HomeMy WebLinkAbout11229 W 5th St - Building FROM : A. P. S. ELECTRICAL CONTRACTOR FAX NO. : 360 452 6753 Jun. 01 2012 01:28PM P1
Ow OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington, 98362
Ph: (360)417-4735 Fax: (360)417-4711,
I &2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Descripu of ove .5
7 P C!5�Zo d
Owner Information Contractor Information
Name; RQ'Vk'q e- h i k.hi 6( as Name;
MallingAddres% 1 r 2 Mailing Address: Qn
City: P� SLSte: Zip: State:
Phan g_qL'35 31 Fa x-, Phone:
License#(Exp. Llcerise#lExp.
Item U-1*-QhaK0 Q -lied by Unit Charge?
ServIce/Feeder 200 Amp. $120.00 jy
Service/Feeder 201400 Amp, $146.00
Service/Feeder 401-600 Amp $205.00
Service/Feeder 601-1000 Amp. $262,00
Service/Feeder over 1000 Amp. $373.00
Branch Circuits 1-4 $ 75.00
Branch Circuit W/Service Feeder $ 6.00
Branch Circuit W/O Service Feeder $ 63.00
Fach Additional Branch Circuit $ 6,00
Temp.Service!Feeder 200 Amp. $ 93,00
Temp,Service/Feeder 201 AUD Amp. $110.00
Temp.SerVicalFeedor 401,600 Amp. $149.00
Temp.Service/Feeder 601.1000 Amp. $16UG
Portal io Porte;Hourly $ 96,00
Signal Circuit/Limited Energy-1 &2 Family Dweli-ing $ 600
Manufactured Home Connection $120.00
Renewable Electrical Energy-5KVA System or Less $102.00
Thermostat $ 56.00
NNW CONSTRUCTION ONLY-,
First 1300 Square Ft, $120.00
Each Additional$00 Square Ft.or Portion of $ 40,00
Each OulbbIlding or Detached Garage $ 74,00
Each Swimming Pool or Hot Tub $110.00
Total
Owner es defined by RCW.1 9.28-261:(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 sate, rent or lease. Permit expires after six months of last inspedon.
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.,RCK 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,olWrical contractor or electdCal administrator; ❑ Carh 0 Check
4( Coodit card# U LAIA-
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . , , . 12-00000684 Date 6/04/12
Application pin number 250388
Property Address , . , 1129 W 5TH sT REPORT SALES TAX
ASSESSOR PARCEL NUMBER; 06-30-00-0-1-1240-0000- 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 . , . . , , . RS7 RESDNTL SINGLE FAMILY
Application valuation D
Owner Contractor
NICHOLAS C BENGE APS ELECTRIC
1129 W 5TH ST 546 BENSON RD,
PORT ANGELES WA 98363 PORT ANGELES WA 98.363
(360) 941-3537 (360) 452-6753
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc APS TEMP SVC.
Permit Fee . , 93.00 Plan Check Fee 00
Issue Date 6/04/12 Valuation . . . . 0
Expiration Date 12/01/12
Qty Unit Charge Per Extension op
1.00 933..0000000 ECH EL-TEMP SRV 0-200 SRV FDR 93.00
_____. _ __. ---------------------------------------------------------- -___
Fee Summary - Charged Paid Credited - Due--
Permit Fee Total 93,00 93.00 .00 04
Plan Check Total .00 .00 .00 .00
.Grand Total 93.00 93.00 .00 DO
]M
NATIftf. 101
INSPECTION TYPE DATE: RESULTS: INSPEC'T'OR:
DITCH -7
SERVICE
ROUGH-IN
F J �
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Sigliature of owner car'Electrical Contractor __-- - Date: .
G:1F.XCHANGEI£3 UILDING