HomeMy WebLinkAbout1404 Georgiana St - Building ,TAN-7-2013 15:47 FRON:BOBS ELECTRIC 3604529943 TO:CITY PERMITS P.1/2
CITY OF PORT ANGELES PERMTT.APPLICATION
Building Division/Electrical Inspections �1
321 gnat Fifth Ntreet—P.O. Box 115(11 Tort Angeles Wnshington,98362 � ' J -
Ph. (360)417-4735 Fax: (360)417-4711
Data: (� ✓ 1 4?r�inglq FfMily 4wglling
�
Plan Review May Be Re uired, PI Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Descriptlon of above
Owner InIfgrmatlon ,Q Contractor Informatlo
Name; Name: '
Matting Add Mailing dross:
City: state: Zlp,. dr City; State Zip:
Phone; Fax; Phone" °r�djS�7 Fax.^�
License#I Exp. Llcense#!Exp,
Item Unit Charcia -04 Total Qty Multi I ed b Unit Char
Service/Feeder 200 Amp. $1 NIZED, f dw .. $ t 24)
ServicefFeeder 201.400 Amp. 146.00 $—
SorvtcelFveder 401-600 Amp $205.00
Service/Feeder 601.1000 Amp. $282.00
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit WI Service Feeder $ 5.00 $�
Branch Circuit WI0 Service Fonder $ 63.00 $-
Each Additional Branch Circuit 5,04 $
Branch Circuits 14
Temp,Sorvlcel Feeder 200 Amp 0 $ --
Temp.SorvlcelFeeder 201.400 Amp. $110.00 $—
Temp.Service/Feeder 401-600 Amp. $149.00
Temp.ServlcefFoeder 601An00 Amp. $16A 00 --- $—
Portal to Portal Hourly $ 96.00 $
Signal CtrcuIV Umlted Energy-1 a 2 Fairly dwelling $ 64.00 _� $
Manufactured fume Connectlon $120.00 $.
Renewable Cluctacal Energy-5KVA Systorn ur Less $102.00 �---
Thermostat $ 56.00
Note:$5.00 for each additional T-Scat
NEW CON$IRUCTION 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 $ d�
S __Total U
Owner as defined by RCW,19.28.261:(1)Owner will occupy the structure for two years after this electricM permit is Finalized.(2)Owner is required
to hire an electrical contractor if above said property is for sale,rant 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 electrioal contractor.I am making
the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAG,Chapter 296.466,The City of Pon
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications,
Signature of owner,electrical contractor or electrical adminlstrator: D Cash 0 cheek °
X t)atad; �� 7�'_� 0 112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . , , , , 13-00000029 Date 1/08/12
Application pin number 193212
Property Address . , , 1404 GEORGTANA ST REPORT SA TAX
ASSESSQR PARCEL NUMBER! 06-30-00-5-3-1540-0000-
Application type description ELECTRICAL, ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning , , , , . , , UNKNOWN (Location Code 0502)
Application valuation , . . , 0
Application desc
Remote meter, 4 circuits kitchen
Owner Contractor
LEONARD / LINDA RASMUSSEN BOB'S ELECTRIC INC
1763. E 6TH ST 2293 DEER PARK RD,
PORT ANGELES WA 98362 PORT ANGELES WA 98362 `
(360) 452-9039 (360} 457-6687
--_--_-°_--------_----------------- _----------------------------°____-------- (�
Permit , . . . . . ELECTRICAL ALTER RESIDENTIAT, ``✓
Additional desc
Permit Fee .. , , , 140100 Plan Check Fee 00
Issue Date 1/08/13 valuation . . . . 0
Expiration Date 7/07/13
Qty Unit Charge Per Extension
4,00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 20.00
1100 1120,0000 ECH EL-0-200 SRV FEEDER 120.00
----------_------------- --------------- .---------_- - --_
Fee summary Charged Paid Credited Due
----------------- ------ ---------- ----------
Permit Fee Total 140,00 . 140.00 .00
Plan Check Total .00 .00 •00 00
Grand Total. 140.00 140.00 .00 .00
V
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL 13 A-00
COMMENTS: u
aY
PERMIT WILL EXPIRE SIX(6)MONTI-IS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEWILDING