HomeMy WebLinkAbout410 E 11th St - Building-CITY OF PORT ANGELES-PERMIT APPLICATION Building Division /Electrical Inspections RECEIVED
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
ELECTRICAL
Date: 05/28/2014 �jil�- er- GammP,�Cial
IIruQECrloNS
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address 410 E 11TH ST
Building Square Footage: 1800
Description of aboveT
Owner Information
Contractor Information
Name: TERRY OULSEI3TSON
Name: APT LLC
Mailing Address: 410 E 11TH ST
Malling Address: 11824N CREEK PKWY N, SUITE #ICE
City PORTAWELES State: WA' Zip: 98363
City: BOTHELL State: WA zip; 98071
Phone: 505- 205 -8477 Fax:
Phors' 206- 774 -9499 Fax: 888- 400-03H
License A I Exp.
License # 1 Exp, ADTLLL'B81 DO EXP:3/2012a15
Item
Unit Charge
t t Total_ (Qty Multiplied by Unit Charge,
ServicelFeeder 200 Amp.
$132.00
$
Service/Feeder 201 -400 Amp.
$ 160.00
$
Service/Feeder 401 -600 Amp
$ 225.00
$
Service/Feeder 601 -1000 Amp,
$ 288.00
$
Service/Feeder over 1000 Amp.
$ 410,00
$
Branch Circuit WI Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 74.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1 -4
$ 86.00
$
Temp Service/ Feeder 200 Amp.
$102,00
$
Temp Service/Feeder 201 -400 Amp.
$121.00
$
Temp. Service/Feeder 401 -600 Amp.
$164.00
$
Temp. ServicelFeeder 601 -1000 Amp,
$ 18500
$
Portal to Portal Hourly
$ 96.00
$
Sign/Outline Lighting
$ 88.00
$
Signal Circuit/ Limited Energy - Multi - Family
$ 64.00
I $
Signal Circuit/ Limited Energy 1 First 1500 sf - Commercial
Note: $5,00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
$
Thermostat
$ 56.00
$
Note, $5,00 for each additional T -Slat
$ Total
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 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 -4613, 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 ❑ Chock
oly,ta�ly „9�anY,ennire,coeuo
®
oN :cnJennlleCavel0.o= �,hw „Pe „n ,,
Jennifer Covell o mall =lennllei�nvipeimleeam, r
05/28/2014
—u5
X Bai.:0ln.o 150.s342 -08na
Dated:
01/0112012
1
1
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735 .
Application Number . . , , , 14- 00000612 Date 5/28/14
Application pin number , . . 214600
Property Address I . • , . , 410 E 11TH ST
ASSESSOR PARCEL NUMBER; 06-30-00-0-3- 4030 -0000-
Applicatzon type description ELECTRICAL ONLY
Subdivision Name . , . . . .
Property Use . . . . . . . .
Property Zoning , . . . , , . RS7 RESDNTL SINGLE.FAMILY
Application valuation . , , . 0
Application desc
Security system
Owner
Contractor
RESULTS:
BREEN, TERRY
DITCH
ALT LLC
7462 W MOUNTAIN QUAIL
CIR
11824 N CREEK PARKWAY, N
TUCSON
AZ 85750
STE 105
ROUGH -IN
BOTHELL
WA 98011
FINAL
(206) 719 -0347
Permit . . . , . .
ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . .
64.00
Plan Check Fee
.00
Issue Date ..
5/28/14
Valuation
0
Expiration Date
11/24/14
Qty Unit Charge
Per
Extension
1100 64.0000
ECIi EL- SINGLE CIR LIMITED RES
64,00
Pee summary Charged
Paid Credited
Due
Permit Fee Total
64.00
64,00 ,.00
00
Plan Check 'Total
00
.00 00
.00
Grand Total
64,00
64.00 .00
00
2 Is ilk; ,r
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: C=W,
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor
G:IEXCHANGEIB UILDING
Date:
•—c•