HomeMy WebLinkAbout920 Golf Course Rd - BuildingCITY OF PORT ANGELES PERMIT APPLICATION r ..•
Building Division/Electrical Inspections' Q
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 AG 3 1 2015,;
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: � 1 & 2 Single Family Dwelling INSPECTIONS
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address
Building Square Footage:
Description of above
Owner Inf rm A on Contractor Information
Name, 1 11. • V��¢ P:►—� Name:
Mail' g Address: 2 � 5, GoL. CU6 xot3f. Mailing Address
City rt "-h State: WA- Zip: �3gdi — City: State; Zip:
Phone --+-15 L- 3f.'40Fax: Phone: Fax:
License # 1 Exp. License # ! Exp.
Item Unit Charge Qty Total Qty Multipiied by Unit Charge)
Service /Feeder 200 Amp. $ 920.00
Service /Feeder 201 -400 Amp. $146,00 $
ServicelFeeder 401 -600 Amp $ 205,00 $
Service /Feeder 609.1000 Amp. $ 262,00 $
Service /Feeder over 1000 Amp. $ 373.00 $
Branch Circuit WI Service Feeder $ 5.00 $
Branch Circuit WIO Service Feeder $ 63,00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circufts 14 $ 75,00 $
Temp. Service/ Feeder 200 Amp. $ 93,00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp Service /Feeder 401 -500 Amp. $149.00 $
Temp, ServicelFeeder601- 1000Amp $168.00 $
Portal to Portal Hourly . $ 96.00 $
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64,00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy - 5KVA System or Less $102,00 $
Thermostat $ 56,00 $
Note: $5.00 for each additional T -Scat
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 $
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 Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Ap 'eations.
Signature of owner, electrical contractor or electrical administrator: El Cash Check
D Credit Card q
i Dated: % ; t [ — 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , . , 15- 00001095 Date .8/31/15
Application pin number , . , 454135
Property Address , I . , . , 920 GOLF COURSE RD
ASSESSOR PARCEL NUMBER; 06-30-14-1-1- 0720 -0000-
Hpplication type description ELECTRICAL ONLY
Subdivision Name , , . , . .
Property Use . , , . . , , ,
Property Zoning , , . . . , . UNKNOWN
Application valuation . , . , 0
Application desc
Meter mast repair after car pole accident
Owner Contractor
MC DONALD 'TERRY G OWNER
920 GOLF COURSE RD
PORT ANGELES WA 953624941
Permit . . . . , . ELECTRTCAL ALTER RESTIDENTTAL
Additional desc , ,
Permit Fee 120.00 Plan Check Fee DO
Issue Date 8/31/15 Valuation . . . . 0
Expiration Date 2/27/16
Qty Unit Charge Per Extension
1.00 120,0000 ECH EL -0 -200 SRV FEEDER 120.00
----------- --------------------------------------- ---- -------- -- ------ - - - - --
Fee summary Charged Paid Credited Due
Permit Fee Total 120,00 120.00 .00 .00
Plan Check Total 00 .00 00 .00
Grand Total 120.00 120.00 .00 .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
1
FINAL
COMMENTS:
PERMIT WILL EXP RE SIX (6) MONTHS FROM LAST INSPECTEON
Signature of owner or Electrical Contractor X Date:
GAEXCxANGEWfLDrNG
s