HomeMy WebLinkAbout518 S Liberty Street - Building ELECTRICAL PERMIT 1
CITY OF PORT ANGELES
360-417-4735
Application Number 16-00000699 Date 5/16/16
Application pin number . . 438556
Property Address 518 S LIBERTY ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-11-5-4-0070-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name
to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
Owner , Contractor .
JOANNE/MERWYN PETTYJOHN TTE DOUBLE D ELECTRICAL
518 S LIBERTY ST PO BOX 957
PORT ANGELES WA 983626650 PORT LUDLOW WA 98365
(360) 385-1130
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . . 75.00 Plan Check Fee . . .00
Issue Date . . . , 5/16/16 Valuation . . . 0
. Expiration Date . . 11/12/16
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary, Charged Paid Credited Due
Permit Fee Total 75:00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 • .00 . .00
•
•
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE •
ROUGH-IN
FINAL
COMMENTS: a✓4
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G\EXCHANGEIBUILDING
May 11 2016 03:01 PM Double D Electrical 3603855761 page 1
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street-P.O.Box 1150/Port Angeles Washington, 98362 t . _.
Ph: (360)417-4735 Fax: (360)417-4711
Date: S-11 "1 LP r1&2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: Si S. ter- St--
Building Square Footage: {LO t)
Description of above',r>�Ct.-71"Or}i 1/4 /2c i Loi,e-t
Owner Information Contractor Information
Name: tZ i P elnabil n.) Name: Ow t2tdi. 0 S t ec v ,( I r>IC
Mailing Address:51Sl S.. U be 44-L4 Si- Mailing Address: tOO !3a A_ G
City i? A State WA.- Zip: Cl g 31%9 City: pf,44-eAdi 0 cit State: UM Zip: Friar;
Phone:347•14 Matocf7fix: Phone:3c.a•3I MO ?Ago-w�=_S-714
License#!Exp. License#!Exp. Q r low-Li:LA Fr L1 r>
Item Unit Charge Qty Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 - —
$
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $
ServiceiFeeder 601-1000 Amp. $262.00 $
Service,)eeder over 1000 Amp. $373.00 _ $_ —
Branch Circuit W/Service Feeder $ 5.00 _ _ $—
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 •►- $
Branch Circuits 1-4 $ 75.00 _l— $ Z • o(:)
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 $_
$ r16.6a 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 properly or a licensed electrical contractor.1 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: D Cash 0 Check
JOrat-S;CP--r- - Crodk Card#i
Dated: 5 -1 l 01/0112012
(F. ..0 'D S t- J c!-4 R _C00
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