HomeMy WebLinkAbout933 Church Ave - Building t
ELECTRICAL PERMIT W
CITY OF PORT ANGELES co
360- 417 -4735
Application Number 11- 00000384 Date 4/28/11
Application pin number 199808
Property Address 933 CHURCH AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 15 -5 -9- 0090 -0000- on our excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name, to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
App ation desc
volt service 1 feeder and 4 circuits
Pa
Owner G t f Contractor
L:R ,US F•A1.C2. OWNER
OR 97401
‘5. 98' 0200
Permit ELECTRICAL ALTER COMMERCIAL V
Additional desc
Permit pin number 184622
Permit Fee 250.20 Plan Check Fee .00
Issue Date 4/28/11 Valuation 0
Expiration Date 10/25/11
Qty Unit Charge Per Extension
4.00 2.6000 ECH EL- BRANCH CIRCUIT W /FEEDER 10.40
2.00 119.9000 ECH EL -0 -200 SRV FEEDER 239.80
Fee summary Charged Paid Credited Due
Permit Fee Total 250.20 250.20 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 250.20 250.20 .00 .00 TT
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 6 16(1 OW °TAP
ROUGH -IN 61 it lqi .4 0 4 V
FINAL 6 ls t .7 1 �I1
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE\BUILDING
CITY OF PORT ANGELES PERMIT APPLICATION RErill rfr�►'t' t d Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Q�
Ph: (360) 417 -4735 Fax: (360) 417 -4711 2 P' 2011 W 00
Date: 9 2`7' Z
1 2 Single Family Dwelling Multi Family or Commercial* Comm Alteration Remodel Repair*
Plan Review Ma Be Required, Please Complete Elecr Plan Review Information Sheet
t) 2
Job Address: A Y'
Building Square Footage:
Description of above To r 7 1 F i T to i-t PA. .1)o' I C-A1_ GNU 2 c 1 4 t-aib' 0 o• r 51L.i2O L Ltd 2CDARP
Owner Information Contractor Information
Name: C..t'T`-' c VA Name:
Mailing Address: 32,1 +j 5 Mailing Address:
City: 41 State: 1.41 Zip: ?6 City: State: Zip:
Phone: Fax: Phone: Fax:
License Exp. License Exp.
Item Unit Charge Qty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. $119.90 is. 239 bo
Service /Feeder 201 -400 Amp. $145.50
Service /Feeder 401 -600 Amp 204.60
Service /Feeder 601 -1000 Amp. 262.20
Service /Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60 /0
Branch Circuit W/O Service Feeder 73.50
Each Additional Branch Circuit 2.60
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service /Feeder 201 -400 Amp. 110.30
Temp. Service /Feeder 401 -600 Amp. 148.70
Temp. Service /Feeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 88.20
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
25(3 2.) 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.
Signature of owner, electrical contractor or electrical administrator: Cash Check
12 Credit Card
4 Dated: z7 1 01/0112010
Application Number 08 00000967 Date 8/13/08
Application pin number 371247
Property Address 933 CHURCH AVE
ASSESSOR PARCEL NUMBER 06 30 15 5 9 0090 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
1 4 circuits Intrinsic work
Owner Contractor
TAYLOR SUSAN FRANCES
2045 FAIRWAY LOOP
EUGENE
(541) 984 0200
OR
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 131
Permit Fee 58 00 Plan Check Fee 00
Issue Date 3/13/08 Valuation 0
Expiration Date 2/09/09
Qty Unit Charge Pr
1 00 58 0000 ECi EL COMM ALT <5 CIRCUITS
97401
OWNER
Fee summary Charged Paid Credited Due
Permit Fee Total 58 00 58 00 00 00
Plan Check Total 00 00 00 00
Grand Total 58 00 58 00 00 00
Extension
58 00
�N SPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
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to%, /De 9
ELECTRICAL
RESULTS INSPECTOR
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ELECTRICAL WORK PERMIT APPLICATION
Job wired by
D Electrical Contractor ~Owner
lnstallation description
~Commercial 0 Residential
License number
Date Expires
o New
Ifa' Alterec@"diti~
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A.~b +N~'(/.f'rc.
(pOle~ To S(T~
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Telephone number . _ ",d
(::}.4tP--'
FAX number
Premises Z:!!C}PAame
Address of inspection
'f?>3
<::I(s#6
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1iftj~
City
r.~.
Phone number to schedule inspection:
Owner as defined by RCW/9.28-261:(l) Owner will occupy the structure for two
years afler this electrical permit isfina/ized (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease.
After reading the above statement, ] hereby certifY that! am the owner of the above
named property Of a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
\ 9.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
D Cash D Check #
D Credit Card
Visa
Mastercard
Discover
Card #
x
tor or electrical administrator
Signature
te: 5Av~cfj
Expiration Date
of card
Ele~a'-LoMAdditions~dor.sub1raClions
o NO LOAD CHANGES
D Baseboard KW
D Furnace KW
D Heat Pump Ton LAR
o Fan-Wall KW
Ser:viceJnfimnation
D Overhead Service
D Temp Service
D Underground Service
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BF,FORE 7:0.L~M 360-417-4llS
ROUGH-IN THERMOSTAT /' SERVICE
If)hl~ ~ Date Approved By
Approved Hy Dale Approved By '-
/' FEEDER
FINAL DITOI
A7/'t/~ "Y1J\
, [)';it" Ap~dBy Oate AppHl\'erl \3y Date Appwved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector