HomeMy WebLinkAbout1115 E 3rd St - BuildingPERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X 1 ate:
GAEXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . . „
15- 00001560 Date 12/15/15
Application pin number . . .
542920
Property Address . ... . . . ,
1115 E 3RD ST
REPORT SALES TAX
ASSESSOR PARCEL NUMBER:
06- 30- 00 -5 -4- 0440 - 0000 -
Application type description
ELECTRICAL ONLY
on your excise tax form
Subdivision Name . . . . .
to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . „
RS7 RESDNTL SINGLE FAMILY
(Location Code 0502)
Application valuation
0
Application desc
200 amp service
Owner
Contractor
FRESHWATER BAY PROPERTIES LLC
NORTH PENINSULA ELECTRIC
1743 FRESHWATER BAY RD
761 FRESHWATER PARK RD
PORT ANGELES WA 98363
PORT ANGELES WA 99363
(360) 477 -1764
Permit ELECTRICAL
ALTER RESIDENTIAL
Additional desc ,
Permit Fee 220.00
Plan Check Fee ;00
Issue Date 12/15/15
Valuation
Expiration Date 6/12/16
Qty Unit Charge Per
Extension
20.00 5.0000 ECH EL-
BRANCH CIRCUIT W /FEEDER 100.00
1.00 120.0000 ECH EL -0
-200 SRV FEEDER -120.00
Fee summary Charged
Paid Credited Due
Permit Fee Total 220.00
220.00 00 00
Plan Check Total .00
.00 00 ,00
Grand Total 220.00
220.00 00 00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X 1 ate:
GAEXCHANGE\BUILDING
'r'r" Y orq P'ORI APT(GIELES ?.ITRWA7_
BufldhigDdvisioar4ectriml � WDECgonr
321 - aSt 141ft" �9&eek 13rte 1150 / arte Angdles `� AashinrEon, 98362
Pka (360) 4,17-4-7-35 Fax.- (360) 4174,711
Plan Review may Be
Job Address: —
Su'RdIng'squam Fcotw: —
of abova_
Complete Electrical
�'Z.
Omer k omrradon,
Nam.•
Mailing Addrew:___,_
QV- --Slate
tern
ServicelFeeder 200 Amp.
MOMM92
$120.00
Service/Feader 201406 Amp.
$ 146M
8 m I ceJ Feed er 401-600 Amp
$205.00
Servicalreeder 6DI-I OW Amp.
S 262"00
ServiceJFaWar over 1000 Amp.
S 373,00
Branch Circuit W/ Semce Feeder
5,00
Branch Circuit W/C) Svmce Fe_.der
S 63.00
Each Addigand Branch Circuit
S 5,00
Branch CifWls 14
S 75.00
TemP. SeNcel FeWer 200 Arm
S 9100
remp. Sendr;eiFeedar2ol-4M Amp,
TstM S"OaFeeder 401 Zo Amp.
S110,00
T6MP-,9"-'MFeeder60I-I09D Amp.
S 149.00
S168.00
Portal W Nna) HDUdY
S 98,00
Signal Citctity UrNied EneMY - I & 2 Fenty Dwsiong
s, 64,00
ManujaMured: Home Connecfioni
fan vaaMe Electfical EnwgY - 5KVA System or Lew
Thermosirt
NOW. 55.00 foreach addWonrj'T-SjEj
19
klial C ON'
First 1300 Square Ft.
Each Addigonal 500 Square FL of Portion of
Each OutdifU&g or Detached G
Each Umming Pool or Hot Tub
Owner as deffned by RCW, .19.28,261: (1) Owner will oo
to hire an Wectricd contractor if a'bovesaicl property is fi
After reading the above statement I hereby c that I
the electrical installation or alteration in compliance with
Angeles Municipal Code, and Utility Specificakns and I
Signature of owner, electrical contreotor or elactrira
9KI
Review Information sheet
Contracto.rinfon lion
Name,'
Mailing
:
C
P
'cens
it —Ch a we
20,00
40-00 S—A-2 _U
74,00
ri
Tow
ipythe structure for two years after this electrical permit efirtelized. (2) Owner is required
sale, rent or lease. hermit expires altar siX months at last inspection.
the owner of the above named property or a limns
ad eleCtli0a) Contractor, I am maldng
electrical laws, N-EC., RCW. Chapter 19,28, WAC, chapter 292.468. The City of port
IC 14.05.050 regarding Electrical PerrnitAppllcaffons,
administrator: ❑ Cash ❑ Check
-anted. _LL 11_7
Application Number . . . . . 22-00001308 Date 10/13/22
Application pin number . . . 114700
Property Address . . . . . . 1115 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-4-0440-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Security and cameras
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Owner Contractor
------------------------ ------------------------
STONE, ROBERT W & BILLIE-JANE ADT LLC
P. O. BOX 1904 11824 N CREEK PARKWAY, N
PORT ANGELES WA 98362 STE 105
BOTHELL WA 98011
(206) 719-0347
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 64.00 Plan Check Fee . . .00
Issue Date . . . . 10/13/22 Valuation . . . . 0
Expiration Date . . 4/11/23
Qty Unit Charge Per Extension
1.00 64.0000 ECH EL-SINGLE CIR LIMITED RES 64.00
----------------------------------------------------------------------------
Fee 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
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charge Quantity Total (Quantity x Unit Charge)
Service/Feeder 200 Amp.$120.00 $
Service/Feeder 201-400 Amp.$146.00 $
Service/Feeder 401-600 Amp.$205.00 $
Service/Feeder 601-1000 Amp.$262.00 $
Service/Feeder over 1000 Amp.$373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp.$93.00 $
Temp. Service/Feeder 201-400 Amp.$110.00 $
Temp. Service/Feeder 401-600 Amp.$149.00 $
Temp. Service/Feeder 601-1000 Amp.$168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy - 1&2 DU.$64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional)$56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet``$40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool / 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 Applications.
Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 10/12/22,14:16:51 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:22-00001308 1115 E 3RD ST
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 64.00
TOTAL DUE 64.00
Please present reciept to the cashier with full payment