HomeMy WebLinkAbout515 I St - BuildingOwner Contractor
HARVEY, 11E1.,EN f, JEFF NELSON ELECTRIC
515 SOUTH I STREET 7062 OLD OLYMPIC HWY.
PORT ANGL'1.,ES WA 98362 PORT ANGELES WA 98362
36) 41-7-691.9 (369) 460-4291
Percmi , t ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUIT'S
Permit Fee 75.00 Plan Check Fee .00
Issue Date 11/04/15 Valuation 0
Expiration Date 5/02/16
Qty Unit Charge Per Extension
-BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 00
Plan Check Total .00 .00 .00 00
Grand Total 75,00 75.00 00
f,
n
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:-
GAEXCHANGEWILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
15-00001403 Date 11/04/15
Application pin number . . ,
156978
Property Address . . . . . .
515 1 ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -1 -2745 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation
0
Application desc
Kitchen remodel
Owner Contractor
HARVEY, 11E1.,EN f, JEFF NELSON ELECTRIC
515 SOUTH I STREET 7062 OLD OLYMPIC HWY.
PORT ANGL'1.,ES WA 98362 PORT ANGELES WA 98362
36) 41-7-691.9 (369) 460-4291
Percmi , t ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUIT'S
Permit Fee 75.00 Plan Check Fee .00
Issue Date 11/04/15 Valuation 0
Expiration Date 5/02/16
Qty Unit Charge Per Extension
-BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 00
Plan Check Total .00 .00 .00 00
Grand Total 75,00 75.00 00
f,
n
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:-
GAEXCHANGEWILDING
FROM
FAX NO. :6814254
Nov. 04 2015 08:02AM P1
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections �
321 East Fifth Street —P.O. Box 1150 /Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711 /
Date: �� �1 812 Single Family Dwelling
Plan Review May Be Rewired, Pleasle Complete Electrical Plan Review Information Sheet
Job Address__ Vr"
Building Square Footage:
Descriplion of above 7SA,1
:
'/
t3Wrter Informr" eV VS
am a
Conb'attor Info dtlon
Name:
Mailing dress, $V'7 "
Mdrmg
ty
Phxrne: ?6'71't State, Zip;
F'sx;
City. State: -
p;
Phone: 1/60,Vz R— FaK. f
Ucense 01 Exp.
License # 1 t kp, - `
Unit b
9Y IWAUftMuNplled by Until, Cha
SenricelFeeder 200 Amp. $120.00
Servioe/Feeder 201-400 Amp. $146.00
$
Servloe/Feeder 401-600 Amp $ 205.00
$
Servioe/Feeder 601-1000 Amp. $ 262.00
$
Servlce/Feeder over 1000 Amp, $ 373.00
$
Branch Circuit W/ Service Feeder $ 5.00
Branch Cirouit W/O Service Feeder $ 63.00
$
Each Additional Branch Circuit44o
Branch Circuits 14
$�
Temp. Service/ Feeder 200 Amp.
Temp. Servioe/Feeder 201-400 Amp. $110.00
$�
Temp. ServicatFeeder 401-600 Amp. $149.00
Temp. Servioe/Feeder 601.1000 Amp , $166.00
$
Portal to Portal Hourly $ 96.00
$—_
Signal Circuitl Limited Energy -1 & 2 Family Dwelling $ 64.00
$
Manufactured Horne Connection $120.00
$_ _
Renewable Electrical Energy - UVA System or Less $102.00
Thermostat $ 56,00
$
Note: $5.00 for each additional T-Stat
"/`
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
TOW
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 malting
the electrical installation or alteration in compliance with the electrical laws, N.E.C.,
RCW. Chapter 19.28, WAC. Chapter 296-466, The City of Port
Angeles Municipal Code, and LAility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical adminisVotor:
❑ cash ❑ check
,2'Credh Card p
tad: "�+� �