HomeMy WebLinkAbout215 E 12th ST - Building (4) ;e2-�
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department O
321 E. 5th Street, Port Angeles, WA 98362 t
360.417.4735 1 www.cityofpa.us ; electricalper►nits a,cityofpa.us �
Project Address: 215 East 12th Street
Project Description: Remodel
n Single-Family Residential ❑ Duplex/ARU Building Square footage: 2100
OWNER INFORMATION
Name: Jesus Quinonez Email:laimeyguinonez@gmaii.com
Mailing Address:215 East 12th Street Phone:7753355151
ELECTRICAL CONTRACTOR]NFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT
TEE Unit Charge Quantity Total(Quantity 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 1000Amp. $373.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 i $ 6 ��
Each Additional Branch Circuit $5.00 4 _ $ 2
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 $9&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 $
x
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.
10/2/20 Jesus Quinonez
Date Print Name Signature(;d Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711)
j
- { +
M xs T W
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Applicaticm Number a-o0oo0tio4 a 0$Ti+ 7 Fiw
Application pin number 440512
- _ Property Address 430 B AHLVERS RD on yC7LeA9Xdi S6#ilk ta-m
ASSESSOR PARCEL N ER: 06-30-15-3-1-9070-0000-
ta#t!@ City of Port Ange%S.
Application type description ELECTRICAL ONLY
Subdivision (Lcoca dots Code 0502)
'vsia�a Name
Property iTse
Property wing RS9 RB mm SINGLE P1 LY
Application valuation o
- Application desc
Loft over garage
Owner Contractor
DARTN AND-KARBN cOLB IRN ANGELES ELECTRIC
430 B A-91A RS RD 524 B. 1ST ST.
'PORT ANGELES NA 98362 PORT ARGBLBS WA 9$362
(360) 452-9264
--- 'Permit-- --. ELECTR.ICAL ALM RBSIDENTIAL
Additional desc 1-4 CIRCUITS
Per#ni.t'Pee 100.04 'Plan Check-Pike ' .00
Issue Elate 6/30,J20 Valuation . . . 0.
Expiration Date 12/27/20
Qty Unit Charge Per Extension
BAS$ PER 75.00
5.00 5.0000 SCE# RL-!4M.AtONT. BRANCH CIRCMT 25.00 ,
----- ------- - - __
Fee sumtaary _ CF�arged Paid Credited ' Due
-------- ------ ---------- -- - -
1 -1
Permit Fee Total 100.00 100.a0 oa 0a
'Plan`;tlek Total coo, tSO ,00 .OA
Gratsd `total 100.00 100.00 0( .00;
INSPT MON ME OA'I'I: MILTS: INSPWrOR:
MITI '
S ZVI
1tiR
RC3'C dlk
FINALDV-
s
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST PECf
Sigri�of own&or Irlectrical.Ctractor X Date:
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2 SINGLE-FAMILY
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ELECTRICAL PERMIT APPLICATION
Puhlic Works and Utilities Department
321 E� 5@hSxecr Port Aog6oa Wyk V83h2
16 )4}74713.5 xvw-Nv.ci/ os | dcc trica 1pel-II,)I ts;Lt cxmfipa-ox
Project Address:
Project Description:
�lngle-Family Residential El Duplex I ARLI Building Sq'uare footage:
Timm
Mailing Address: le Phone:
Name: Angeles Electric, Inc License:ANGELE1460RS
Mailing Address:524 E First Street, Port Angeles,WA 98362 Expiration Date:
Email:ksimpson@olympus.net Phone:360-452-9264
RIM Ouanlb JQW(Quantity x Unit Charge)
Service/Feeder 200Amm. $120.00 $-_______'
Service/Feeder co1-4oVAmp, $14ez0 $
Service/Feeder 4V1-60VAmp. $205.00 $________
Service/Feeder 601-1000 Amp. $2e2.00 $--___-__-
Service/Feeder over 1u00Amp. $373.00 %________
Branch Circuit mx Service Feeder *o.VV $__-______
Branch Circuit W/O Service Feeder $63'00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 14 $75.00 $__����
Temp.Service/Feeder oOVAmp. $93.00 $________
Temp.Service/Feeder uo14UUAmp. $110.00 %________
Temp.Service/Feeder 4o1-VVDAmp. $149.00 $-_______
Temp.Service/Feeder VV1-1mVuAmp. $168.00 *________
Portal tv Portal Hourly $96.00 $-__-__-__
Signal Circuit/Limited Energy-1&2ou. *64.00 %__-_____
Manufactured Home Connection $120.00 $-_______
Renewable Elec.Energy:5KuA System vvless %102.00 %
Thermostat(Nute:$5 for each additional) 856.00 $_____ �
First 130V Square Feet $120'00 u---______
Each Additional 500 square feet" *40.00 _____ *_____-__
Each Outbuilding/Detached Go/age $74.00 $_-____-__
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $_����_��
owner as defined by RCW.1 9,28.261:(1)Owner will occupy the structure for two years after this electrical permit iw finalized.(u)Owner is /
required to hire un electrical contractor n above said property is for sale,rent m lease,Permit expires after six months or last inspection.
After,peu/nV the above statement,|ooreuv certify that}um the owner or the above named property or licensed electrical contractor.| '
am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B
Applications.
=w0 ELECTRICAL lNS1 eCTION
41-iI
3 WIRING REPORT
417-4735
DATE,/ PERMIT# INSPECTOR
OWNER
CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑
ROUGH IN/COVER . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑
CORRECTIONS NEEDED:
J NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
j -- DO NOT REMOVE--
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