HomeMy WebLinkAbout1237 W 19th Street - BuildingELECMICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001500 Date 10/06/16
Application pin number . . . 780000
Property Address . .. .. . -. . 1237 W 13TH .ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -4 -5350 -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
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Application desc
Security system
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Owner
Contractor
------------------------
LYLE R/SHARON L NEWELL
------------------------
PROTECT YOUR HOME
1237 W 19TH ST
3750 PRIORITY WAY
SOUTH DRIVE
PORT ANGELES WA 983637017
#200
INDINAPOLIS
IN 46240
(317)'810-4720
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . ,
Permit Fee . . . . 64.00
Plan Check Fee
.00
Issue Date . . . . 10106116
Valuation . .
. . 0
Expiration Date . . 4/04/17
Qty Unit Charge Per"
Extension
1.00 64.0000 BCH EL -SINGLE CIR LIMITED RES
64.00
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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
INSPECTION TYPE DATE: RESULTS:. INSPECTOR:
DITCH
SERVICE
ROUGH -114 17P,
MAL Jb- Lb
COMMENTS; I
PERMT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of Owner or Electrical Contractor X Date:
CMEXCHANGMUR DING
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
To N 0 F11 M M
—+''1l'8'-2 Single Family Dwelling
?MrAA,
Plan Review May Be Required lm Coq�lete Electrical Pla�,Review Information Sheet
Job Address: -e -ir
Building Square Footage.
I , I
Description of above lel a -rl i) Y) ('P Ck- C kj&60e .<7ery_� t ±.0 Z la 5+-e_( y-,
Owner In mation or Inforina . qn
�11 ContM. %'tk
Name: t��
MailmAddress: Mailing Address: 3—) 4s vl�-Aot-' WZi "-'� T,)e
C fNme�f State. zip. clr6 k 0-6
City: City!YA* r%'d-iZ5L State: j zi -4-f o cj
Phone:-�kW. .741-1q5 Fax >~J Ac Phone: 'Tk 56X45.15C Zr&1W'-1i1
1 Fax: -�11 F), �4 - ;b'-541
License # / Exp. Nj /A License # / Exp.
Item
Unit Charae
QtV Total (0tv Multiplied by Unit Charael
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp
$ 146M
$
Service/Feeder 401-600 Amp
$ 205 00
$
Service/Feeder 501-1000 Amp
$26200
$
Service/Feeder over 1000 Amp
$373.00
T,
Branch Circuit W/ Service Feeder
$ 500
$
Branch Circuit W/O Service Feeder
$ 6300
$
Each Additional Branch Circuit
$ 500
$
Branch Circuits 1-4
$ 7500
$
Temp. Service) Feeder 200 Amp
$ 9100
$
Temp. Service/Feeder 201400 Amp
$11000
$
Temp, Service/Feeder 401-600 Amp
$149.00
$
Temp, Service/Feeder 601 -1000 Amp
$168.00
$
Portal to Portal Hourly
$ 9600
$
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 CQNSTRUCTION ONLY:
First 1300 Square Ft.
$ 12HO
$
Each Additional 500 Square Ft. or Portion of
$ 40,00
$
Each Outbuilding or Detached Garage
$ 74.00
$
Each Swimming Pool or Hot Tub
$ IM00
$
$ li rA- 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 of ow r, electrical contractor or electrical administrator:
0 Cash 13 Check
Credit Card # (2jgZM
x
rr
Dated: -4 - 1 Le-,
011011120112