HomeMy WebLinkAbout622 1/2 W 10th StElectrical Permit
622Y
12 -1448
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
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ROUGH -IN
FINAL
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COMMENTS:
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER,
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
200 amp meter replacement
Owner
HALLER, ZACK T SHAINA
44 VERONA CT
DANVILLE
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
CA 94526
ELECTRICAL ALTER RESIDENTIAL
120.00
11/06/12
5/05/13
Qty Unit Charge Per
1.00 120.0000 ECH EL -0 -200 SRV FEEDER
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
120.00
.00
120.00
Signature of owner or Electrical Contractor X
G: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
12-00001448
919512
622 1/2 W 10TH ST
06-30-00-0-3- 2215 -0000-
ELECTRICAL ONLY
.RS7 RESDNTL SINGLE FAMILY
0
Contractor
JEDI ELECTRIC
331 FORS RD.
PORT ANGELES
(360) 460 -0556
120.00
.00
120:00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Plan Check Fee
Valuation
Paid Credited
.00
.00
.00
Date 11/06/12
WA 98362
Due
.00
0
Extension
120.00
.00
.00
.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 1.)- x 1& 2 Single Family Dwelling
ELECTRICA'
INSPECTIONS
Plan Review Ma Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 4, '/2 t. eS T !D T
Building Square Footage:
Description of above P. 00 0, vv‘ 7 ry lc G vtf
Owner Information
Name: ZA.c,1(
Mailing Address:
City:
Phone:
License Exp.
State: Zip:
Fax:
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 WI 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
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
Contractor Information
Name: Sed t &(P_c.Ti`i
Mailing Address: I Z,3! A'r,S Rot
City: P.4 State: L. A. Zip: 2
Phone: Fax:
License Exp. .SccllCe )4 QS 7 C Z
Qt (Qty Multiplied by Unit Charge)
4 1020
j -C, 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:
X
Cash X— Check
i Credit Card
Dated: S 7— 01101/2012