HomeMy WebLinkAbout2019 W 15th St - BuildingFROM : A.P.S. ELECTRICAL CONTRAC70R FAX NO. : 360 452 6753 Jul. 28 2015 10:49AM P1
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CITV or Powl, Ar1r7ftLES PF>ama, APPLICATION
Building. Division /Electricallnspecttons it;�'IQI *M's'B
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 95362
Ph* (360) 417 -4735 Pax. (360) 417- 47.11 �
oate:'� '" " �� 1 & 2 Single Family Dwelling
* Phan Review Myre ired, Please C omplete Ele lest Plan Review Informatio Shoot Job Address; _ o:k 1;t3 l K vr5 Oct
owner Inform Lion I•I� } qq ��Fa vV� k &wmraLrwr a wrrw awn
1 I f] Yilrl r tI l � r Name: CJ r� r I C6= dress }-c� , �,� I ;�rern -T Mslllr�gAd ress: ^� Cit : 5lafe: Q zip; q C4 (:)G -- Ciiy: tato-: --F731 p: �
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License 01 Exp, Ucense N 1 Up,
1
w
Item
Unit Charge
QQtr Total {Qty Multiplied by
::!>.
Unit Charge)
Service/Feeder 200 Amp.
$120.00
__ __t
12-6
ServicelPoeder 201 -400 Amp,
$146.00
$
ServicelFeeder401.600 Amp
$ 205.00
$
00
��
ServicelFeeder601- 1000Amp,
S'262.00
Service/Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit W1 Service Feeder
$ 5.00
Branch Circuit WIO Service Feeder
$ 63.00
S
each Additional Branch Circuit
$ 5.00
$ 75.00
$
Branch Circuits 1.4
Temp. Service] Feeder 200 Amp.
$ 93.00
Temp. Service /Psedar 201.400 Amp,
$114A0
Temp. ServicelFeeder401 -600 Amp.
$149.00
-
Temp, ServicelFemer 601 -1000 Amp ,
$168,00
$
Portal to Portal Hourly
$ 96.00
$
$--
Signal Cireuiv Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy - SKVA System or Less
S 10200
Thermostat
$ 55.00
$
Note: $5.00 For each eddilfonal T-Stat
NgW CONSTRUCTON 9MLY.
$
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portior, of
$120.00
$ 40.00
Each outbuilding or Detached Garage
Pool Hot Tub
$ 74.00
$110.00
--
y
Each Swimming or
$ � Total
Owner as defined by ROW 19.28.261., (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owner is required
to hire are 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 properly or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., ROW, Chapter 19.28, WAC. Chapter 29BA6B, The City of Port
Angeles Municipal Code, and utility Specifications and PAMC 14.05.050 regarding ElecWcal Permit Applications.
Signature of owner, electricat eontmctor or electrical administrator: 0 cast, 0 cheek
�X—erwtt. c.,d>R ..-
'a I5
Dates:` ~ atrolrzo,z
ELECTRICAL PERMIT
CITY OF PORT ,ANGELES
360-417-4735
Application Number . . . . .
1.5- 00000939
Date 8/03/15
Application pin number . . .
223080
DITCH
Property Address . . , ,
2019 W 15TH ST
ASSESSOR PARCEL NUMBER:
06 -30 °00 1-0- 7605 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . , . . .
Property Use
FINAL
Property Zoning , . , . . , ,
RESIDENTIAL TRAILER PARK
Application valuation . . , .
Q
Application desc
Septic aystem and Service
Owner
Contractor
---- -------- ------ - - - ---
JAMES W AND JUDY A OROURKE
------------------
APS ELECTRIC
- - - - --
2021 W 15TH STREET
546 BENSON RD,
PORT ANGELES WA 98362
PORT ANGELES
WA 98363
(360) 452 -675.3
Permit , . , . , . ELECTRICAL
ALTER RESIDENTIAL
Additional desc , .
Permit Fee 140,00
Plan Check Fee
00
Issue Date 7/29/1$
Valuation . .
, , 0
Expiration Date 1/25/16
Qty Unit Charge Per
Extension
' BASE 9'ER
.00
4100 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER
20.00
1.00 120100o0 ECH EL -0
-200 SRV FEEDER
120.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 140.OQ
140.00 'Co
00
Plan Cher-], Total .00
.00 .00
QO
Grand Total 140,00
140.00 Q0
QO
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-
INSPECTION TYPE _ - - -
DATE:
RESULTS:
INSPECTOR:
DITCH
1
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
Date:
GAEXCHANGE4BUILDING