HomeMy WebLinkAbout834 W 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
!
J.
\^
\Applicatio! Number .
Application pin nurilce!
Property Address
ASSESSOR PARCE1 NIN'BER.
ApplicaEion !)?e descliption
Subdi.visioo Name .
Property Use
Ploperty zonj.ng
Application valuation
17- 000013 57 Date 9/25/11
41L ? 93
834 W 4TH ST
05 - 30 - 00 - 0 - 1- 022s -0000 -
EI,ECTRICAI, ONLY
REPORT STATE sAtES TAx
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
0
ApplicatioD desc
2 circuiEs and expired permit
Owner Contracto!
JAMES AND DEBRA SEI,F
834 I,] 4TH STREET
PORT AIiIGELES
(350) 79? - 414 8
OWNER
wA 98353
Permit .
Additional desc
Permit Fee
Issue Date
Expiration Date
58.00
9 /2s/11
3/24/rB
EI,ECTRICAL ALTER RESIDENTIA!
Plan check Fee
valuation
00
0
Qty unit charge Per1.00 5. 0000 ECH
1.00 63.0000 ECH
EI,- EC}I ADDN" BR.ANCH CIRCU]T
EL-R- BRANCH CIR WO/ SER EEED
ExEension
5.00
63.00
Charged Paid Credited Due
Permits Fee ToEal
Plan Check ToEal
68 .00
.00
68.00
58.00
.00
58.00
.00
.00
.00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROTJGH-IN
FINAL
COMMENTS
PERMN WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
."#5**"T'EY
n ll- E-!/ -%H6."
ELECTRICAL INSPECTION
WIRING REPORT
4174735
DITCH
APPROVED NOT APPROVED
/!4W+* .lx:L.. ROUGH IN/COVER
tr SERVICE
tr FINAL
CORRECTIONS NEEOED:L}PLI-<ovt-tz- o,
{Zoo a*
tr
B
tr
tr
G
NOTIFY IT{SPECTOR WHEN CORRECNONS
ARE COMPLETED wlTHIN 15 DAYS
_OO NOT REMOVE-
DATE:
z n 351
-1x*,>
OWNER
CONTBACTOR
ADORESS
D
ftillr
Crry or Ponr Axcnr,rs Psnilrrr ABpLICATToN
Building Division /Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
oate llu lt4 P 1 & 2 Single Family Dwelling
f,
(
Grll
--t\ll
. Plan Review lVla uired, Please C ete Electrical Plan Review Infonnation Sheet
Building Sq!are Footage
Description of above
Owner I n
Name
Uaiii I/l
City zip
Phone
License # / Exp
Item
SerYice/Feeder 200 Amp.
Servicei Feeder 201400 Amp.
Service/Feeder 40'1 {00 Amp
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Brafch Circuit W Service Feed
Branch Circult W0 Service Feeder
Each Additional Branch Circuit
Branch Circuits 14 Only
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Servlce/Feeder 401$00 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal 10 Poiral Hourly
Signal CircuiV Limited Energy - 1 & 2 Family Dwelling
il,lanufactured Home Connection
Renewable Electrical Energy - sKVA System or Less
Thermostat
Noter $5.00 for each additional T-Stat
CONSTRUCTION
First 1300 Square Ft.
Each Additional 500 Square Ft. or Pofiion of
Each outbuilding or Detached Garage
Each Swimming Pooi or Hol Tub
Contractor lnf ormation
Namei
N4aiLing Addressl
City;Statei _ Zip;
Ph
License # i
axi
Unit Charqe
$ 120.00
$ 146.00
$ 205 00
$ 262.00
$ 373.00
$ 5.00
$ 63.00
$ 5.oo
$ 75.00
$ 93.00
$ 110.00
$ 149.00
$ 168.00
$ 96.00
$ 64.00
$'r20.00
$'102.00
$ 56.00
au Iotal (Multiplied bv Unit Charqe)
$
$
$
s
$
$-r-- -l-
$
s
$
.q
$
$
$
$
$
S
$ 120.00
s 40.00
$ 74.00
$ 110.00
$
s
g__{eri_-!, i Total
Owner as defined by RCW.19.28.261t (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 makjng
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of port"
Angeles N/iunicipal Code, and Utility Specificatjons and PAN4C 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
Dated:
Job Address
q
$_
$_
q
E casn X cnecr
tr crcditcad *--
0210612012