HomeMy WebLinkAbout2010 W 10th St - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , . , , , 13- 00000734
Application pin number , , 525632
Property Address 2010 W 10TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-1-0- 5245 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning , ,
Application valuation
UNKNOWN
0
Date 7/11/13
Application desc
1 -4 circuits septic
Owner
MICHAEL P /MARIOYN K SHAY --
2010 W 10TH ST
PTT ANGELES
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
WA 993635025 PORT ANGELES WA 98363
7-7617 (360) 457 -9270
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date 1/05/14
ELECTRICAL ALTER
1 -4 CIRCUITS
75.00
7/09/13
Qty
Unit Charge Per
BASE FEE
RESIDENTIAL
Plan Check Fee ,
Valuation .
.00
0
Extension
75,00
Fee summary
Permit Fee Total
Plan Check Total
• Grand Total
Charged Paid
75.00
.00
75.00
75.00
.00
75.00
Credited
.00
.00
.00
Due
,00
,00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
7 -1,1_ -13
4P
/ `�'
SERVICE
ROUGH -IN
1-17- - ( .3
FINAL
'7 - m-13
'
a z‘j
COMMENTS:
S CC L_t EF S°
ii .t› ELI
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCHANGEIBUILDING
Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical inspections
321 East Fifth Street --P.O. Box 11501 Part Angeles Washington, 98362
Ph: (360) 417 -4735 Fax- (360) 417 -4711
Oate: " F
X 1 & 2 Single Family Dwelling
S
Plan Review May Be Re aired, Please l Complete ctr'4 Plan Review Information Sheet
Building Square Footage. ~I �f r
Dasorlptlon of above _PFD _r*
ELECTRICAt
INSPFC�ION
Owner Inrorimpt contractor Information
Name; L1�,G Name:
Mailing Address; J_0 —u� Melling /�ctd s; _• �v�c_1 n
City, State; Zip:; city, i state: _%t.l! Z10, ,
Phcne:_YZ_1_=_707_ Fax, ____ _ Phone:!k, 'Z_``y o Fax: t
License #1 I Exp. _ .,W._. license 41
Item Unit Charge Qty Total (Qtv Multil: +lied by-Unit Chagige
Service /Feeder 200 Amp. $120,00 _ � $
ServlcelFeeder 201400 Amp_ $146,00 $ _
ServlcelFeeder 401600 Amp $ 205.00
ServiceMeeder 601 -1000 Amp, $ 262.00 $ „�
Service/Feoder over 1000 Amp, $ 373.00
Branch Cimuit Wf Service Feeder $ 5,00 $ _
Branch Circuit WIO Service Feeder $ 63.00
Each Additional Branch Circuit $ 5.00 _ - $
Branch Circuits 1-4 $ 75,00
Temp. Service/ Feeder 200 Amp. $ 93.00 $
Temp Service/Feeder 201 -400 Amp, $110.00 $ _
Temp. ServicelFeeder401.600Amp, $149,00 $�
Temp, ServlcafFeeder 601 -1000 Amp. $168,00 $ _
Portal to Portal Hourly $ 96,00
Signal Clrouitl Limited Energy • 1 & 2 Family Dwelling $ 64.00 $ _
Manufactured Homo Connoction $12010 $
Renewable Electrical Energy- 5KVA System or Less $102.00 $
Thermostat $ 56.00
Note: $5.00 for each additional T -Stat
INgN 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 $ _
i =_" a Total
Owner as defined by RCW,19,28,261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (' , ) 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 con tractor. I am making
the electrical installation or alteratlon In compliance with the electrical laws, N,E.C., RCW. Chapter 19,28, WAC. Chapter 206-4,S, The City of Port
Angeles M icipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signa f wpm er, electrical cont c r or electrical administrator: El Caen 0 Check
7k Credit Card 4 tom_
V"
W
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Numher . . . 13--00000734 Date 7 /09/13
Application pin number . . 525632
Property Address , , . . 2010 W 10TH ST
ASSESSOR PARCEL NUMBER; 06-30-00-1-0- 5245 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name , , , . . ,
Property Use
Property Zoning . . , . , , . UNKNOWN
Application valuation , , , , 0
Application desc
1 -4 circuits septic
Owner Contractor
MICHAEL P /MARILYN K SHAY SIMPSON ELECTRIC
2010 W 10TH ST 243036 W HWY 101
PORT ANGELES WA 983635026 PORT ANGELES WA 98363
(360} 457 -.9270
Permit . . • . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Yee ,00
Issue Date 7/09/13 Valuation . , 0
Expiration Date 1105114
Qty Unit Charge Per Extension
BASH FEE 75,00
----- - - - - -- ------- ------ ---- -- -
Fee summar y Charged Paid Credited Due
Permit Fee Total 75,00 75..00 CO .00
Plan Check Total 00 00 .00 .00
Grand Total 75.00 75,00 .00 DO
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cade 0502)
PERMIT WILL HXFJLFW SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEMILDING
FM-
rei
RZ I
-,
DOOM
PERMIT WILL HXFJLFW SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEMILDING
FM-
rei
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . . 16- 00000487 Date 4/07/16
Application pin number 268053
Property Address . . . 2010 W 10TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-1-0- 5245 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use . . . . .
Property Zoning . . . . . . UNKNOWN
Application valuation 0
Application desc
Ductless heat pump
Owner Contractor
WILLIAM J AND ALICE C MEHL BLACK DIAMOND ELECTRICAL CONTR
2010 W 10TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983635026 PORT ANGELES WA 98363
(360) 490 -6274 (360) 565 -1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 4/07/16 valuation . . . 0
Expiration Date 10/04/16
Qty lAit Charge Per Extension
1.00 63.0000 ECH '-EL -R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 ,00 .00
Plan Check Total .00 .00 .00 X00
Grand Total 63.00 63.00 ,00 100
INSPECTION TYPE
ti
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
N 0; r
1
CITY OF PORT ANGELES PERMIT APPLICATION , f '
Building Division/Electrical Inspections f r„
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: _ 1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please mplete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above __
Owner Information
Name:
Mailing Address: _ - - -- ,_
City: ............ _ State: Zip:
Phone: Fax:
License # /
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp
Service /Feeder 601 -1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp, Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp, Service /Feeder 601 -1000 Amp .
Portal to Portal Hourly
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T -Scat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charge
$120.00
$146.00
$ 205.00
$ 262.00
$ 373.00
$ 5.00
$ 63.00
$ 5.00
$ 75.00
$ 93.00
$110.00
$149.00
$168.00
$ 96.00
$ 64.00
$120.00
$102.00
$ 56.00
Contractor Information
Name:
Mailing Address:
__......
City:
State: Zip:
Phone:
Fax:
License # / Exp.
Total 10ty Mulfi lied by Unit Charge
$
$_.......� ................
� .................
$'.
�_..
$_
$
$
� ............._.............._.
$�
$ 120.00 $
$ 40,00 $
$ 74,00 $�
$110..00 —....
Total
Owner as defined by RCW.19.28,261: (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 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 alteration in compliance with the electrical laws, N.E,C., RCW. Chapter 19.28, WAC, Chapter 296 -46B, The City of Port
Angeles Municipal e, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of ovv�er ele rlcal contractor or electrical administrator: ❑ Cash Mveck
❑ Credit Cardl<�m_mmmm.
0110112012 ..... _�.....�..m.m ..
�„.