HomeMy WebLinkAbout410 S Race St - BuildingCITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East ]Fifth Street — P.O. Sox 1150 / Port Angeles Washington., 98362
Ph: (366?0) 417-4735 Fax: (360) 417 -4711
Date: /l� / �.T _____ 1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Cq lete Electrical PI n Review Information Sheet
Job Address:
Building Square Footage: _
Description pf above Z '2� L Kvil�ilo
Owner Information
Name: ,� !
Mailing Address: .1 ' Y
City: d✓ a _ State: Zip:
Phone: I7•- (fJ(C2 Fax:
License # I Exv.
Item
Unit Charge
ServicelFeeder 200 Arne.
$ 120.00
ServicelFeeder 201 -400 Amp.
$146,00
ServicelFeeder 401 -600 Amp
$ 205.00
ServicelFeeder 601 -1000 Amp.
$ 262,00
ServicelFeeder over 1000 Amp.
$ 373.00
Branch Circuit VVI Service Feeder
$ 5.00
Branch Circuit WIO Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 50
Branch Circuits 1-4 -
$ 75.00
Temp. Service/ Feeder 200 Amp.
$ 93.00
Temp. ServicelFeeder 201 -400 Amp.
$110.00
Temp. ServicelFeeder 401 -600 Amp.
$149.00
Temp, ServicelFeeder 601 -1000 Amp .
$168.00
Portal to Portal Hourly
$ 96.00
Signal Circuit/ Limited Energy - i & 2 Family Owelling
$ 64.00
Manufactured Home Connection
$ 120.00
Renewable Electrical Energy - 5KVA System or Less
$ 102.00
Thermostat
$ 58,00
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
Contracts Information
Name: -) ) Id !l /_S
Mailing Address:
City: �
i�� /- Zip:�3 3._✓°
—Fax:
Phone
License # 1 Exp.
Qt
Total -(-Qty. Multiplied by Unit Charge)
$ —L7,- "'A
$
$
$
$
$
$
$
$metal
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., RCK 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 Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash 1%1 Cheek
CI Credit Card #
X
—Dated: e d
01101f2012
V
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . , , , . 13- 00001001 Rate 9/04/.13
Application pin number 651539
Property Address . . . , , . 410 S RACE ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1 -7500 - 0000 REPORT SALES TAX
Application type description ELECTRICAL ONLY On your excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning . . , . , , , R$7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . , . 0
Application desc
service and circuits
Owner
Contractor
RESULTS:
NEVARIL VALLE LEE
DITCH
DAVIS, MONTY O
%VIRGINIA HLUNDEAU
453 WILLIAMSON RD SQ
PORT ANGELES
WA 98362
PORT ANGELES
WA 9$362
(360) 683 -3842
Permit , , , , , .
ELECTRICAL
ALTER RESIDENTIAL
Additional.desC ,
COMMENTS:`
Permit Fee , , , ,
180.00
Plan Check Fee
.00
Issue Date . , , .
9/04/13
Valuation , . . .
0
Expiraticn.Date , .
3/03/14
Qty Unit Charge
Per
Extension
12,00 5.0000
ECH EL-
BRANCH CIRCUIT W /FEEDER
60,00
1,00 120.0:000
ECH EL -0
-200 SRV FEEDER
120.00
Fee summary Changed
Paid Credited
Due
Permit Fee Total
180.00
180.00 .00
00
Plan Check Total
OD
00 00
,00
Grand Total
180.00
180.00 .00
,00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:`
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:TXCIIANGEIBUILDING