HomeMy WebLinkAbout1617 W 12TH ST - Building (2) b
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Application Number . . 19-00001365 Date 9/05/19
Application ptn number 729535 REPORT STATE SALES TAX
Property Address . . . 1,617 W 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5946-0000- On your excise tax formApplication type description ELECTRICAL ONLY to the City of Port Angeles 1
Subdivision Name . . . . . (Location Code 0502�
z... Property use .
Property Zoning . . RS7 RESDNTL SINGS FAMILY
Application valuation . . 0
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Application desc
Garage conversion.
Owner Contractor j
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EDWIN H MENBS AND IMELDA M NER JOHNSON ELECTRIC COMPANY
1617 W 12th ST 163 MCCARVER RD
PORT ANGELES WA 98353 PORT ANGELES WA 98362
(360) 775-5477 (360) 728-4327
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Permit . . ' ELECTRICAL ALTER RESIDENTIAL
` Additional desc
Permit Fee . . 73.00 Plan Check Fee .00-
Issue Date 9/OS/19 Valuation 0
Expiration Date 3/03/20
Qty Unit Charge Per Extension
2.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT, 10.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/` SER FEED 63.00
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Fee summary Charge4 Paid- Credited Due
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Permit Fee Total 73.00 73.00 .00 .00
Plan Check Total- .00 .00 .00 .00 i
Grand Total 73.00 73.00 .06 00
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INSPECTION TYPE ='..„ DATE:: 13SULTS: INSPECTOR:
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Signature of owner or Electrical Contractor X _ ` s Date:
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ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department ~~
321 E. 5tb Street. Port Angeles, \VA983h2 l
360417.4735ivvn"aoityn[pa.us1 e|cctr;oo|pennhs��oi oh»u.um
Project Address: Uie-c'y
Project Description: (OAVP�61
'gi Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Mailing Address:. tv5 /A,- (",w- (,-A Expiration Date: —AKA-q�--Ze 7-
E Phone:
PROJECT DETAILS
Item Un t dharge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120,00 $______
Service/Feeder 2V1-4OO Amp. $146.00 $______—__
Service/Feeder 4O1-6OUAmp. $205.00 $_________
Service/Feeder OO1'1000Amp. $262.00 $______-_—_
Service/Feeder over 1UDOAmp. *373.00 ____--- $__—__—_---
Branch Circuit NK Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 ��_ % Lc,��---
BnonuhQrcuds1-4 $75M ____--- $_--_--_—_-
Temp.Service/Feeder 2OOAmp, $9100 $____--_—_
Temp 8ervimelFender2O1-400Amp. *110.00 o
Temp. Service/Feeder 4D1-G0OAmp. *149.00 $___________
Temp, Service/Feeder 8O1'1n0UAmp. $168.00 $-----_----'
Portal to Portal Hourly $9600 $______-----
Signal Circuit/Limited Energy-1&2 DU- $64.00 $__________
Manufactured Home Connection $120M $____----_
Renewable Elec. Energy:5KVA System nrless $102.00 $______---_
Thermostat(Nme:$5 for each additional) $50.00 ____--- *__-__-----
First 1300 Square Feet $120.00 n—_______'
Each Additional 5OO square feet" $40.00 ____--- $—____-----
Each Outbuilding/Detached Garage $74.00 $______--_
Each Swimming Pool/Hot Tub $110.00 ___--- $
TOTAL $
Owner am defined byRCVK1g1&201:(1)Owner will occupy the structure for two years after this electrical permit ia finalized.(2)Owner iu
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
/ftermoding8`eabnveutatomant. |hanebyoarhfythat|emdhomwnorofthaabovenmmedpmpurtyoraUoenoadelecthoa|nuntnactoc |
am making the electrical installation or alteration i n compliance with the electrical laws, N.E.C., RCW Chapter 19.28,WAC.Chapter 296-
Utility Specific C Electrical Permit Applications.
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[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
per ELECTRICAL INSPECTION
�. WIRING REPORT
+16 ft-S 417-4735
DATE: I LPERMIT# INSPECTOR
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OWNER
CC3NT GTt7R
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[ADDRESS
APPROVED OTN APPROVE
❑ . . . . . . . . . . . . . . . . . . . . DITCH . , . . . . . . . . . . . . , . . , . .
❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . .
❑. . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑
* ❑. . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑
1/CORRECTIONS NEEDED: /0.'5,KjIs Lx— 9jf 4ATrBAA;ES `l
ell
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE---