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ELECTRICAL PERMIT 06
CITY OF SRT ANGELES 15 = 15"--
360-417-4735 ....
Application Number 16-00000864 Date 12/23/16
Application pin number . . 668928
Property Address 1107 HIGHLAND AVE REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-6-9-0070-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
Application desc
New home
Owner Contractor
RALSTON JOHN M/GAIL T MEYER ELECTRIC
PO BOX 1405 11 STONE RD
PORT ANGELES WA 983620259 SEQUIM WA 98382
(360) 477-2202
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc .
Permit Fee . . . 160.00 Plan Check Fee . . .00
Issue Date . . . 6/15/16 Valuation . . . . 0
Expiration Date . 6/17/17
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-R-SQFT FIRST 1300 120.00
1.00 40.0000 BCH EL-R-SQFT ADDITIONAL 500 40.00
Fee summary Charged Paid Credited Due
Permit Fee Total 160.00 160.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 160.00 160.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH , (, /zo/j( OF - st:?
SERVICE /pj/ A-0
ROUGH-IN '7b? lL, -...
FINAL a/ libj'..--
COMMENTS:COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
p,,rt1Ri 11
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CITY OF PORT ANGELES PERMIT APPLICATION j'V^.***.- ►-
Builtling Division/Electrical Inspections
321 East Fifth Street-P.O.Box 1150/Port Angeles Washington,98362
Ph:(360)417-4735 Fax:(360)417-4711
Date: - - l Li-2016 y&2 Single Family Dwelling
*Plan Review May Be Required,please Complete Electrical Plan Review Information Sheet
Job Address "i)-7
Q-7 a-1\eN��t7''' 'Budding Square Footage: 1 SC)C
Descnption of above -TO w. 4. taw N arv�P
Owner InformationContrarctorr Information
Name. -3-0 1.-.^ S'-or. Name- Nw--n4c Ek2C.-' -
Mailing Address:t'i4S' 74`, Sr Mahn Address j rtZ Cveell y.;me Nwl
City Pac\-Arv.le\6State:'/A Zip. 9x367 City >� State: ‘.1 .Zip
Plane- Fax Phone-t�Fax;
License#i Exp. License#i Exp McttE QFC 1342 Pt \oIZl'Ze4l'6
Item Unit Charmsriq Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 5
Service/Feeder 201-400 Amp. $146.00 S
Service/Feeder 401-600 Amp 5 205.00 $
Service/Feeder 601-1000 Amp. 5 262.00 5
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder 5 5.00 5
Branch Circuit W/O Service Feeder $ 63 00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 75.00 5
Temp.Service/Feeder 200 Amp. $ 93.00 ___1_ $ 93
Temp.Service/Feeder 201-400 Amp. $1 10.00 $
Temp.Service/Feeder 401-600 Amp $149.00 5
Temp.Service/Feeder 601-1000 Amp. $168.00 5
Portal to Portal Hourly $ 96.00 S
Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 - $
Manufactured Home Connection $120.00 $
Renewable Electncal Energy-5KVA System or Less $102.00 5
Thermostat $ 56.00 5
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120 00 } $ 17-0
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 $
$ Zl'S Total
Owner as defined by RCW.1928.261:(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 electncal 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,electr'cal contractor or electrical administrator: 0 Cash 0 Check
(/ / / `iC Credit Card#- --
x `' `G S 'f/.1-------- Dated: (�/ -1-201-{� -
: > :
ELEC'TICAL PERMIT 7 s
CITY OF PORT ANGELES QI
30-417-4735
• A-:.
Application Number 16-00000864 t -. Date 6/15/16
Application pin number . . 668928
Property Address 1107 HIGHLAND AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-6-9-0070-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
Application desc
New home
Owner Contractor -
RALSTON JOHN M/GAIL T MEYER ELECTRIC
PO BOX 1405 11 STONE RD
PORT ANGELES WA 983620259 SEQUIM WA 98382
(360) 477-2202 - 1
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc .
Permit Fee . . . 160.00 Plan Check Fee . . .00
Issue Date . . . 6/15/16 Valuation . . . . 0
Expiration Date . 12/12/16
Qty Unit Charge Per-. Extension
1.00 120.0000 ECH EL-R-SQFT FIRST 1300 120.00
1.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 • 40.00
Fee summary Charged Paid Credited Due
• Permit Fee Total 160.00 160.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 160.00 160.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR -x-
1
DITCH ¶ I i-it, NiAtG�� -
SERVICE t _ I4 _ 14, . v ,
ROUGWIN 71bi -' � '
iFINAL /_ .Imp _
COMMENTS: �7
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
•
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGEIBUILDING
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,rt ilti 1i
CITY OF PORT ANGELES PERMIT APPLICATION
‘11...**--‘‘'' 41.1.—... .-,—)
Building Division/Electrical Inspections '
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 1
Ph:(360)417-4735 Fax:(360)417-4711 `
Date: - ` I Li-Zo 16 Yf&2 Single Family Dwelling
*Plan Review May Be Required elease Complete Electrical Plan Review Information Sheet _
Job Address: \Q—* "' A t�e� 1 l .0-
Building Square Footage: }Soo
o )�` `� V ��Li�
Description of above \o wr..p } ts_w }�pm>°
Owner Information Contracg(Information
Name -Te l.‘" �2a.\Sr'or1 Name: IvV -yir E\QC <—
MailinyAddress.t34' 7 Sr Marlin Address: 4.4 2. Csen1q-+ria W vz
City tres*4 a\e5State:VA Zip 94'36'7 City n� State- W Zi GI
Phone- Fax Phone- Fax.
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License#/Exp. License#/Exp MVO 26Bb?Pt \O12.1 I2o(6
Item Unit Charge .CA, Total(City Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120 00 S
Service/Feeder 201-400 Amp. $146.00 S
Service/Feeder 401-600 Amp S 205 00 $
Service/Feeder 601-1000 Amp. S 262 00 S
Service/Feeder over 1000 Amp. $373 00 S
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 63 00 S
Each Additional Branch Circuit S 5.00 $ /
TeCircuit/ S 75.00
Temp.mp. Fe Service/Feeder 200 Amp. S 93 00
Temp.Serwce/Feeder 201-400 Amp. S 110.00 S
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168 00 S
Portal to Portal Hourly S 96.00 S
Signal Circuit/Limited Energy-1&2 Family Dwelling S 64.00 $
Manufactured Home Connection $120.00 S
Renewable Electrical Energy-5KVA System or Less $102.00 S
Thermostat $ 56.00 $
Note:$500 for each additional T-Stat
NEW CONSTRUCTION ONLY: t7 7
First 1300 Square Ft. $12000 \ $ l20 1 1 CYO
Each Additional 500 Square Ft.or Portion of S 40 00 S 4/
CI
Each Outbuilding or Detached Garage S 74.00 S /,
Each Swimming Pool or Hot Tub $110.00 S /� e7 V
$ 7.1-5 Total /J '—" _
Owner as defined by RCW.1928.261:(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.1 hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making
the electncal installation or alteration in compliance with the electrical laws,N E.G.,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,electr'cal contractor or electrical administrator: 0 Cash 0 Check
/ /- %Credit Card#
x rte w 'z"---- Dated: 6 -/4-ZO4'
erv, ELECTRICAL INSPECTION
WIRING REPORT
111,RKS 417-4735
DATE: PERMIT# INSPECT
OWNER
CONTRACTOR
ADDRESS
116-7 killod 1-4Y-67 A
APPROVED NOT APPROVED
O DITCH 0
O ROUGH IN/COVER
o SERVICE
0 FINAL
CORRECTIONS NEEDED: af8T= jg2
• 1 1'
AJ CT-CA-4
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE-