HomeMy WebLinkAbout1420 W 5th Street - BuildingELECTRICAL PERMIT
CITY U PORT ANGELES
3;4?35
Application Number . . . . . 16-00000612 Date 4/29/16
Application pin number . . . 584240
Property Address . . . 1420 W 5TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -2115 -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
Rewire house
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1MT SALES TAX
ori your excise tan form
to the City of Part Angeles
(Location Cade 0542)
Owner Contractor
------------------------ ------------------------
LINDA FRENCH JPE ( JERRY PETERSON )
162 HAPPY VALLEY RD 73 EAST LOMA VISTA RD
SEQUIM WA 98382 SEQUiM WA 98382
{360) 731-8994
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Permit . . . . . . ELECTRICAL ALTER`RESIDENTIAL
Additional desc . .
Permit Fee . . . . 180.00 Plan Check Fee .00
Issue Date . . . . 4/29/16 Valuation. 01
Expiration Date . . 10126116
Qty Ufit Charge Per Extension ;
12.00' 5.0000 BCH --EL-BRANCH CIRCUIT W/FEEDER 60,00 d
1.00 120.0000 ECH EL -0-200 SRV FEEDER 220.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 180.00 180.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 1$,_.00 180.00 .00 .00
11 ' i I"Y1'E DATE: RESi)I.,TS: iNSPBMP.
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,WIM EXPME SIX (6) AWftDM LAST INSPEGTI N
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Signature 9fowner or Electrical Contractor X Date:
G1EXCAQft 8UMDING
CITY OF PORT ANGELES PERTMIT 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: 11-281169
4< 1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: /`(Zcs (,J. 5f -t, S*
Building Square Footage: 12,cr
Description of above Cavo, L, 14- to I ^0
Owner Inf rmation
Name: a L,. F",c L,
Mailing Address: 114110 W St✓t-- Sf
City: 0 State: Je44 Zip: 9 d'3ro3
Phone: 2d(o-3 I-1745 Fax:
License # / Exp.
Item
Unit Charqe
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 201400 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 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 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
Contractor Information
Name: JPt . LLL
Mailing Address: 73 E Lewy, t1�s l 2J
City: •w.. State: th�,(_ Zip: 40031T Z
Phone: 7?/ -011 Fax: -3 /
License # / Exp. JPS* ,K it AC F7 3 61C O i
Qtv Total (Qtv Multiplied by Unit Charpe)
$
t 2 a $ L10
( $ - QdZ
$ I
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 of owner, electrical contractor or electrical administrator
Dated: LI -7011 ZO -ha
❑ Cash ❑ Check
99 Credit Card # M,
0110112012