HomeMy WebLinkAbout213 N Liberty St - Buildingl
CITY OF PORT ANGELES P1ER111C$T APPLICATION
Building Aivlaii00/Electdcal Irrspectious RECEIVE
321 East Ph: (360) 417 -4735 Fax {36) 417-471'1 7Porc Ar><geles Washington, 98362 JAN I r Zug
Date, _ 1 & 2 Single Family Dwelling LEC(RICAL
INSPECTIONs
Plan Review May Be Required, Please Complete Electrical PI r, R l f
Job Address: evle n ormatlon Sheet
Building $quare Footage:
-1-
Descripttan of above rn
Owner Information
Name: F 4+ ,j� r
Malllhg gddrass:,�LLL_/tl!� / 2
City, Pn s State: Zip.
Phone: - Fax:
License # I Exo-
kem
ServicelFeeder 200 Amp,
ServicefFeeder 201-400 Amp.
ServicelFeeder 401 -600 Amp
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/ Feeder 200 Amp,
Temp. Servt ca/Feed er 201,400 Amp.
Temp. ServicelFeeder 401 -600 Amp,
Temp. SorviCelFeeder 601.1000 Amp .
Portal to Portal Hourly
Signal Circuit! Limited Energy - i & 2 Family bwelling
Manufactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for aech additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square FL
Each Additional 500 Square FL or Port 0h of
Each Outbuildtng or Detached Garage
Each Swimming Pool or Hot Tuh
_unit charge
$120.00
$146.00
$ 205.00
$ 262,00
$ 373,00
$ 5.00
9f 63.00
$ 5.00
$ 75.00
$ 93.00
$110.00
$ 149.00
$ 168.00
$ 96.00
$ 64.00
$ 120.00
$102.00
$ 56.00
$ 120.00
$ 40.00
$ 74.00
$110.00
Owner as defined by RCW.19.28.261: (1) Owner will occu th
Contractor information
Name: 7
MallbgAddr ss:
City:
State: Zip,
phone:
Fax:
License#1Exp.,
�i
0121 Ity MUltlQ lied by Unit charge)
Total
to hire an electrical contractor if above said property is for
Py sale, rent or lease. Permit expires after six months of last inspection.
2} pier is required
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 29646B, The City of Port
Angeles Municipal Code, and UtilitySpeciFcations and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
C1 Cesh C] Check
credit Card #
bated: I - I �_�l e910912a1Y
410 1 ?ant.4", ELECTRICAL INSPECTION
11
WIRING REPORT
417-4735
DATE:
PERMIT 4
INSPECTOR
) Ile b
c)vvhEn
C�,JTRACTOR
ADDRESS
2 L-5��- LA
f
APPROVED NOT APPROVED
0 ....................DITCH .................... 0
............. ROUGH IN/COVER ......... . - . - - - 11
D.. . ....... ... SERVICE .......... ..........
Cl.......... .......... FINAL . ............ -- ... 0 �
CORRECTIONS NEEDED: V"X)I-r
0.
6--m� P. rZAN
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
2 9 Firel 72 rfys-,. s � �
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . . .
14- 00000044 Date 1/14/14
Application pin number . . .
269200
INSPECTOR:
Property Address . . . ,
213 N LIBERTY ST
ASSESSOR PARCEL NUMBER;
06-30-00-5-3- 1435 -00c0-
SERVICE
Application type description
ELECTRICAL ONLY
ROUGH -IN
Subdivision Name . . . . . .
FINAL
Property Use
J z
COMMENTS:
Property Zoning . . . . . . .
R87 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
Application dare
__ _ -
Temp pole
Owner
Contractor
LESURE BILLY /LORETTA
PENINSULA ELECTRIC
CORP
213 N LIBERTY ST
PO BOX 1401
PORT ANGELES WA 983624236
POU14SBO
WA 98370
(360) 621 -1599
Permit , . . . , , ELECTRICAL
TEMPORARY SERVICE
Additional dust . .
Permit Fee 93.00
Plan Check Fee
00
Issue Date 1/14/14
Valuation .
. 0
Expiration Date 7/13/14
Qty Unit Charge Per
Extension
1.00 93,0000 BCH EL -TEMP SRV 0 -200 SRV FDR
93.00
Fee summary Charged
paid Credited
Due
Permit Fee Total 93100
93.00 .00
.00
Plan Check Total .00
.00 00
Do
Grand Total 93,00
93,00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
TDATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
bq J
ROUGH -IN
FINAL
J z
COMMENTS:
PERMIT WILL EXPIRE SIX {6} MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEII3UJLDING
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