HomeMy WebLinkAbout1121 E 3rd Street - BuildingApplication Number . . . . . 15-00001625 Date 12/31/15
Application pin number . . .
130125
Property Address . . .
1121 E 3RD ST
ASSESSOR PARCEL NUMBEh:
06 -30 -00 -5 -4 -0450 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
Owner
Contractor
------------------------
MICHAEL AND CHERYL A HALVERSON
------------------------
PENINSULA HEAT INC
PO BOX 534
782 KITCHEN -DICK RD
CHIMACUM WA 98325
SEQUIM
WA 98382
(360) 681-3333
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . T -STAT
Permit Fee . . . . 56.00
Plan Check Fee
.00
Issue Date . . . . 12/31/15
Valuation
0
Expiration Date 6/28/16
Qty Unit Charge Per
Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT
56.00
----------------------------------------------------------------------------
Fee summary Charged
----------
Paid Credited
---------- ---------- ----------
Dire
-----------------
Permit Fee Total 56.00
56.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 56.00
56.00 .00
.00
i
REPORT SALES TAX
on your exdse tax form
to the City of Pori Angeles
- (Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR.
DITCH
SERVICE
ROUGH -IN
FINAL
CSIs:
PERMri WILT EXPME SIX (6) MONTHS FROM LAST EN6r ra r ruO
Signatzue of owner or Electrical Contractor X Date-,
CMEXCHANGENBUILDING
N
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.
Signature f,�wner, electr I cantractar or electrical administrator: '0 cath 0 che&
n Credit Card #
X Dated: 0110112012
7.
N,
?0Rr+,. C'r
CITY OF PORT ANGELES PERMIT
Building Division/Electrical Inspections
APPLICATION
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 417-4711
Date:
il & 2 Single Family Dwelling
* Plan Review May Be ReqWrej, Please Complete
Electrical Plan Review Information Sheet
—
Job Address; .1LJ7�' '41'dSST LC.0
Building Square Footage: i 5 9 6-
Description of above )/ ro Aa 6—n f 4
1 1
5;1z-1
Owner 1pformatign
Name: Kith
Contract Information
Name: f he
Mail'urg Address: ;5,e 5 3 /j
Mailing Address: P ,, 5z, >e
City Ghr ft"' late: AIA zip: 033
city. tl4l&A i, State.
zip: Ok3afL
Phone: Fax:
2-3Fax:
Phone: -L1L-----1J2'
License # I Exp.
License #/Exp. PtF,-VA1H1
car. t;; D R
Item
Unit Charge QtV Total (ON Multiplied by Unit Charoel
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.
$ moo
$
Service/Feeder over 1000 Amp.
$373.00
$
Branch Circuit W/ Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 6100
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 14
$ 75.00
$
Temp. Servicel Feeder 200 Amp.
$ 93.00
$
Temp, Service/Feeder 201-400 Amp.
$ 1102
$
Temp, Service/Feeder 401-600 Amp.
$149.00
$
Temp. ServiceJFeeder 601-1000 Amp .
$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-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square FL
$120.00
$
Each Additional 500 Square Ft. or Portion of
$ 40.00
$
Each Outbuilding or Detached Garage
$ 74.00
$
Each Swimming Pool or Not 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.
Signature f,�wner, electr I cantractar or electrical administrator: '0 cath 0 che&
n Credit Card #
X Dated: 0110112012
7.