HomeMy WebLinkAbout613 Lopez Avenue - Building ELECTRICAL PERMIT _ ,.t
CITY OF PORT ANGELES cv
360-417-4735 '
Application Number 17-00000431 Date 4/05/17
Application pin number . . 895368
Property Address 613 LOPEZ AVE REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-10-5-2-0300-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use ,
(LoCat. Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
Application desc
200 amp service and circuits
Owner Contractor
HAAS DONALD W NORTH PENINSULA ELECTRIC
613 LOPEZ ST 761 FRESHWATER PARK RD
PORT ANGELES WA 983626712 PORT ANGELES WA 98363
(360) 477-1764
Permit ELECTRICAL-ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 130.00 Plan Check Fee . . .00
Issue Date . . . 4/05/17 Valuation . . . . 0
Expiration Date . 10/02/17
Qty. Unit Charge Per Extension
2.00 5.0000 ECK EL-BRANCH CIRCUIT W/FEEDER 10.00 t
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
Pee summary Charged Paid Credited Due
Permit Fee Total 130.00 130.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 130.00 130.00 .00 .00
.
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
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SERVICE 1//1 7-,-/I.7 4NLIP 473F
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COMMENTS: /
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION t; tr `"`\ .0
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: • (-7 — / viellPr
1 &2 Single Family Dwelling
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: !y / —5 \=-- `---- PC-'...
Building Square Footage:
Description of above
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Owner Information• Contractor Inf rmat an
Name: \ \---, -. `t Na\\LAG: ``, me:Ni.'.)t c .\-\\11 r;`-`\C,I_ \-� A\\
Mailing Address: Mailing A�drescs ( � r�r' :. 1-
City: State: Zip: City: � 1` State:\..r\ Zip: I 7-'07k
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Phone: Fax: Phone: L4Fax: CC -,2.��_.1 l C.' r
License#/Exp. License#/Exp.Y\ "_Th V" �"77_41-
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Item Unit Charge . Total(Qtv Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 / $ /. )t--
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 Q $ \C. -.
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 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 $
$ 1 <U 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: 0 cash ❑ Check
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