HomeMy WebLinkAbout834 W 4TH ST - Building (2) ELECF101CAI;PERMIT
CITY OF SMT ANGELES
'3604, 11-4' 35 �s w
Application Number . . 17-00001357 Date 9/25/17
Application pin number 411793
Property Address . 834 W 4TH ST REMRT STATE SAL it TAX
ASSESSOR PARCEL NUMBER: 06-30-60-0-1-0225-0000-
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. . ( )
Application valuation . . . . 0,
----------------------------------------------------------------------------
Application dear;
2 circuits andexpiredpermit
-------------------------------------------------------------------------
Owner Contractor
JAMES AND DEBRA SELF OWNER
834 W 4TH STREET
PORT ANGELES WA 98363
-----(360)-797-4148
--------- ------- ------------- ------------------- --- -----
Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 68.00 Plan Check Fee .00
Issue Date 9/25/17 Valuation 0
Expiration Date 3/24/18
Qty Unit Charge Per Extension
1.00 5.0000 BCH EL-ECH ADDNT BRANCH CIRCUIT 5.00 `
1.00 63.0000 BCH EL-R- BRANCH CIR WO/ SER FEED 63.00
-----------------------------------------------------------------------------
4
Fee
------------------ --------
Fee summary Charged Paid`'. Credited Due
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
i
INSPON TYPE DATE: RESULTS: INSPECTOR:
DTH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMiI" ,M- IRE SIX(6)MONTHS FROM LAST INSPECTION
A. ;. .
Signature of +pr Electrical Contractor X Date:
4
y.
�-
i
I
i
j
-.
'.� i,r,
�I �. .� v
o* ,,�" ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE: PERMIT# INSPECTOR
1 D Z �1 -135
OWNER
,P.,
CONTRACTOR
ADDRESS
3
APPROVED NOT APPROVED
❑ . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑
ROUGH IN/COVER . . . . . . . . . . . . . . . ❑
D. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑
D. . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑
CORRECTIONS NEEDED: lc_ �- . �TZ tg�(�_
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE-
O p()Rr.�,yr
r
CITY OF PORT ANGELES PERMIT APPLICATION a 1 , .,. ►- �]
Building Division/Electrical Inspections l
321 East Fifth Street— Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711 �1ry
Date: 1 &2 Single Family Dwelling
I
*Plan Review May�e_Required, Please Complete Electrical Plan Review Information Sheet
Job Address: _2 c' 4—TV
Building Square Footage:
Description of above
Owner Infopat Contractor Information
Name: Name:
Mailing Address: L, ) Mailing Address:
City: S te:�_Zip: (o City: State: Zip:
Phone: ' ax: Phone: Fax:
License#/Exp. License#/Exp.
Item Unit Charge (ht 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 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 _� $
Each Additional Branch Circuit $ 5.00 _ $
Branch Circuits 1-4 Only $ 75.00 $
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 $
co?, u,-4 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 property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW. Chapter 19.28,WAC.Chapter 296-46B,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: ❑ Cash 'X Check
❑ Credit Card#
x Dated: 0210612012