HomeMy WebLinkAbout1816 W 5th St - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
- 360- 417 -4735
Application Number . . , , ,
15- 00000717 Date 6/23/15
Application pin number . , ,
583561
INSPECTOR:
Property Address , , . ,
1816 W 5TH ST
ASSESSOR PARCEL NUMBER;
06-30-00-0-1- 9315 -0000-
ROUGH -IN
Application type description
ELECTRICAL ONLY
Subdivision Name . . , . , .
FINAL
COMMENTS:
Property Use
Property Zoning , , . ,
RSV RESDNTL SINGLE FAMILY
Application valuation . , . .
0
---------------------------------__------------------------
Application desc
-- _--- -- -----
--- -_ - - -_
Temp service
----------------------------------------------------------------------------
Owner
Contractor
--------- ------ --- - - -- --
AUSTIN ROBERT
------------------ - -
OWNER
- - --
1097 FRESHWATER PARK
PORT ANGELES WA 98363
{906} 529 -8689
Permit , , , , , , ELECTRICAL
TEMPORARY SERVICE
Additional desc , ,
Permit Fee , , , , 93.00
Plan Check Fee
.00
Iesue Date 6/23/15
valuation , , . .
0
Expiration Date 12/20/15
Qty Unit Charge Per
Extension
1.00 93.0000 ECH EL -TEMP
SRV 0 -200 SRV FDR
93.00
-------------------------- -------------------------
Fee summary Charged
-------- -- ---------
Paid Credited
- - - - --
Due
----------- - - - - -- ---- -- - - --
Permit Fee Total 93.00
- --- - - - --- ---- - - - - -- ----
93.00 .00
- - -- --
.00
Plan Check Total 00
.00 .00
'Co
Grand Total 93.00
93.00 .00
.00
r.
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DITCH
DATE:
RESULTS:
INSPECTOR:
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GIEXCHANGEIBUILIAING
�t
REC,
t�
c .. �3 1
u ON tyC)RC�>
CITY OF PORT ANGELES PERMIT .APPLICATION :JUN e s ^-
Building Division /Electrical Inspections
321 East Fifth Street —P.O. Box 1150 / Port Angeles W hington, 98362 ELEGI -RIC �
Ph: (360) 4174735 Fax: (360) 417 -4711 1�
Date; & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 16 1 CP W. 5 "-Pk 14.
Building Square Footage: 2.5410 S,6 U4.
Description of above U
Owner I orr 'on Contractor Information
me: "
Na w lRo6eriF Name
Mailing Address; k Mailing Address'.
city: ' Stato:_._ zip; �� City: State: zip;
Phone. ax: Phone Fax
License # ! Ex p, License # 1 Exp,
Item Unit Charge Qty Total (Qty Multiplied by Unit Char e
ServicelFoeder 200 Amp. $120.00 $
Service/Feeder 201 -400 Amp, $146,00 $
Service /Feeder 401 -600 Amp $ 205.00 $
ServicelFsodor 601 -1000 Amp. $ 262.00 $
Service /Feeder over 1000 Amp, $ 373.00 $
Branch Circuit WJ Service Feeder $ 5.00 $
Branch Circuit W/0 Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5,00 $
Branch Circuits 1 -4 $ 75.00 $
Toni Sorvicel Feeder 200 Amp. $ 93.00
Temp, ServicelFeeder 201 -400 Amp. $110.00 $
Temp. SorvicaTooder 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 Connoctlon $120.00 _ $
Renewable Eiectrioal Energy - 5KVA System or Less $102.00 $
Thermostat $ 56,00
Note; $5.00 for each additional T -Stat
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 $
$_ !,5 6,0 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 -468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
5ignaturo of own trical contractor or electrical administrator: ❑ cash ❑ Check
it Card X Dated; v � 0110112012