HomeMy WebLinkAbout1214 W 16th Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
3%4'17-4735
Application Number . . . . . 17-00000238 Date 3/02/17
Application pin number . . . 734682
Property Address . . . . . . 1214 W 16TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -4 -3910 -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
Panel replacement
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Owner Contractor
------------------------ ------------------------
DEBRA N. & MARK L. JAGGER OWNER
1214 W 16TH ST
PORT ANGELES WA 983637008
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date . . . . 3/02/17 Valuation . . . . 0
Expiration Date 8/29/17
Qty Unit Charge Per Extension
1.00 120.0000 ECH ' EL -0-200 SRV FEEDER 120.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE �'.2d' �'%
ROUGH -IN .
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
N
til
VIO R F
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 417-4711
Date: �3kill--Ot7 I & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: t 2 / 44 Wc- s—,
Building Square Footage: 2- 00
Description of above
Owner Information
Contractor Information
Name: M A u' L i t,&-ete
Name:
-TA
Mailin Address: 12-) 4 v) i 4 T- ib
Mailing Address:
City: ;11 -r A.Vbg�s State:L(; A Zip: /9S&
City: State: — Zip:
Phone: i(' o - 775-C,/ 7 7Fax:
Phone: Fax:
License # I Exp. dA�egm L 48 S -AP (O=L�"Cf)
License # 1 Exp.
Item
Unit Charge
Total (Qtv Mufti H d by Unit Charoe).
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 Feed
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 14 Only
$ 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 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
$
$ 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 owner, electrical contractor or electrical administrator: R Cash El Check
0"'Credit Card #
X 0210612012
Dated: 0 31ol i 7
C;X- zl-;;
REPORT STATE SALES TAX
on, your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Permit . . . . . .
ELECTRICAL ALTER RESIDENTIAL
ELECMCAL PERMIT
CITY OF :PART ANGELES
360417-4735
Application Number . . . . .
17-00001441 Date 10/06/17
Application pin number . . .
326109
Property Address . . . . . .
1214 W 16TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -4 -3910 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Qty Unit Charge
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
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Application desc
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Fee summary Charged
--------------------
Ductless heat pump
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-
Due
-
Owner
Contractor
------------------------
DEBRA N. & MARK L. JAGGER
------------------------
OWNER
1214 W 16TH 'ST
,
PORT ANGELES WA 983637008
REPORT STATE SALES TAX
on, your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Permit . . . . . .
ELECTRICAL ALTER RESIDENTIAL
Additional desc .
` Permit Fee . . . .
63.00
Plan Check Fee
.00
Issue Date . . . .
10/06/17
Valuation
0
Expiration Date . .
4/04/18
Qty Unit Charge
Per
Extension
1.00 63.0000
BCH EL -R-
BRUNCH CIR WO/ SER FEED
63.00
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Fee summary Charged
--------------------
Paid Credited
--------------------
-
Due
-
------------------
Permit Fee Total
63.00
63.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
63.00
63.00 .00
.00
INSPECTION TYPE
DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 11
1-7
FINAL t �"► 11 -7
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTM FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
CITY OF PORT A INGELES PERTNUT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: /v —
1 11
1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 12 ('V' <-f / G 5 i
Building Square Footage: i 7 Gcc)
Description of above
it I)GY
Owner Information Contractor Information
Name: /VtN 1) r: 3r.'A Name:
Maill Address: , L1 � f �c ;_ �Y /f, Tir s i .
Mailing Address:
City: F c.;T Air. State: , k,A Zip:
City: State: Zip:
Phone: ;t.& - 77<'- iC- i77 Fax:
Phone: Fax:
License # / Exp.
License # / Exp.
Item
Unit Charoe
Qt l Total (Qtv Multiplied by Unit Charoe)
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 Feed
$ 5.00
$
Branch Circuit W/0 Service Feeder
$ 63.00
/ $
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4 Only
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. Service/Feeder201-400 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 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
$
$ L S. °` 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 296-466, 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: ❑ Cash ❑ Check
❑ Credit Card #
X �C (�� c �r ar„ Dated: / U,S�/ 7 02106/2012
r