HomeMy WebLinkAbout113 N Alder Ln - BuildingCITY OF PO11T AN(X US ft ima APPLICATION
ffifflding Division/Eb�clflcal Inspectiorls
321 East Fifth Strpt!( — P.O. Box 1150 / Port Augeles Wishington, 99.362
Ph: (360) 417-4735 Fox. (360) 417-4711
Date: 3/31/2014
-- I & 2 Single Family Dwelling
'Plan Rwlew May Be Required, Please Complete Electrical Plan Review Information Sheet
AAddfffts: 113 N-
Buildhg $qqxe Fmage: 5-00 _
Dascriphon ef above
Owner Information
plc" 0-..jo,ean,e 11alpl
IN Z# 4524C
W"Afte$$: 113M Alder Ln
117-564-2547
Port Angeles Sja�O• ,2-11 WA 11r,81
QU
PJ%OnR� 3604520721 Fat�
ccense 41 Emp,—_
Ita—M
20D AnV.
$ 1200
Servire.feedsr 201400 Amp,
S 1460
Ser*eJftidor 401 -W AMP
$205-00
Servicewder 601-IOW Amp,
1262.00
ServicelFeedet over WO Arm,
$373,00
Ekanch CirM WJ Service Feeder
5 5.00
ftfdl CkUil W10 UrViCe Feeder
5 63,00
EaO Additional Orwth CircuA
5100
9r0n0h Girajits 11-4
5 750
Temp, Selvlcat Nedef 200 Amp,
9100
Tomp. Amp,
$ 1 1OX0
Tomp. SeNicf[Fewfer 401.604 Amp,
S 11400
Temp. SerqicelFoder 601.1000 Amp
$108,00
I'Mal to p1mal Hoody
S MOD
Sign$ CkP41Y Uml(W Energy - I & 2 Family f ng
S ROD
Manufrc lure d Vaip, ConnerAlon
S QUO
RenewaW EtnitiM Energy • 5KVA System or Less
$ 1 14
Thormostat
$ MOD
bite;
I
Firsl 1$00 SquAre Ft
$ 1120M
Each Adc5tIonal 500 Square FL or Rotlim of
S 400
Each OulMft or Detached Garage
S 74,00
Each Rmm*q Pool w flat Tub
$110.0
Contractor Information
NaMq' Protect Your Home.
Maft AddjeSS,, i75 POorlty Way South Dr
I
Total
One; as defirled by 1 .19,28,261: (i) Owner will OMPY the Sir udvre ter two y0am 3ftef thls electrical Permit Is finaliza (2) Owner is requked
to hire an elfxIdW contractor if above said piWq IS for $Ole, rent or 63se, Permll: expires after six Inonths of last inspection,
After reading the above statemeni, I hereby oefUly that I nm the owner of the al ve named property of a licensed electrical contrador, I am Risking
the elac*al Insladalion or feral km In compliance with the electrical laws, N.E,C., RCK Chapter 19,28, WAG, Chapter 296468, The O of Port
Angeles Municipal Code, aid Utility Specifications and PA MC 14,05,050 regarding Fiecidool Permit Apphcatfons.
Signature Of owner, electrical Contractor of electrical adminWritar, 0 W 0 Q*Ck
IN Z# 4524C
Pl4ft 866-502-3559
117-564-2547
Lkeffia # I PRCTFYH 934R5 exp 12/10/2013
QU
Total f0tv M2IfipIigd4tXjjg!LChar o
I
Total
One; as defirled by 1 .19,28,261: (i) Owner will OMPY the Sir udvre ter two y0am 3ftef thls electrical Permit Is finaliza (2) Owner is requked
to hire an elfxIdW contractor if above said piWq IS for $Ole, rent or 63se, Permll: expires after six Inonths of last inspection,
After reading the above statemeni, I hereby oefUly that I nm the owner of the al ve named property of a licensed electrical contrador, I am Risking
the elac*al Insladalion or feral km In compliance with the electrical laws, N.E,C., RCK Chapter 19,28, WAG, Chapter 296468, The O of Port
Angeles Municipal Code, aid Utility Specifications and PA MC 14,05,050 regarding Fiecidool Permit Apphcatfons.
Signature Of owner, electrical Contractor of electrical adminWritar, 0 W 0 Q*Ck
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , , , , . 14- 00000396 Date 3/31/14
Application pica number , . , 164606
Property Address , . , , 113 N ALDER LN
ASSESSOR PARCEL, NUMBRR: 05-30-17-5-6- 0150 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name , , , , , ,
Property Use . , . . . . . .
Property Zoning , , . . . . . UNKNOWN
Application valuation . . . . 0
Application desc
Security system
------------- ----------------------------------------------- --- ------- - - - - --
Owner Contractor
RALPH ROSE ANN C PROTECT YOUR HOME
113 N ALDER LN 3750 PRIORITY WAY SOUTH DRIVE
PORT ANGELES WA 963626151 4200
INDTNAPOLTS IN 46240
(317) 610 -4720
Permit . , , ELECTRICAL ALTER RESIDENTIAL
Additional desc , . ,
Permit Fee 64.00 Plan Check Fee 00
Issue Date 3/31/14 Valuation , . , , 0
Expiration Date 9/27/14
Qty Unit Charge Per
1.00 64,0000 RCH R
Fee summary Charged
Permit Fee Total 64.00
Plan Check Total 00
Grand Total. 64,00
Extension
5- SINGLE CIR LIMITED RES 64,00
Paid Credited Due
64,00 00 .00
.00 .00 o0
64.00 .00 00
7&, h4 kx
REPORT SALES rA)C
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
SOUGH -IN
FINAL
COMMENTS:
�a
"6 t
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
I