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HomeMy WebLinkAbout123 Lopez AveCITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Sox 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 2.1,2 -'d6,,)2— ,,)2-- * Plan Review May Be Req Job Address: Building Square Footage: Description of above X8,2 Single Family Dwelling Vxs Please Complete Electrical Plan Review Information Sheet owner Infor ation Name:— Z- Dweioee Mailing Add ss: City State: zip Phone: Fax: License # I Exp, Item Please Complete Electrical Plan Review Information Sheet owner Infor ation Name:— Z- Dweioee Mailing Add ss: City State: zip Phone: Fax: License # I Exp, Item Unit Charge Service/Feeder 200 Amp. $120.00 Service/Feeder 201 -400 Amp. $146,00 Service/Feeder 401.600 Amp $ 205.00 Service/Feeder 601.1000 Amp. $ 26.2.00 Service/Feeder over 1000 Amp, $373,00 Branch Circuit Wl Service Feeder $ 5,00 Branch Circuit WIO Service Feeder $ 63,00 Each Additional Branch Circuit $ 5,00 Branch Circuits 1-4 $ 75,00 Temp. Servicel Feeder 200 Amp, $ 93.00 Temp. Service/Feeder 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/ Limited Energy -1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $ 120.00 Renewable Electrical Energy - 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 Contractor tr4ormation Name: n %aa Mailing Address: 9 4z,, -/+yt. City: �2A State: ._., Zip: Phone; tsG /i.� Fax: License # 1 Exp. Qom— Total (Qty Multiplied by Unit Charge) $�a $ $ $ $ $ $— (�rTotal 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 electricai 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 Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: © Cash © Check �—� GLPredit Card # }( t Dated: 110112012 a F Q� ELECTRICAL INSPECTION WIRING REPORT qKS 417-4735 DATE:I,,J, -7'k NSFECTOF�- OWNER CONTRACTOR ADDRFGS — 12--3 APPROVED NOT APPROVED ❑ .... ............... DITCH ....... ❑ [I ............... . ROUGH IN/COVER ............... ❑ ❑ ... ............. SERVICE ....... I ........ - )K 0 .....................FINAL ...... .......... - 0 CORRECTIONS NEEDED: K MIT v- nb N111-c' A&A) tQ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS = Niel I Lol i 2 i ] A & ELECTRICAL INSPECTION U 1N WIRING REPORT OPKS EL 417-4735 'DATE PERMIT INSPECT08- OWNER caNTRACTOR Li ADDRESS I 'Z-7 APPROVED NOT APPROVED 0 ...... ....... ..... DITCH ... - .............. 0 .......... ROUGH IN/COVER ............... 0 ............... ... SERVICE. . . ............ 0 ..................... FINAL .............. - - 0 CORRECTIONS NEEDED: 0 1 -To vm= RgcYrza L --z _Q 9 1 -4 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , , , , , 12-- 00000862 Date 7/11/12. Application pin number , . , 705248 RESULTS: Property Address , . . . . . 12.3 LOPEZ AVE DITCH ASSESSOR PARCEL NUMBER: 06-30-10-5-0- 2048 -0000- Application type description ELECTRICAL ONLY Subdivision Name , . , . , , Property Use . . . , . . . . Property Zoning . . , . . , , RS7 RESDNTL SINGLE FAMILY ROUGH -IN Application valuation . . . , 0 Aj'plicatian desc 200 amp service change Owner Contractor LODGE ROBERT `W ffY - - BOTERC & SON ELECTRICAL COMMENTS: 417 LAKRVSEW DR 940 TAMARACK WAY SUMMERVTLLE SC 294858311 PORT ANGELES WA 98362 (360) 452 -4766 Permit . . . . . , ELECTRICAL ALTER RESIDENTIAL Additional desc .. . Permit .Fee 120.00 Plan Check Fee .00 Issue Pate . , . 7/11/12 Valuation 0 Expiration Date . 1/07/13 Qty Unit Charge Per Extension 1.00 120.0000 ECH E1, = 0 -200 SRV FEEDER 120,00 - -YY- - Special Notes and Comments July 10, 2012 8,43:28 AM tamict. Provide a minimum of 12ft clear over deck for service conductors, --- __FeeJsummary Charged Paid Credited Due Permit Fee Total 120,00 7.20,00 00 00 Plan Check Total 0o DO .D0 .00 Grand Total 120.00 120.D0 .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 SERVICE 17, ROUGH -IN COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X . Date: G:IEXCHANGMUILDING t CEO h� t W CTS S