HomeMy WebLinkAbout330 E 12th St - Building 12/10/2012 16:35 FAX 360 452 9265 Angeles Electric 100001/0002
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CITY OF POUT 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)4174711
Date: Z;110 112-- 1 2 Single Family(Dwelling
Plan Review May Be Required,Please C alete Electrical Plan Review Information Sheet
Job Address: 2
Building Square Footage:
Description of above
340c'LL 'croc A4&6— 2040-0h
Owner Information / Contracto Information
Name:
Mailing A s: 3W Mailing Aft
City, State; _Zip: City: " State:--A'M1Zip;
Phone: ax: Phone; Fax:
License 07 Exp. License#I Exp.
Item Unit Charge (�j[t Total(0ty Multiplied by Unit Charge)
a: Service/Fe6der 200 Amp. $120.00 $
ServicalFeeder 201 400 Amp. $146.00 $
ServicelFeeder401-600 Amp $205.00 $
ServicelFeeder 601-1000 Amp. $262.00 $
ServicelFeeder over 1000 Amp, $373.00 $
Branch Circuit Wl'Servlce Feeder $ 5.00
Brandt Clmvit W/O Service Feeder $ 63.00
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 75.00 $
Temp.Service!Feeder 200 Amp. $ 93.00 $
Temp.ServicelFeeder 201 400 Amp. $110.00 $
Temp.ServicelFeeder401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp, $166.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit!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 TStat
NEW CONSIBLICTION ONLY:
Flrst 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$ Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy tha 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 296468,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: ❑ Cosh :❑ Check
01101012
ELECTRICAL PERMIT l
CITY OF PORT ANGELES �
360-417-4735
Application Number . . . . 12-00001615 Date 12/12/12 C
Application pin number , . , 451035 _ 11
Property Address . . . . . . 330 E 12TH ST
ASSESSOR PARCEL NUMBER: ��P®�� SALES l,I
06-30-00-0-3-8210-0000-
Application type description ELECTRICAL ONLY On your excise fax form
Subdivision Name
Property Use , , . . . . . . to the City of Port Angeles
Property Zoning . . . . . . , RS7 RESDUTL SINGLE FAMILY (Location Code 0502)
Application valuation . , . , 0
-------------------------------------------------- -------------------
Application desc
200 amp service 2 circuits for heater
Owner Contractor
LARSON GEORGETTA ANGELES ELECTRIC
330 E 12TH ST 524 E, 1ST ST.
PORT ANGHLES WA 983627408 PORT ANGELES WA 98362
{360} 952-9264 { _ l
Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional deaf .
Permit Fee . . , . 130.00 Plan Check Fee 00
Issue Date . , . . 12/12/12 valuation . . , . 0
Expiration Date . 6/10/1.3
Qty Unit Charge Per Extension
2.00 5,0000 ECH EL-BRANCH CIRCUIT W/FEEDER 10,00
1100 120.0000 ECH EL-0-200 SRV FEEDER 120,00
------------------------------------°°___°_----------_ - -_w.__---------------
Fee summary Charged Paid Credited Due
Permit Pee Total 130.00 130.00 00 .00
Plan Check Total .00 ,00 00 .00
Grand Total. 130.00 130.00 .00 ,00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DI'T'CH
SERVICE
ROUGH-IN
r M A
.FINAL W ;d
COMMENTS:
PERMIT WILL EXPIRE SIX{6}MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANWBUILDING