HomeMy WebLinkAbout1226 W 5th St - BuildingNorth Peninsula Electric
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: (-I -
Plan Review May $e8euir , Please Ca
Jab Address; ll
2 Single Family dwelling
plete Electrical Plan Review lnfntination Sheet
928-9409 p.1
Building Square Footage
Description of above
't( — t 1 r
Owner In` nnation
Names ,SICACLImUn -1c- MO YTbLP C' C hsV
Mailing A
City: state:_t,zip:-_,_� 2—
Phanm _ Fax --
License # I Exp. 1
]tem Unit Charge
Service/Feeder 200Arno. $ 420.00
Service/Feeder 201.400Amp. $148.40
Service/Feeder 401-500 Arao $ 205.00
Service/Feeder 601 1000 Amp. S 282.00
ServicelFeederover 1000 Amp. S 373.00
Branch Ci W! Sivke Feeder S 5.00
Branch Circuit WJOSeruiceFeeder $ 63.00
Each Additional Branch Circuit S 5.00
Branch Circuits 1-1 S 75.00
Temp. Serviced Fc,dcr200Amp. $ 93.00
Temp. ServfceiFeeler 201-400 Amp. S 110.00
Temp. Senric&Feeder401-600 Amp. 5145.00
Temp. Service/Feeder601 1000 Amp $188,00
Portal to Portz! Hourly $ 96,00
Signal CiruitJ Linliled Energy -182 Family Dwelling $ 6400
Manufactured Home Connection $120.00
Renewable E eatrical Energy -SKVA System or Less $ 102.00
Thermostat S 56.00
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.01)
Eat Additional 540 Square FL or Portion of s$
40.00
Cash Outbuilding or Detached Garage $ 74.00 $
Eat Swimming Peat or Hot Tub $ 110.00 $
S\C)g .L�Totaf
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 1 am the owner of the above named property or a licensed electrical contractor. 1 am making
the electrical installation or alteration n compliance with the eiechical laws, N.EC., RCW. Chapter 1923, WAC. Chapter 286-46B, The City of Port
Angeles Municipal Code, and Utility SpeciliicaIons and PAMC 14.05.050 regarding Electrical Permit Applications. 1
Signature of owner, electrical contractor or electrical administrator: 0 cash 0 cheer
iZfr --"" k ( ,L Dared: LI — 1 r -G C 1 Lf 01/0112/112
Contractor Info alio
`
Name: ti.)C r
Mailing Add
c-ry:
Phan
License #JExp.
3
Total (QV Multiplied by Unit Charge]
S.
S
$
$
S
$
S
s'
S
$
$'
S.
$
$'
x
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER;
Application type description
Subdivision Name
Property Use
P-roperty Zoning , , , ,
Application valuation ,
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
14-00000467
657479
1226 W STH ST
06 -30 -00 -0 -1 -1425 -0000 -
ELECTRICAL ONLY
Date 4/19/14
RS7 RESDNTL SINGLE FASILY
0
Application desc
10 CIRCUITS
Owner
COTTON, MONTE D
213 E 11TH ST
PORT ANGELES
WA 98362
Contractor
NORTH PENINSULA ELECTRIC
761 FRESHWATER PARK RD
PORT ANGELES WA 98363
{360) 477-1764
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc . 10 CIRCUITS
Permit Fee . . 108.00 Plan Check Fee .
Issue Date , , . 4/18/14 Valuation . , , .
Expiration Date . 10/15/14
Qty
9.00
1,00
Unit Charge
5,0000
63.0000
Per
ECH EL-ECH ADDNT BRANCH CIRCUIT
ECH EL -R- BRANCH CIR W0/ SER FEED
,00
0
Extension
45.00
63.00
Pee summary
Permit Fee Total
Plan Check Total
Grand Total.
Charged
108.00
,00
108.00
Paid Credited
108.00
.00
108.00
.00
.00
.00
Due
.00
.00
.00
REPORT SALES TAX
on your excise tax foram
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
1._ IT-- 14
FINAL
7/1)1
d
4V
\
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCHANGE\EIJILDING
Date:
Oiler
N