HomeMy WebLinkAbout905 WILLOW AVE - Building (3) ELEAC CAL PERMIT s MY OF PORT ANGELES W
300-417-4735
Application Number . . . . . 17-00001368 Date 9/27/17
Application pin number . . . 861296
Property Address . . . . . 905 WILLOW AVE REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-15-5-2-0340-0000- On our excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name . . . . to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
Kitchen remodel -
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Owner Contractor
Amy & Eric Hemple ELECTRIC AMERICA
905 WILLOW AVE PO BOX 3523
PORT ANGELES WA 983626768 SEQUIM WA 98382
(360) 912-5550
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,. Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
permit. Fee Plan Check Fee .00
Iasue Date valuation 0
:�xpiraltioi� D�tB 3•)�6fi� .
Qtyiut Cga Extension
8,00 $,$00fl BSI. BCH AWNT BRANCH CIRCUIT 40.00
1.9019� Q-00 8 � -R-SQFT FIRST 1300 120-.00
L-R- BRANCH CYR W0/ SER PEEP 63.00
-- +?r- - --- ---------------------------------------------
Fee
------ ----- ----- ----Fee .sumfiiry+ Chargrs� Paid Credited Due
:: -- ------ --------- - - --- ----------
Iormit 4"-metal-`�' 223.00 223.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 223.00 223.00 .00 .00,
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECnON
Signature of owner or Electrical Contractor X Date:
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CITY OF PONT ANGELES PERMIT APPLICATION ' ^- "J
Building Division/Electrical Inspections
321 East Fifth Street— Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711
Date: 9-al-2o 1/7/ -)Z—1 &2 Single Family Dwelling
*Plan Revieway Be Requ'red, Please Complete Electrical Plan Review Information Sheet
Job Address: 0
Building Square Footage: IA 04
Description of above A if ?am
Owner
Owner I formatio Contract �Inf�rmation
Name: M b � P Name: L=caf!L., AivMcQ
M A dres : W i l V. Mailing Address J Rai-
City: State: Zip: City: State: Zip:
Phone: -11 -qo— Fax: Phone: �—Fax:
License#/Exp. License#/Exp. E-U+ -I
Item Unit Charge Qty Total(Qtv 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 $ 40
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 I $ iZ0
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 $
$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 296-466,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications 0 �13
Signatur of owner, lectrical contractor or electrical administrator: ❑ Cash Check
tl� ❑ Credit Card#
X Dated: 0210612012