HomeMy WebLinkAbout532 W 4th St -BuildingCITY 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:
_ 1 & 2 Single Family Dwelling
* Plan review May Be Required, Ple se Complete Electrical Plan Review Information Sheet
Job Address; , c" ,.�
Building Square Footage;
Description of above T/I ct l .10 fA � d�c •7rl 1, T t�•2 c; � �7 �1 ���
Owgp,r lgfgrmation
Name; �_(' t]-L2._
Mailing Address: 2-?N
City: P's, State; 0 1 zip: �(v
Phone: Fax:
License #I Ex
Item
Unit Charge
SorvicelFeeder 200 Amp.
$120.00
Service/Feeder 201 -400 Amp.
$146,00
Service/Feeder 401 -600 Amp
$ 205.00
ServicelFeeder 601 -1000 Amp.
$ 262.00
ServicelFeeder over 1000 Amp.
$ 373.00
Branch Circuit WI Service Feeder
$ 5.00
Branch Circuit WIO Service Feeder
$ 63,00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1 -4
$ 75.00
Temp. Service! Feeder 200 Amp,
$ 93,00
Temp. Service/Feeder 201 -400 Amp.
$110.00
Temp. ServicelFeeder 401 -600 Amp
$ 149,00
Temp, Service/Feeder 601 -1000 Amp .
$168.00
Portal to Portal Hourly
$ 96,00
Signal Circuitl Limited Energy -1 & 2 Family Dwelling
$ 64.00
Manufactured Home Connection
$120,00
Renewable Electrical Energy - 5KVA System or Less
$102.00
Thermostat
$ 56.00
Note: $5,00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft
$ 120.00
Each Additional 500 Square Ft, or Portion of
$ 40.00
Each Outbuilding or Detached Garage
$ ?4,00
Each Swimming Pool or Hot Tub
$110.00
Contractor Information
Name: tCC, -C tCL
Mailing Address: `P i OkLt , ('
City: S #ate; 1,0A.. -_zip; "
Phone; Fax:
License #1Exp.
City Total (Qty Multiplied by Unit Charge)
$
$
$
$
$_-4jW_ Total
Owner as defined by RCVV.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 slx 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 X Check
❑ Credit Card q
Dated: 7" T 0110112012
4'1�421 A4
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , , , . , 14- 00000142 Date 2/10/14
Application pin number . , . 449460
Property Addre6s 532 W 4TH ST
ASSESSOR PARCEL NUMBER; 06-30-00-0-0- 8430 -0000-
Application type description ELECTRTCAL ONLY
Subdivision Name , . . , ,
Property Use ,
Property Zoning . . . , , . RS7 RESDNTL SINGLE FAMILY
Application valuation . , , . 0
--------------- ---- ----------- - - - - --
Application desc
Heat pump
Owner
Contractor
GLOOR �70AN L
------------------------
JEDI ELECTRIC
826 BLACK. DIAMOND RD
331 FORS RD,
PORT ANGELES
Wit 983639496
PORT ANGELES
WA 98362
(360) 460 -0556
Permit . , . . . .
---------------------------------------
ELECTRICAL ALTER RESIDENTIAL
Additional desc ,
Permit Fee
68.00
Plan Check Fee
.00
Issue Date
2/10/14
Valuation , . , ,
0
Expiration Date
B/09/14
Qty Unit Charge
Per
Extension
1.00 5.0000
ECH EL -ECH
ADDNT BRANCH CIRCUIT
5.00
1100 63.0000
ECH EI, -R-
---------------------.---------__-------------
BRANCH CIR WO/ SER FEED
63.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total
- --
68,00
- - - - -- -- -- - - - - -- ----
68100 .00
-- - - --
,00
Plan Check Total
00
.00 ,00
,00
Grand Total
68 00
66.00 .00
.00
INSPECTION TYPE DATE:
DITCH
SERVICE
ROUGH -IN i ® j q
FINAL L
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
RESULTS,
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR: I
Signature of owner or Electrical Contractor X Date:
QTXCHANGE\BUIIAiNG
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