HomeMy WebLinkAbout1116 D ST - BuildingINSPECTION TYPE
DATE: RESULTS:
INSPECTOR:
` DITCH
ELECTRICAL PERMIT
SERVICE
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
16-00000328 Date 3/07/16
Application pin number . . .
090496
Property Address
1116 D ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER:
06-30-00-0-3-5495-0000-
Application type description
ELECTRICAL ONLY
on your excise tax form
Subdivision Name . . . . . .
to the City of Port Angeles
Property Use
Property Zoning . . . . . .
RS7 RESDNTL SINGLE FAMILY
(Location Code 0502)
Application valuation . . . .
0
Owner
Contractor
------------------------
COLBATH FORREST D
------------------------
ALASKAN ELECTRIC
1116 S D ST
237 ROBERSON RD
PORT ANGELES WA 983637050
PORT ANGELES WA 98362
---------------------------------------------------------3874--�
582
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 190.00
Plan Check Fee .00
Issue Date . . . . 3/07/16
Valuation . . . . 0
Expiration Date . . 9/03/16
Qty Unit Charge Per
Extension
14.00 5.0000 ECH EL -BRANCH
CIRCUIT W/FEEDER 70.00
1.00 120.0000 ECH EL -0-200
SRV FEEDER 120.00
--------- — -----------------------------------------------------------------
Fee summary Charged
Paid Credited Due
---------- ---------- ----------
----------------- ----------
Permit Fee Total 190.00
190.00 .00 .00
Plan Check Total .00
.00 .00 .00
Grand Total 1.90.00
190.00 .00 .00
INSPECTION TYPE
DATE: RESULTS:
INSPECTOR:
` DITCH
SERVICE
ROUGH -IN
`7
I COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
VJ/VIIZ016 THU 19:24 FAX
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CITY Ov PORT ANcros himiT APPLiCAnoN
Building DiviiaiotwFdec deal foopfttious IM)
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321 Eget Fifth Street - P.O. Box 11501 Part Angeles W=hlagtnn, "362 !�1
Ph: (360) 417-4735 Fax: (360) 417-4711
Date; .3 ' �" ` ' 4 & 2 single Family pt dung
Plan Review May Be Requirad, Please Complete Electrical Plan Review IrtfnrmatiOn Sheat
Job Addram; I A 1 G S. D`
BulidiugSquareFootW-
t)escdpiiorr oi.ebove ®jj,�,�q,wT� ti= >ri 7" - '� cJ iA � � r� Tg7t
Owner Inion»adon contractor Irdon"Ition
Name: "��.r�y (2-,tLa' Now &.Ar2esr*4 6W-ie4c.4c 5�
Mailing AddWx Malting Address; . 2? 7 &aa t hiao-* e c>
City: stft 7Ja wStn W-&— Z10. 28 2.
Phone: FMC - - Phone.*;Co-c,Ra-a'%-XAaR: 5:3,T?1
Ue BOVExp: UrsmefltWAUIKAI V�3 zo-rf-
AM un t Ckae ToW Xft MMINR Raj
SamcwFeedsr 200 Amp. $120.00 $ °=
SaivloelFeeder 201400 Arrrp. $146.00 _ $
SeNioelFeec* 401-600 Amp $ 205.00 $ _
SerWaWreeder 801-1000 Amp. $ 282.00 $
ServlodFnft over 1000 Amp. $ 37340 $
Branch Ci cult W/ Senke Feeder $ 5.00
Brand Granit W/O SWca Feeder $ 63-00 $ -
Eadi Additional Branch CYWI. $ 6.00 $_
Branch ClrcuII614 8 75.00 $
Temp. Service! Feeder 200 Amp. $ 93.00 $
Temp. SetWoWesder201.4MAmp. $110.00 $
Temp, NwiWFeeder 401-600 Amp. $149.00 - $
To". 8"celFeeder801-1000 Amp. $166.00 $
Portal to Portal Hourly $ 96.00 $
Signal CirruN Umded Energy -1 & 2 Easily Dating $ 64.00 $
Manufactured Home Connection $120.00 .- $
ReaewaMa Ejeftat Energy - 6KVA System or Lees $102.00 $
Themwstat $ 56.00 $
Noor: $5.00 for each addlftwl T -Slat
RO 1300 Square R. $120.00 $
Each AddtIWW 600 Square Ft, or Portion of $ 40.00 $
Each 4ubilding or Detached (mage $ 74.00 $
Each Su mming Pal or HO Tub $110,0D $
$. -L RO,4"'Totai
Owner as defined by RCW,19.28.261. (1) Owner will occupy the Structure for two years after this electrical permit is finalized. (2) Omar is required
to hire an eteefricai contraebor it above said property is for sale, rent or tease. Permit expires after sic monilia of last inspection.
After ruing the above statement, I hereby a3ritty Urat I am the owner of the above named property or a Nearmed electrical contractor. I am making
the tftacbrtcal installation or atienatlon in compliance with the electrical laws, N,E.C., RCW_ Chapter 19.28, WAC. Chapter 296-46B, The Clay of Port
Angeles Municipal Code, and lJhlity SpeciNcationa and PAMG 14.06.050 regarding Electrical Permit AppilWions.
ftnature of owner, eieaftal conba * ar electrical admialatrator: ❑ Czar O Ghem
> ) #
X. /� 0aied: 3 V %� 01111IM2
03/03/2016 THU 19!24 FAX
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0001/002
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"000
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
16-00000328 Date 3/07/16
Application pin number.
_0_9049.6
Property Address . . . . . .
1116 D ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -3 -5495 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
Owner
Contractor
------------------------
COLBATH FORREST D
------------------------
ALASKAN ELECTRIC
1116 S D ST
237 ROBERSON RD
PORT ANGELES
WA 983637050
PORT ANGELES
WA98362
-------------------------------------------(360)
582-3874-- z-__
p
dd
Permit . . . . .
. ELECTRICAL
ALTER RESIDENTIAL
Additional desc .
.
Permit Fee . . .
. 190.00
Plan Check Fee
.00
Issue Date . . .
. 3/07/16
Valuation . . . .
0
Expiration Date .
. 9/03/16
Qty Unit Charge
Per
Extension
14.00 5.0000
ECH EL -BRANCH
CIRCUIT W/FEEDER
70.00
1.00 120.0000
ECH EL -0-200
SRV FEEDER
120.00
--------------------------------------------------------------------------
Fee summary
Charged
--------------------
Paid Credited
--------------------
Due
-----------------
Permit Fee Total
190.00
190.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
190.00
190.00 .00
.00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE I l
` ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date: