HomeMy WebLinkAbout3819 S Bean Rd - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES 0'
360 -417 -4735
Application Number 12- 00000294 Date 3/15/12 ..-C
Application pin number 464116
Property Address 3819 S BEAN RD REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 08 -5 -5 -0440 -0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning UNKNOWN
Application valuation 0
Application desc
1 -4 circuits septic
Owner Contractor
FEDERAL NATIONAL MORTGAGE ASSN KIRSCH ELECTRIC INC. �I
PO BOX 650043 P. 0. BOX 3396
DALLAS TX 75265' SEQUIM WA 98382
(360) 683 -6819
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00
Issue Date 3/15/12 Valuation 0
Expiration Date 9/11/12
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
0
COMMENTS: 3 *II 2 d.40.1 G t...
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
RI EGLI/ L
MAR 1 5 N i tir, r1
6
ELECTRICP' �J` 0
CITY OF PORT ANGELES PERMIT APPLICATION
INSPE CTIC
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 q s
Date: 3- -I 2 g 1 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 3431 5. 13ean 54-
Building Square Footage:
Description of above
5ep-I -i c-
Owner Information Contractor Information
Name: Feder Nttfional 1'►1or4 Co /4nia- Pe nderyru s 5 Name: E(ee fri c C nc
Mailing ddress: 505 E E. 9 5+ Mailing Address: 0 ox. 3 ?,9 0
City: Ted�" 5 State: lAJCl Zip: q t R
36, 2 r City: S i vi 1 State: Wet Zip: 9 J k 3 g Z
Phone: "7 Fax: c Phone: goo -b 4411 Fax: E pleas -el
License Exp. License Exp.
la r ileierfAc+skj$ 1
Item Unit Charge Qty Total (Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. 120.00
Service/Feeder201 -400 Amp. 146.00
Service/Feeder 401 -600 Amp 205.00
Service/Feeder601 -1000 Amp. 262.00
Service /Feeder over 1000 Amp. 373.00
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/O Service Feeder 63.00
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 75.00 75• 0O
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 96.00
Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00
Manufactured Home Connection 120.00
Renewable Electrical Energy 5KVA System or Less 102.00
Thermostat 56.00
Note: $5.00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 120.00
Each Additional 500 Square Ft. or Portion of 40.00
Each Outbuilding or Detached Garage 74.00
Each Swimming Pool or Hot Tub $110.00
75 .00 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
&r Card on 6 le.
x 6Atii, Dated: 3- /t -/0.- 01/01/2012