HomeMy WebLinkAbout1156 Campbell Avenue - Building {
ELECTRICAL PERMIT
CITY OF PORT ANGELES T - =. i)
360-417-4735 c
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Application.Number 16-00000880 Date 6/17/16
Application pin number . . 619040 TAX
, Property Address 1156 CAMPBELL AVE REPORT SALES TAX
'- ASSESSOR PARCEL NUMBER: 06-30-14-5-4-0500-0000
onour excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name to the City of Port Angeles
Property use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation . . . 0
•
Application desc
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Owner Contractor
PRICE, TAD R SIMPSON ELECTRIC
PO BOX 555 243036 W HWY 101
PORT ANGELES WA 98362 PORT ANGELES WA 98363
f (360) 460-3117" (360) 457-9270
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-' Permit ELECTRICAL ALTER RESIDENTIAL
Add4,.4lorial"+'iesC . 1-4 CIRCUITS
• .-pe °-Fee . , . 75.00 Plan Check Fee . . .00 .
'Issue'Date . . . 6/17/16 Valuation . . . . 0
xpiriKion Date . 12/14/16
Qty Unit Charge Per- Extension
BASE FEE . 75.00
Fna summary Charged Paid -Credited Due I
Pe mit Fee Total 75.00 75.00 .00 .00
P1 ; Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR
>DITCH
SERVICE T
ROUGH-IN 041 Lesge
i$INAL
C11t9 +ITS: ICS
PERMIT Wil L EXPIRE SIX( MONTHS FROM LAST INSPECTION
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Signature of owner or Electrical Contractor X Date:
GAEXCHANGE\BUILDING
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CITY OF PORT ANGELES PERMIT APPLICATION � ,
Building Division/Electrical Inspections 1 L. I ._...
321 East Fifth Street—F.O.Box 1150/Port Angeles Washington,98362 ,t .;,■;
Ph: (360)417-4735 Fax:(360)417-471.1
Bate: /6 R'1 _41 &2 Single Family Dwelling
Plan Review May Iui ,Please Complete Electrical Plan Review Infomtaf Sheet
Job Address: 1,_(,-. 1.01.0.--11.4&E�—..—— "�'[. —._.
Building Square Footage:
Description of above " •I• 1 - P t e —Q-
Owner Info on Contracts I
Name:�__�� Prr'eG _ Name: _1• r.�'n 1� � C C
City
Maly '...,: Wan• ': ��
C� �"'/�, state: Tip: 3 City-.�� ` , Stafp: ri�: '
/�P��hone Fax: Phone: 'Agr`. ' F- ' d
terse /Exp.- License /Exp ,1 ( .. _W r
7 c1f$m, r5i ' 9 ' r '
Item Unit Charon QJt( Total(Qtv Motto led by Unit Charnel
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 _ S
Branch Circuit W/Service Feeder $ 5,00 $
Branch Circuit W/0 Service Feeder $ 63.00 $
Each Additional Branch Circult $ 5.00 $
Branch Circuits 1-4 $ 75,00 )C $ 75. C.
Temp,Service/Feeder 200 Amp. $ 93.00 _ , $_ —
Temp.ServicelFeeder 201-400 Amp. $110.00 $
Temp.Sarvlce/Feedec 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 Gorrnedlort $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 FL or Portion of $ 40.00 $�
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$ 7— 51 gal
Owner as defined by RCW.1928.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)C wrier is required
to hire en 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 contrac tor.I am making
the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW-Chapter 1928,WAC.Chapter 296-468, fhe City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications.
Sign re of owner,electrical contractor or electrical administrator: 0 cao, 0 check
'if credit cud a ._till S.4)______
x JXAk.....,0,, " Dated• _ 4il' ._,_ ._- ._ 0110112012
4-‘ 'i- t *.- , . . ,c,*,;;;Q% ELECTRICAL INSPECTION
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• • - I IMO WIRING REPORT
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417-4735
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O FINAL 0
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(fl ee--- 62;-01f1F4141--)Ealt;aitifeChARECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —