HomeMy WebLinkAbout613 W 9TH ST - Building (2) ELECTRIC-AL PERMIT IN
MY 'OR
OF P T ANGELES
360411-4735
Application Number . . . . . 18-000019S6 Date 1/02/19
pplicAtion.pin number . . . 1445S6
P"bi rt REPORT STATE SALW
r y Address 613 W 9TH ST
m
ASSESSOR PARCEL NumBER: 06-30-00-0-2-626-8-0000- on your excise tax for
Application type description ELECTRICAL ONLY� tO the City of Port Angeles
Subdivision Name . . . . . . (Locaiioij Code
Property Vae . . . . . . . . 0502)
Property Zoning . . .
Application valuation . . . . 0
Owner Contractor
------------------------ --------------------
RAY SHAMP ELECTRICAL CONTRACTING
PO BOX 04 PO BOX 383
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 4S2-1689
---------------------------------------------------------:-------------------
Permit .. . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc MTR BASE AND MAST
Permit Fee . . . . 120.00 Plan Check Fee .00'
,Issue Date . . . . 1/02/19 Valuation . . . . 0
Expiration Date 7/01/19
Qty Unit Charge- Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Pee summary Charged Paid Credited Due
----------------- ---------- ---------- ----------- ----------
Permit Fee Total 120.00 120.00 A0 .00
Plan Check Total ;00 .00 1.00 .00
Grand Total 120.00 120.00 .00 .00
INSPECTIONTWE DATE- RESULTS: INSPECrOR:
DrrCH
SERVICE 14, 7-7
Jac!
ROUGH-IN
FINAL
COMMam:
PERMrr WML EXPME SIX(6)MONTHS FROM LAST INSPWnON
Signature of owner or Electrical Contractor X Date:
Mra-
CITY OF PORT ANGELES PERTAIIT APPLICATION
Building Division/Electrical Inspections Uc-L, 2
321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,98,362 FLECTRWAI
Ph: (360)417-4735 Fax: (360)417-4711 INVECT'ONS
Date: I &2 Single Family Dwelling
Plan Review May Be Required, P ease Complete Electrical Plan Review Information Sheet
Job Address: 11-3 U-.
Building Square Footage:
Description of above— M12T 43A:5 A%- 4—
Owner Information Contractor Information
Name� Rcl" �e,'A-r C'
Name: �'Mk"L
Mailing Address: Mailing Address: i"� ---
City; 1,At State: l,3m Zip. City: �erx, State: Lon, Zip:' k
Phone: Fax: Phone:4 Z:-1�!�q Fax:
License#/Exp. License 4!Exp.
Item Unit Chang 2Y Total(QtY Multiplied by Unit Change)
Service/Feeder 200 Amp. $120,00 $ 1 0
ServicelFeeder 201-400 Amp. $146.00 $
ServicelFeeder 401-600 Amp $205.00 $--
Service/Feeder 601-1000 Amp. $26Z00 $—
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W1 Service Feeder $ 5,00 $
Branch Circuit WIO Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 75,00 $
Temp,Service/Feeder 200 Amp, $ 9100 $—
Temp.Service/Feeder 201400 Amp. S110,00 $—
Temp,Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder601-1000 Amp, $168,00 $
Portal to Portal Hourly $ 96.00 $---
Signal Circuit/I-imited Energy-I&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 $
$-fZ p Total
Owner as defined by RCVV,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 property or a licensed elect6cal contractor.I am making
the electrical installation or alteration in compliance with the electrical laws,N E.C,,RCW,Chapter 19.28,WAC.Chapter 296-4613,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: 0 Cash 0 Check
11 Credit Card#
Dated: lit -ZPV 011010112
X "el::1-------