.0
1.20 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 Iaws,.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
Credit Card