HomeMy WebLinkAbout1417 W 5THST - BuildingINSPECTION TYPE
ELECTRICAL PERMIT
RESULTS:
INSPECTOR:
DITCH
CITY OF PORT ANGELES
SERVICE
364-4174735
ROUGH -IN
Application Number . . . . .
18-00001285 Date 8/22/18
Application pin number . . .
753135
COMMENTS:
Property Address . . . . . .
1417 W STH ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER:
06-30-00-0-1-2265-0000-
Oh our excise tax form
i
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
t0 the City Of Port Angeles
Property Use . . . . . . .
(Location Code 0502)Property
Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
Owner
Contractor
------------------------
FLEISCHFRESSER, GEORGE G
------------------------
APS ELECTRIC
2052 PLACE RD
546 BENSON RD.
PORT ANGELES WA 98363
PORT ANGELES WA 98363
(206) 661-6023
(360) 452-6753
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Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc APS/ MAST
EXTENSION
Permit Fee 120.00
Plan Check Fee .00
Issue Date . . . . 8/22/18
Valuation . . . . 0
Expiration Date . . 2/18/19
Qty Unit Charge Per
Extension
1.00 120.0000 ECH EL -0-200
SRV FEEDER 120.00
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Fee summary Charged
----------
Paid Credited Due
---------- ---------- ----------
-----------------
Permit Fee Total 120.00
120.00 .00 .00
I
Plan Check Total .00
.00 .00 .00
Grand Total 120.00
120.00 .00 .00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
A
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
qo
Project Address:
Project Description:
1 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION,
Public. Works and Utilities Department
32 E 5th Street, Fart Angeles, WA 98362
360017.4735 ��ww.cityofpa.us'
'' k.
,.�l Single -Family Residential 11 Duplex I
Name: tom, %-A (2, S- 1-.4
Mailing Address ' YA k -
Name: _L4, R. 6
Mailing Address:
Email:
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp,
Servios/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W1 Service Feeder
Branch Circuit W10 Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder ZGAmp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-840 Amp.
Temp. Service/Feeder 601-1000 Amp -
Portal to Portal Hourly
Signal Circu&imited Energy -182 OU,
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional $00 square flee
Each Outbulkling / Detached Gs�p
Each Swimming Pool / Hot Tub ii!
Building Square footage:
�l 4e fie, e_ C Email:
Phone: i4,0,Q
^3A 27�_Wcense:
L Expiration Date:
Phone:
Unit CIMMM Quaaft
191ol (Ouantity x Unit Charge)
$120.00 l
$
$14&00
$
$205,00
$
$262.00
$
$373.00
$
$5.00
$
$83-00
$
woo
$
$7&00
$
$93,00
$
$110.00
$
$149.00
$
$168.00
$
$96.00
$
$64.00
$
$120.00
$
$102.00
$
$56-00
$
$120.00
$
$40.00
$
$74.00
$
$110.00
$
TOTAL
$ 1 C9
Owner as defined by FZCW. 19.28.28 1: (1) Owner 41 occupy the structure for two years after this electrical permit is finalized, (2) Owner is
required to hire an eleotrical contractor if above said property is for sale, rent or lease. Permit expires after six month* of last inspection.
After reading the above staternent, 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 aiterationirl compliance with the electrical laws, N.E-C.. RCW, Chapter 19.28, WAG. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specfficatlons and PAMC,44.05.050 regarding Electrical Permit Applications.
(dr -CIL,
Date PrinXme Signature (M '&wner 0 Electrical Contractor/ Administrator)
[Electrical Permit Applications may be subm ked to City H211 or efectricalpermits@cityofpa us or faxed to 360-417,4711)