HomeMy WebLinkAbout211 W 9th Street - BuildingINSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
IDATE: RESULTS:
PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
WEXCIIANGBBUR DING
INSPECTOR:
if kA
Date:
ELECTRICAL PERMIT
CITY OF FORT ANGELES
3.417-4735
(t�
Application Number
16-00000802- Date 6/06/16
Application pin number
696288.`
Property Address
211 W 9TH ST
REPORT SALES TAX
ASSESSOR PARCEL NUMBER;
06-30-00-0-2-6692-0000-
Application type description
ELECTRICAL ONLY
on your excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . .
tO the QtY Of Pott Angeles
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
(LOC416011 ride 0502)
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Remodel service and circuits
------------------------------ - -----
---------------------------------------
Owner
Contractor
------------------------
FLEISCHIFRESSER, RICHARDO
------------------------
NORTH PENINSULA ELECTRIC
211 W 9TH ST
761 FRESHWATER PARK RD
PORT ANGELES WA 983627703
PORT ANGELES WA 98363
(360) 477-1764
------------------------------------------------
Permit . . . . . . ELECTRICAL
---------------------------
ALTER RESIDENTIAL
'Additional desc . .
Permit Fee . . . . 195.00
Plan Check Fee QO
Issue Date . . . . 6/06/16
Valuation 0
Expiration Date . . 12/03/16
Qty Lit Charge Per
Extension
15.00 . 5.0000 ECH ''EL -BRANCH
CIRCUIT W/FEEDER 75.00
1100 120.0000 ECH EL -0-200
SRV FEEDER 120.00
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Fee summary Charged
Paid Credited Due
---------- ---------- ----------
----------------- ----------
Permit Fee Total 395.00
19$.00 .00 .00
Plan Check Total .00
,00 .00 .00
Grand Total 195.00
195.00 ,00 ,00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
IDATE: RESULTS:
PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
WEXCIIANGBBUR DING
INSPECTOR:
if kA
Date:
CM( OF FORT ANGUL&S PERMIT APPLICA1110K
3UiJdWgDMSi0-d1V—AeCtiCZi InSpeefions
321 East FM Streete. —P.O. Box 1150 1 Por,, Angeles Tj%s�njnrton, 98362
Ih
"D 7
. : (360) 417-1735 Fmr- (360) 41-1 -4711
"i & 2 Single Fancily Onfling
Plan Review May Be Required, Please PoTplebpe*cal Plan Review Information Sheet
JobAddress.
6611cring square Footage:
Desc,lotion of above(I
I - ,
&
Owns
4z
ity: State: Zip:
Phonw Fay
Lic-amn "I I Exp,
tjv
4-0
r-4-1
Contractor in
Narne�
MaffingAddWm;
City. Stam !z ?n Zip. e
Phones L(-)')- I lL�(Foc
m
Unit Charge
ft- Total tr Wittidded bv Unit Charaqj
Servica'Feeder=Amo-
$ 12100
1 S -4---k— c ='
ServicelFeader 2014L4 Amp-
S W.00
S
Sefvica/Feeder 401-600 Arm
S 205.00
S
ServicalFeader M4000 Arno.
S26100
S
SenticafFeedar over 10WAmo-
s3ac4
Branch Circuit VVI Service Feakler
S 5.00
S
Branch Circuit W10 service Feeder
S 63.00
Each Additional Branch Circuit
S 5.00
Rranch Circuits 14
S 75.00
Temp. Servicelf Fe---der200 Amp.
S 93B0
S
emp. Servica(FeedarM 4M Amp.
S 110.00
S
Temp. ServiceiReeder 401 -WO Amp.
$ 149.00
S
Temp. ServicefFeader 601-1000 Amp .
S168.00
Portal to Portal Houdv
S 96.00
$
Signal Circuit/ tirriiied Energy -1 &2 Far* Welling
$ 64.00
tManufactured Home Connection
S120.00
F
Renewable B ec-aiat En ergy - SKVA System or Less
S102-00
IS
Thermosta!
S S&OD
S
Note: 55.00 for each adtftcn?J T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft
S 120.00
S
Each Additional 500 Square RL or Portion of,
S 40.00
Each Outbuilding or Detached Garage
s 74.00
Each Swimming Pool or Hof Tub
3110.00
Owner as defined bit fICK19.28,261- (1) Omer
will occupy the structure for two years after this electrical peffrk is ffndiZEd (2) Owner is required
to hire an electrical conlractorifabm said property is for sale, rentor 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 insWisfion or alterafion in compliance with the electrical We, NEC, RCW- Chapter 1928, WAG- Chapter 29648, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMG 14.05.050 regarding Electrical PerrdtApplications.
Signature of owner, electrical conh-actor or PJachical administrator:
0 cash 0 ctmck
El--CredftCardmr
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1ADated:
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