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Home My WebLink About536 W 3rd St - Building 10/04/2013 16:46 FAX 360 452 9265 Angeles Electric 160001/0001 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street--P.O.Bog 1150/Port Angeles Washington,98362 Ph: (360)417-4735 Fag: (360) 417-4711 Date, � f 1 &2 Single Family Dwelling *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet .Sr3� Jab Address: Lv ��° Building Square Fpotage: 7W ' Description of above Owner Inform flan Contract r lnformation Name; R- i4,k'_ Name: n&e'L4Y &gzmtC 'Z'Ve_- Malling Ad s: Mailing dress: zz AE, oc4z4T _T'r City: State: WA- Zip; ,�_ City owl tats: �zlp'. SA Phone: Fax: Phone' o�— Fax; J� License#1 Exp, License#/Exp, o -911 Item lJnh Charsre Q�t Total(Qty Multiplied by Unit Charge) ServicelFeeder 200 Amp. $120.00 $ ServicelFeeder 201 400 Amp. $14&.00 $ Service/Feeder 401-600 Amp $205.00 $ ,Service)Feeder 601-1000 Amp, $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuits 1-4 $ 75.00 �— $ Branch Circuit W/Service Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 6.00 $ Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp.Service/Feeder 201400 Amp. $110.00 $ Temp.Service/Feeder 401-600 Amp. $149.00 $ Temp.ServicelFeeder 601-1000 Amp. $168.00 $ 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 $ NEW CONSTRUCTION ONLY: First 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 $ 3 , Total Owner as defined by RCW.19.28,261:(1)Owner will occupy the structure For two years after this electrical per alized,(2)Owner is required to hire an electrical contractor if above said property is For sale,rent or lease.Permit expires after six months o ast 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,Chapler 296-468,The City of Port Angeles Municipal Code,and Utility SpecifFCations and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractoror electrical administrator: ❑ cab o check CYGedn Card# 6A1 X Mad: v�eza alrovzolu ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00001152 Date 10/07/13 Application pin number , , , 597056 111 Property Address . . . . , . 536 W 3RD ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-7440-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Property Use Subdivision Name Proto the City of Port Angeles Pro Property Zoning , . . . . . . RS7 RESDNTL SINGLE 7AMI7,Y (Location Code 0502) Application valuation . . , . 0 Application desc Ductless heat pump and alter circuits Owner Contractor DAVID AND KRISANNE CEBELAK ANGELES ELECTRIC 536 W 3RD ST 524 E. 1ST ST, PORT ANGELES WA 98.363 PORT ANGELES WA 98362 (360) 452-9264 _--_----------------------------------------- X11' ---------------------------- Permit• . . . . . ELECTRICAL ALTER RESIDENTIAL S Additional desc w Permit Fee 103.00 Plan Check Fee 00 Issue Date 10/07/13 Valuation . . . . 0 Expiration Date 4/05/14 Qty Unit Charge Per Extension 8.00 510000 ECH EL-ECH ADDNT BRANCH CIRCUIT 40,00 1,00 63,0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due -------- -.-- ---------- ---------- --- - ---------- Permit Fee Total 103.00 103.00 .00 00 Plan Check Total .00 .00 .00 .00 Grand Total 103.00 I03,00 00 00 .INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN .FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_cto r X Date: GIEXCIIANGEOUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . , , 13-00001152 Date 10/07/13 Application pin number 597056 Property Address . , , 536 W 3RD ST r ASSESSOR PARCEL NUMBER, 06-30-00-0-0-7440-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise fax form Subdivision Name , , . . . Property Use . , . . . . . . to the City of Port Angeles Property Zoning . . , . . , . RS7 RESDNTL SINGLE FAMILY (Location �O�e a �� Application valuation . . , • 0 ------°__----- ------------ Application desc Ductless heat pump and alter circuits ---------------------------------------------------------------._----------- Owner Contractor ------------------------ ------------------------ DAVID AND KRISANNE CEBELAK ANGELES ELECTRIC 536 W 3RD ST 524 E. 19T ST. PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452-9264 ------- ------ Permit . , . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . 103.00 Plan Check Pee .00 Issue Date , . . 10/07/13 Valuation , . . . 0 Expiration Date . . 4/05/14 Qty Unit Charge Per Extension 8,00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 40,00 1100 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ------ ---------------------°_ ----------------------_ -__------------------ Fee summary Charged Paid 'Credited Due ---------- Permit Fee Total 103.00 103.00 ,00 .00 Plan Check Total .00 .00 00 .00 Grand Total 103.00 103.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or EIectrical Contractor X Date: GAIEXCHANGE\13UILDING