HomeMy WebLinkAbout1225 1/2 W 12th St - Building 07/11/2013 15: 34 FAX I& 001/001
CITY OF PORT ANGELES PERMIT,APPLICATION v
Building Division/Electrical Inspections
321 East Fifth Street—F.O.Box 1150 /Port Angeles Washington, 98362 "
Ph: (360) 417-4735 Fax; (360) 417-4711
Date..JJ��.J,ZU,�,� Multi-Family or Commercial"
Plan Review t=fq,�ps Corn left)�Ekdricial P_la view�Irforfnation Sheet
Job Address.
6uiiajng squsre F40I e'
Description of above
Owner rmati Contract! nformatian
Name
Mailing d ass: Meilin Address:
City Stale, zip, City, m re! Zip;
Phone: Fax: Phon c Fax:
Licensa /Exp License /5xp. il.
Item Unit Charge Qty Total Qty Mul_tigilgd by Unit Charge)
Service/Feeder 200 Amp $132.00
Service/Faeder201-404 Amp. S 160.00 $
$erviceiFeeder 401-600 Amp S 225,00 S
SefvicelFeeder 601.1000 Amp. S 208.00 S
Service/Feeder over 1000 Amp. $410,00
Branch Circuit WI Service Feeder S 5.00 S
Branch Circuit W/0 Service Feeder $ 74.00 S
Each Additional Branch Circuit 8 5.00 $
Branch Circuits 1-4 $ 8600 $
Temp.Service/Feeder 200 Amp. $102 OC $
Temp.ServloelFeeder 201-400 Amp $121,00 $
Temp ServicelFeeder 401-600 Amp. S 164,00 $
'temp.5erVicelFeeder 60 1-1000 Amp. S 165,00 $
Portal to Portal Hourly S 96.00 $
5 gn/CuIlme Lighting $ 08.00 $ _
Signal Cir&V Limited Energy—iimulli-Family $ 64,00 $
Signal Circuiil Limited Energy 1 First 1500 sf—Commercial $ 85,00 S
Nole: $5,00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System,or Less $113.00 $
Therrnostat S 56,00 $
Note,55.00 for each additional T-Stat aE
$ Total
Owner as defined by RGW 19,28261;(1)Owner will occupy the structure for two years after this electrical permit is Flnaii_>ed.(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 alterallon in compliance with the electrical laws,N,E,C,,RCW,Chapter 19.28,WAC. Chapter 295-466, The City of Port
Angeles Municipal Code,an tility specift " rns and PAMC 14.05.050 regarding Electrical Permit Applications,
Signal re of o nor,elec rlc I ntract r or Iectrical administrator, ❑ Caen Q check
E 4redlt Card 9 n 1A t
Y gated; �1 ,_. 411011201��
?OAT 4*, ELECTRICAL INSPECTION
WIRING REPORT
"
RKS 417-4735
DATE: PERMIT# INSPECTOR
g)-,71) :��7 1
7
INW
OWNER
CONTRACTOR
44
ADrRESS
APPROVED NOT APPROVED
D . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . .
❑ . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑
CORRECTIONS NEEDED: 15Sg,-jL-j C, _ e4'0412 Qd-rV 0 TL )5--
t}� fit)
4--In el A y ncL&r
fn(l
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number I3-00000763 Date 7/16/13
Application pan number 809928 �7
Property Address 1225 1/2 W 12TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5562-0000-
Appligation type description ELECTRICAL ONLY on your excise tax form
Subdivision Name , , , . , . to the City of Port Angeles
Property Use , . . . , . , .
Property Zoning , . . R67 RESDNTL SINGLE FAMXLY (Location Code 0502)
Application valuation , . , , 0
Owner Contractor
-------------------------- ------------------------
SCHMIDT MARK T AND BONNIE S SHAMP ELECTRICAL CONTRACTING
1235 W 12TH ST PO BOX 363
PORT ANGELES WA 98363 PORT ANGFLFS WA 98362
(360) 452-16S9
Permit . , . . . , ELECTRICAL ALTER COMMERCIAL, [�
Additional desc SHAMP/ 200A SVC/PNL V
Permit Fee 132.00 Plan Check Fee .00
Issue Date 7/16/13 Valuation 0
Expiration Date 1/12/1A
Qty Unit Charge Per Extension
1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00
---- ----------------------__----- -----------------------_-_-____------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
PerMit Fee Total 132100 132,00 .00 .00
Plan Check Total Do .00 .00 .'00
Grand Total 132.00 132,00 .00 00
Ae AtO
INSPECTION TYPE DATE: RESULTS.: INSPECTOR:
DITCH
SERVICE
ROUGH-IN "
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAIEXCHANGEWILDING