HomeMy WebLinkAbout1320 Rook Dr - BuildingCITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: X60) 417 -4711
Date;
1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Elec ical Plan view rmaLi n S eet
Job Address,
Building Square Footage:
Description of above
Owner Information //�
Name; .- (���_
MaIIing A dress
-
City, State: Zip:
Phone: Fax;
License # t Exp.
Item
Unit Charge
ServbelFeeder 200 Amp,
$120.00
Service/Feeder 201 -400 Amp
$146.00
ServicelFeeder 401 -600 Amp
$ 205,00
ServicelFeeder 601 -1000 Amp.
$ 262,00
Service /Feeder over 1400 Amp
$ 373,00
Branch Circuit WI Service Feeder
$ 5.00
Branch Circuit VV/0 Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 6,00
Branch Circuits 1-4
$ 75,00
Temp, Service/ Feeder 200 Amp,
$ 93,00
Temp, ServicafFeeder 201 -400 Amp.
$110,00
Temp, ServicelFeeder 401 -800 Amp.
$149.00
Temp, Service /Feeder 601 -1000 Amp .
$168.00
Portal to Portal Hourly
$ 96,00
Signal Circuit! Limited Energy -1 & 2 Family Dwelling
$ 64.00
Manufactured dome Connection
$120.00
Renewable Electrical Energy - 5KVA System or Less
$102.00
Thermostat
$ 56,00
Note; $5,00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ff.
$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
Jul
Contractor Infamlation
Name; T
Mailing Address;
City; �. State: zip:
Phone; e Fax: a
License 41 xp. ZL
Qty Total My Multiplied by Unit Charge,)
$
$
$
$
$
$
$ 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 aiteration in compliance with the electrical laws, N,E.C,, ROW. Chapter 19,28, WAC. Chapter 296 -46B, 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: 0 cash ❑ Check
Credit Card
X Dated: P )VDV2012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
350- 4174735
Application Number . , . . .
15- COQDQ911 Date
7/23/15
Application pin number , .
908673
DITCH
Property Address . . . .
1320 ROOK DR
ASSESSOR PARCEL NUMBER:
06-30-14-6-7- 0100 0400
Application type description
ELECTRICAL ONLY
subdivision Name . . . . , .
Property Use . , . , , , , .
FINAL
.Property Zoning , , , , . . ,
RE9 RESDNTL SINGLE FAMILY
Application valuation . , . .
0
Application desc
Temp pole
--------------------------- - ------------------------------------------------
Owner
Contractor
JOHN R BOETSCH AND ELIZABETH A
BQTERO & SON ELECTRICAL
314 COLUMBUS AVE
940 TAMARACK WAY
PORT ANGELES WA 98362
PORT ANGELES WA
90.362
(350) 461 -6730
(360) 452 -4766
.---------------------------------------------------------------------------
Permit . . . , . . ELECTRICAL
TEMPORARY SERVICE
Additional desc . ,
Permit Fee 93.00
Plan Check Fee
00
ISSUe Date . , . . 7/23/15
Valuation
0
Expiration Date , . 1/19/16
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
.00
Grand Total 93100
93.00 .00
.OD
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
l
ROUGH -IN
FINAL
j
COMMENTS:
PERMIT WILL EXPIl2Ti S IX (b) MONTHS FROM LAST INSPECTION
Signature o£ owner or Electrical Contractor X
G:IEXCI-IANGMI3UILDiNG
Date;
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . .
15- 00001206 Date
9/25/15
Application pin number , . ,
987726
DITCH
Property Address . .. . , . .
1320 ROOK DR
ASSESSOR PARCEL NUMBER;
06--30-14-6-7- 0100 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . , . , . .
Property Use
FINAL
Property Zoning . , . , . , .
RS9 RESDNTL SINGLE FAMILY
Application valuation . . . ,
0
Application desc
New home
Owner
Contractor
JOHN R BOETSCB AND ELIZABETH A
BOTERO & SON ELECTRICAL
314 COLUMBUS AVE
944 TAMARACK WAY
PORT ANGELES WA 9836.2
PORT ANGELES
WA 98362
8360) 461 -6730
(360) 452 -4766
Permit . , . . . . ELECTRICAL
NEW RESIDENTIAL
Additional desc , ,
Permit Fee . . . , 160.00
Plan Check Fee
,00
Issue Date 9/25/15
Valuation , , . .
0
Expiration Date 3/23/16
Qty Unit Charge Per
Extension
1,00 120,0000 ECH EL-
R -SQFT FIRST 1300
120,00
1,00 40.0000 ECH EL-
R -SQFT ADDITIONAL 500
40,00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 160,00
160,00 00
00
Plan CheCk Total .00
.00 DO
,00
Grand Total 160.00
160.00 .40
00
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
14..
EiAp
COMMENTS:
PERMIT WILL EXPIRE. S EX (6) MONTHS FROM LAST.INSPECTION
Signature of owner or Electrical Contractor X Date:
GIEXCHANGEIEUILDZNG
'1
C_
RECENED
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 1 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 9 - 1 & 2 Single Family Dwelling
* Plan Review M
Job Address;
Building Square Foot
Description of above,
Owner Inflation %
Name: fA,,t
Mailing Address: lexm
City: State: Zip:
Phone: Fax:
License # I Exn,
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp,
Service /Feeder 401 -600 Amp
Service/Feeder 601-1000 Amp.
Service /Feeder over 1000 Amp,
Branch Circuit WI Service Feeder
Branch Circuit WIO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp, Servicel Feeder 200 Amp.
Temp, ServicelFeeder 201-400 Amp,
Temp: ServicelFeeder 401 -600 Amp,
Temp. Service/Feeder 60 1 -1000 Amp .
Portal to Portal Hourly
Signal Circuit) Limited Energy -1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy • 5KVA System or Less
Thermostat
.Unit Charge
$ 120.00
$146,00
$ 205,00
$ 262.00
$ 373.00
$ 5.00
$ 63,00
$ 5.00
$ 75.00
$ 93.00
$110,00
$149.00
$168.00
$ 96.00
$ 64.00
$120,00
$102.00
$ 56.00
Note: $5.00 for each additional T -S tat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120,00
Each Additional 500 Square Fl. or Portion of $ 40,00
Each Outbuilding or Detached Garage $ 74.00
Each Swimming Pool or Hot Tub $110.00
n Review I
S' 2,1' 2015
ELECTRICAL
INSPECTIONS
Sheet
Contractor formation
Name; r� r:, -
r�
9
Staie:u 1, Zip:
Phone: e e
Fax:
License # ! Exp.
�.
Mailin Address:
City'
Staie:u 1, Zip:
Phone: e e
Fax:
License # ! Exp.
�.
k
Total ty Multiplied by It Charge)
$
$
$
$
$
$
$
$
$
—..% s-
$
$ 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 -46B, The City of Port
Angeles Municipal Code, and Utili Specifications and PAMC 14,05.050 regarding Electrical Permit Applications,
Signatur4;6f owr Arrl ntractor or electrical administrator: ❑ cash ❑ Check
/L d' Credit Card q
�.
42 T r
01!011 12