HomeMy WebLinkAbout427 E 3rd St - Building �7
CITY OF PORT ANGELES PERrvII'T APPLICA'T`ION - l
Building DivisiouXlectrical Inspections
321 East Fifth Street-P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711 ( „(
Date: //—f— /F- 4'11 &2 Single Family Dwelling
* Plan Revie Re uir Plryepse Co let let i PI Review Information Sheet
Job Address: _ '< r � � �
Building Square Footage:
Description of above!7 /N of / T
Owner In�rri Y-5— Contractor Information
Name: C::hh''''�� Name:S�c"�UOf7 Vf1GG�l`' �LCG��/�/�'
Mailing Address:-1W. Al. e- Cr'K VX7GV Mailing Address: LOS q .
City: L'r61 State VV4 Zip.__.._ City: State: wtq Zip: VS3RZ
Phone: Fax: Phone: C 3-?'�'V Fax: �?
License#I Exp. License#1 Exp..3 Q r ICE W 14 3 201
Item Unit Charge Qty Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 404-600 Amp $205.00 $
Service/Foedor 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.CC $
Branch Circuit WI Service Feeder $ 5.00 $
Branch Circuit W!0 Service Feeder $ 63.00 $
Each Additlonal Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 75„00 _�_ $
Temp.Service)Feeder 200 Amp. $ 93,00 $
Temp ServicelFeeder 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/Limlted Energy-1 &2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Enorgy-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 $
$ °QTotal
Owner as defined by RCW,19.28,261: (1) Owner wlll 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, )hereby certify that I am the owner of the above named property or a licensed alectrlcal contractor, I am malting
the electrical installation or alteration in compliance with the electrical laws, N,EC., RCW, Chapter 19.28, WAC. Chapter 296-4613,The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Appkations
Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Check
Credit
X Dated.
ELECTRICAL PERMIT
CITY OF PORT ANGELES 1
360-417-4735
Application Number 12-00001193 Date 9/13/12 ` ,4
Application pin number , . , 086993 1VN
Property Address . . . . . . 427 E 3RD ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-6 5-0033-0000- 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 . . . . , . ,
Application valuation . . . . 0
Application desc
1-4 circuits bathroom remodel
Owner Contractor
GRUBS, WILLIAM & TERESA SEQUIM VALLEY ELECTRIC -°
140 N OLYMPIC VIEW AVE 11 LONE EAGLE LANE q�
SEQUIM WA 98382 SEQUIM WA 98382
(360) 461-4390 (360) 681-3330
Permit ELECTRICAL FALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 75,00 Plan Check Fee 00
Issue Date , , . . 9/12/12 Valuation . . . . 0
Expiration Date 3/11/13
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75,00 .00 .00 I
Plan Check Total ,00 .00 00 .00 W
Grand Total 75,00 75:00 00 00
INSPECTION TYPE. DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
COMMENTS:
PERMIT WILL EXPIRE.SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G;1@XCHANGEBLJ[LDING