HomeMy WebLinkAbout1127 Hazel St - Buildinga OF VPORT'%011 r `
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 =4735 Fax: (360) 417 -4711
Date: — /18,2 Single Family Dwelling
* Plan Review May
Job Address:
Building Square Footage:
Description of above
Plan Review Information Sheet
Owner Intorpiation Contractor Information
Name: V ! e /i. 7 �
Name:
Mailing or ss: Mailing Address:
City, tate; Zip: ` City: State: Zip:
Phone: Vax: Phone: Fax:
License # ] Exp. License # ! Exp.
Item
Unit Charge
City Total _(CltV Multiplied by 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.
$ 262.00
$
ServicelFeeder over 1000 Amp.
$ 373.00
$
Branch Circuit WI Service Feeder
$ 5.00
$
Branch Circuit W/0 Service Feeder
$ 63.00
$
Each Additional 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] Limited Energy - 1 & 2 Family Dwelling
Manufactured Home Connection
$ 64.00
$120.00
$
$
Renewable Electrical Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56,00
$
Note: $5,00 for each additional T -Scat
NEW CONSTRUCTION ONLY:
e.rI 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
$110.00
.$_ 0 --
I d.,,2 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 -4613, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Ap�li ations.
Signature of ovuner, electrical contractor or electrical administrator: El Cash IV Check
Credit Card #
2
O9ra112012
6715 � - 5'ec� 7
%,Cnrqv .0.
ELECTRICAL INSPECTION
00 i WIRING REPORT'
417-4735
. ...
TF� .... P FR-M-F -,I INSPErTQR
7—tcf — 190
OWNER
CONTRACTOR
ADDRESS
-- // 2- -2
APPROVED NOT APPROVED
Isl .....................DITCH ... ................ 11
......... ROUGH IN/COVER ........ ... 0
. ......... ... SERVICE. .......
............ ........ FINAL..
CORRECTIONS NEEDED:
Al Ic
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . , . . . 13- 00001232 Date 10/23/13
Application pin number . . . 417248
Property Address . . . 1127 HAZEL ST
ASSESSOR PARCEL NUMBER; 06-30-08-5-8- 0850 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application Valuation . . . . 0
Application desc
Manufactured home connect
------------------------------------------------ ---------------------------
Owner Contractor
---- -------------- - - - - -- ------------------------
LINDLEY, J VINCENT OWNER
411 E LOPEZ AVE
PORT ANGELES WA 98362
----------------------------------------------------------------------------
Permit , . . , . . ELECTRICAL NEW RESIDENTIAL
Additional desc 1
Permit Fee 120.00 Plan Check Fee .00
Issue Date 10/23/13 Valuation . . . . 0
Expiration Date 4/21/14
Qty Unit Charge Per Extension
1.00 - 120.0000 ECH EL -MANY HOME SERVICE & FEEDER 120-00
- ---------- - - - - -- -----------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 120.00 00 .00
Plan Check Total .00 .00 00 .00
Grand Total 120.00 120.00 Q0 .00
-212, IV
REPORT SALES TAX
on your excise tax farm
to the City of Pori Angeles
(Location Corte 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
-x
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (G) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCHANGE.IBUILDING
Date:
c.
i
C AN
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