HomeMy WebLinkAbout1930 W Hwy 101 - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 11- 00001156 Date 10/14/11
Application pin number 364820 REPORT SALES TAX
Property Address 1930 W HWY 101
ASSESSOR PARCEL NUMBER: 06- 30- 07 -4 -4 -0250 -0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use Location Code 0502)
Property Zoning UNKNOWN
Application valuation 0
Application desc
1 circuit septic pump
Owner Contractor
OWEN RICHARD DALE EXTRA MILE TECH ELECT., LLC
223 W 12TH ST 418 N. RACE ST.
PORT ANGELES WA 983627715 PORT ANGELES WA 98362
(360) 457 -0198 �J
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc W
Permit pin number 194613
Permit Fee 73.50 Plan Check Fee .00
Issue Date 10/14/11 Valuation 0
Expiration Date 4/11/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
Fee summary Charged Paid Credited Due
Permit Fee Total 73.50 73.50 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 73.50 73.50 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH b
SERVICE n(�
ROUGH -IN /0//1.4 /1 L 9'�J
FINAL fc /jc1, /iZ 9""Y
COMMENTS: 6 l
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G \EXCHANGE \BU I LD IN G
OCT -13 -2011 04:31 PM E.JANSSEN 360 452 2982 P. 01
CITY OF PORT ANGELES PE :R IIT APPLICATION ®rr 1
Building Division/Electrical Inspections L. LU 1
321 East Fifth Street P.O. fix 11.50 Port Angeles Washington, 98362 r,b
Ph: (360) 417 -4735 Fax: (360) 41 7..47X 1
ELECTRICAL
INSPECTIONS
Dat
_41 2 Single Family Dwelling Multi Fami or Commercial' Commercial Addition Alteration Remodel Repair'
Plan Review Ms,y Be Required, Please Complete EIectri al
Plan Review Information Sher
I
JOb Address: �,3_ _.__t .w' y i..S.!, art:
'q
Building Square Foot�go:
Description ataxrve �k% c
Owner In1 rrnation Contractor Information
Name: PI t,.. C. 4, .i. rt._ Name: a'7'< ,r1ir.E P C
rf-7" 'L- C -c. /c tF4
Mailing Addresp: _iI_ ..J 1 Mei Address: fr
City State: zIp: ..4s.; G. 4. C• 3„ City: P- l-- Zip: 4i 'i .r_� fi t}i 3 r
anone:_ y.! 1' r rs.?yr• ax:
5 .i;�;a Fax: '�4- Jr _r,•-
license .1l Exp.-_ License ll l Fxc RA, r'71 l? G,
lam Unit Charge fg, y .Total (Qty Multipl ed t y_th,jji„charcte)
Service/Feeder 200 Amp, 119.90
Service/Feeder 201-40D Amp. 145.50
Service/Feeder 401.600 Am
Service/Feeder 601 -1000 Amp, 252.20
Service/Feeder over 1000 Amp. 372J30
Branch Circuit W/ Service Feeder 5 2.60
Branch Circuit W/O Service Feeder 73.50
Each Additional Branch Circuit 5 2.60 U.
Temp, Service/ Feeder 200 Amp.
P S '2.70
Temp, Service /Feeder 201 -400 Arnp. 110.30
Temp, Service/Feeder 401-600 Amp, $146,7(; Temp. Service/Feeder 601 -1000 Amp $16'7.90
Portal to Portal Hourly 05.90
SignlOvtllne Lighting
9.90
Signal Clrcult/ Limited Energy First 1500 sf Comrne?rrhl 955.90 5
Note: $5.00 for each additional 1500 st
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Nome Connection 119.90
Renewable EIOctriral Energy 5KVA Syslen. or Less 102.30 -TM
Thermostat 56,00
NEW.t<O TTVCTION Q�lbl(;
First 1300 Square Ft. S•110.30
Each Additionai!i00 Square Ft. or Portion: cr 35.20
Each Outbuilding or Detached Garage 3 1 3.50
Each Swimming Pool or Hot Tub
s_ _73
Owner as defined by RCW,19.28.261: 1 Ovvner will occupy the structure for two years after this electrical permit is finalized_ (2) Owner is requires
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, 1 hereby certify that l am the owner of the above named property of a licensed electrical contractor. I am making
the electrical installation or alteration in c o epliance; with the electrical laws, N.E.C.. RCW. Chapter 1 9.28, WAC Chapter 296.4613, The City of Porl
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: CI Cash f.:: °h ?r6;
U ra
C enCard P
DPW: +1101/20.10
OF PORT,, CITY OF PORT ANGELES
.71∎ PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000664 Date 7/06/11
Application pin number 204376
Property Address 1930 W HWY 101 REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-07-4-4-0250-0000- your state excise tax form
Application type description PUBLIC WORKS UTILITES on y
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning UNKNOWN (Location Code 0502)
Application valuation 0
Application desc
Connect to City sewer
Owner Contractor
OWEN RICHARD DALE OWNER
223 W 12TH ST
PORT ANGELES WA 983627715
Permit SANITARY SEWER HOOK UP
Additional desc
Permit pin number 188417
Permit Fee 150.00 Plan Check Fee .00
Issue Date 7/06/11 Valuation 0
Expiration Date 1/02/12 t"
Qty Unit Charge Per Extension --C)
1.00 150.0000 EA SAN SEWER,HOOKUP 150.00
Special Notes and Comments Q
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Easements are to acquired prior to sewer
a.
connection.
Other Fees SEWER SYSTEM DELV CHARGE 2260.00
WUGA W/WCONNECTION 6773.68
Fee summary Charged Paid Credited Due
Permit Fee Total 150.00 150.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 9033.68 9033.68 .00 .00
Grand Total 9183.68 9183.68 .00 .00
CP
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as- commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume t. give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construc
%A
ignature of Con .ctor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T: \Policies \1102.15 [10/08]
PERMIT INSPECTION RECORD
CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. PW/ CONSTRUCTION R.W.
ENGINEERING 417 -4831 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417 -4815 BUILDING
T: \Policies \1 102.15 [10 /08)