HomeMy WebLinkAbout126 E 10th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL SINGIJA FAIIIiY
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REPORT STATE SALES IAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
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Application lilumber . .
Appfi.cation pin number
Property Address
ASSESSOR PARCEI] NI'I'IBER :
Applicatsion type description
Subdivision Name .
Property Uae
Property Zoning
Applicatior valuation
1? - 000003G4 Datse 3/24/i.'l
399896
126 E 10TI{ ST
05 - 30 - 00 - 0 - 3 - 2812 - 0000 -
EIJECTRICAIJ ONIJY
ApplicaEion desc
Contractor
UIKE AND KIMBERLY I.ANE
126 E 10?H ST
PORT ANGEI,ES WA 98362780 8
136A) 775-1A'7A
O',iNER
Permit .
Additsional desc
Permit Fee
Issue Dale
Expirat ion Datse
270.00
3/24/aL1
9/20/17
Plan Check Fee
vafua! ion
ELECTRICAL ALTER RESIDENTIAL
00
0
Qtsy unit Charge Per30.00 5.0000 EcH
1.00 120.0000 EcH
EL- BRANCH C]RCUIT }I/FEEDER
EL- O - 2OO SRV FAEDER
Extension
150.00
120.00
Fee summary Charged Paid credited Due
Permit Fee Total
Plan Check Total
Grand Total
214
274
00
00
00
270
210
00
00
00
.00
.00
.00
00
00
00
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SER\1CE ^t lol n *P 5h1
ROUGH.IN
FINAL
COMMENTS:
PERMIT WILL E)GIRE SIX (6) MONTHS FROM LAST INSPECTION
Sigoature ofoqmer or Electrical Cootractor X
DATE:
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Date:
*.#5kn"/'EY
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
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ruEEDED: t,rl9\}(r- \)\:r9 Yiu-,
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DATE: r Ieln/n n-r=/-4
INSPEG+EB
=s\j>oWNER
ra-lK€-L4N,E*
CONTFACTOR
ADDRESS E- fn a-)2L
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ilOTIFY INSFECTOR WHEX CORBECTIONS
ARE CIIIPLEIED WITHII{ 15 DAYS
-DO NOT REMOVE-
. ...... ROUGH IN/COVER
.. . SEHVICE
PllRr
Crry or Ponr ANcrms Prmflr APpLrcATroN
Building Division/Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph:
Date
. Plan Review Ma
(360) 4174735 Fax: (360) 417-471 Ilt9lzol zDtl _'1 & 2 Single Family Dwelling
uired lease Electrical Plan.P
A
Completefeo-+view IE
RECE,YE
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t(,{
s-.I
v on aSbLJob Address: I
Building Square F
Description of
Owner lnformat
Name: l-Y\
[,,laili
Cily:
ionz (:Contractor lnformation
Namei
ress
State zip:
Phone 7 )
Lrcense#/Erp_
Item
S€rvice/Feeder 200 Amp.
Servicei Feeder 201 400 Amp.
Seryice/Feeder 401-600 Amp
S€rvice/Feeder 601 J 000 Amp.
Servicei Feeder over 1000 Amp.
,*- Branch Circuit W Service Feed
Branch Circuit WO Service Feeder
Each Additional Branch Circuil
Branch Circuits 14 Only
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601,1000 Amp .
Portal to Portal Hourly
Signal ChcuiV Limited Energy - 1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - sKVA System or Less
Thermostal
Note: $5.00 for each additional Tstat
HEW CONSTRUCTIOil OI{LY:
First 1 300 Square Ft.
Each Additional 500 Square Ft. or Portioo of
Each outbuilding or Detached Garage
Each Su,imming Pool or Hot Tub
It4ailing Address:
ury State: Zio
ax
License # /
AE Total Multiplied bv U
s Lzo
3o
$
$_
i
S
$_
Unit Charse
$ 120.00
$ 146.00
$ 205.00
$ 262.00
$ 373.00$ s.00
$ 63.00$ 5.00
$ 75.00
$ 93.00
$ 110.00
$ 149.00
$ 168.00
$ 96.00
$ 64.00
$ 120.00
$ 102.00
$ 56.00
1T
$
$
$
$
$
$
b
s
$
$
$
$
s
$ 120.00
$ 40.00
$ 74.00
$ 110.00 s
$-Z1O Total
Owner as deflned by RCW.'19.28.261: (1) Owner will occupy the structure for two years after this electrical pennit 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 cofltractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Apptications.
Signature of owner, electrical contractor or elec{rical administrator: tr cash E che6k
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0?J4612012
Phone._Fax:
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