HomeMy WebLinkAbout1129 W 12TH ST - Building (2) ELEC11WA.L PFRMI'T
CITY PtZT ANEI,ES
364417-4735
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Application Number18-00001795 Date 11/30/18
Application pin number. 473350 REPORT STATE SALES TAX
Property Address 1129 W 12TH ST on our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5458-0000- y
Application,type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
New home '
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Owner Contractor
--------- -- -- -------- ---------------
ELSTROM JR, ARLAND NORTH PENINSULA ELECTRIC
PO BOX 1402 761 FRESHWATER PARR RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363 ,
(360) 477-1764
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Permit
--------- --------Permit . . . ELECTRICAL NEW RESIDENTIAL _
Additional desc .
Permit Fee . . 160.00 Plan Check Fee .00
Issue Date . . 11/30/18 valuation 0
Expiration Date 5/29/19
Qty Unit Charge Per Extension
1.00 120.0000 ECHXL-R-SQFT FIRST 1306 120.00
1.00 40.0000 BCH EL-R-SQFT ADDITIONAL $00 40.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 160.00 160.00 -------.00 ------.00
Plan. Cheek Total .00 00 C90= .00
Grand Total 160.00 160_00 00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
i
FINAL
COA04ENTS:
PMtW WILL EXPME SIX(6)MONTHS FROM LAST INSPECTION
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t �wner or Electrical Contractor X '' Date:
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RECEIVED
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1 - 2 SINGLE-FAMILYs0
ELECTRICAL PERMIT APPLICATION ELEcTRi
P>tl;l?c '.odks and t ti(rt es 1;,„j�arti-penis ,NS�C77®NS l �
321 E. 5th Strect, Port AnReles. WA 98362 )
s•�—' fir :' 3D0.417.4735 j 's1'1t• M1';S It}'�r1��.U5� (1.eCi1'1C11i)eC iliTti;iG:Clt;'Ot�J�l.tiS
Project Address:
Project Description:
Single-Family Residential O Duplex/ARU Building Square footage:
Name: V`'S ;t L: .,_ .. Email:
Mailing Address: ': ' :�i r .. \'- ',C.` - Phone:
Name �� i :y `� t''� ,� ° - �,� s s �_-License ��, �:� \'� C� � •1 \ -L_-
Mailing Address. ,- T. t _,, k'ti, a `�'( Expiration Date
Email ;� ; r� S \ t a . `r�� f r 5 _ ``r =Phone: r
1 m Unit Chame .
f,3y�p icy Total x 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 Feeder $5.00 $ _
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $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 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec.Energy:5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56.00 $
First 1300 Square Fest $120.00 $
Each Additional 500 square feet" $40.00 1 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $ :
TOTAL $
Owner as defined by RCW.19.28.26 1:(1)Ownerwill 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 lavfs,N.E.C.,RCW Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles unicipal Code,and Utility Specifications and PAMC114,05.050 regarding Electrical Permit Applications.
Date Print Name Signature,, caner❑ Electrical Contractor/Administrator)
{Electrical Permit Applications may be submitted to City Hall or ele`ctricalpermits@cityofpa.us or faxed to 360.417.47111
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ov ELECTRICAL INSPECTION
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DATE: PERMIT# INSPECTOQ
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OWNER
CONTRACTOR
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ADDRESS
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APPROVED NOT APPROVED
0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . El
0. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . .
CORRECTIONS NEEDED: L-4A)al)R-Y
6W S,)-4 OUB 2 b)F- OV .
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE-