HomeMy WebLinkAbout1526 W 12th St - BuildingCITY OF PORT ANGELES PERMIT APPLWATION
Building Division/Electrical Inspections
321 East Fifth Street —P.O. Brix 11501 Part Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date; _ ` ��, 9 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Jqb Addr%sti: —,4 r' S • 2,re
Building Square Footage:
Description of above. — 7� �� — i �z err_ 45
Owner Information
Contractor Information
Name: �7 __ 5-- k
Marne: 7C'�i � (4 <1J,
Mailing ,Address; 1 � r� G�� i�� k S
_
Meiling Address;
City: i State tz ,,Zip: qG..
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City _..'r dt— State v,PK Zip:
ax..
Uranse#IEx
Licem?�I 1 d: C z r
i erre
Unit ghyrge
gt u i Ii d 6 t�f err
Service/Feeder 200 Amp,
$120,00
_ $�
ServIce/Feeder 201.400 Amp.
$ 346.00
$
Service/Feeder 401 -000 Amp
$ 205.00
Service/feeder 501 -1000 Amp.
$ 262.00
$
ServicelFeeder over 1000 Amp.
$ 373.01)
$
Branch Circuit WI Service Feeder
$ 5.00
$
Branch Circuit W/O 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.201400 Amp.
$110.00
$_
Temp. ServicelFeeder401- 600Amp.
$149,00
$ --
Temp, ServicelFeederWl -1000 Amp •
$168.00
$�w
Portal to Portal Hourly
$ 96.00
$_ _
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ 64.00
Manufactured Horne Connection
$120,00
-. $W .....
Renewable Electrical Energy - 5KVA System or Leas
$102.00
$�
Thermostat
$ 66.00
�
$�
Note: $5.00 for each additional 7 -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
$
Owner as defined by RCK19,28181: (1) Owner will occupy the structure for two years after this elechlcal permit is finalized,. (2) Owner is require,
to mire on 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 tho owner of the above named property or a licensed electrical contractor. I am makln
the electrical installation or alteration in compliance with the electrical laws, N.E.C., %CW, Chapter 19.28, WAG. Chapter 296-4.6B, The City of Pof
Angeles Municipal Code, and Utility Specifications
and PAMC 14.05,050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
0 caste 0 Check
(�
� 0 Credit Catd tl
,�..•.�� �
®a4nsQ:� _ °f��
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735 .
Application Number . . . . 14- 00401161 Date 9/30/14
Application pin number . , . 011927
Property Address . . . . 1526 W 12TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-6530 -0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . , . . . to the City of Port Angeles
Property Use . . . . . . ,
Property Zoning . . . . , . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation , , , . 0
Application desc
Ductless heat pump
Owner
Contractor
RESULTS:
-------------------- - -
JAMES FISH JR
----
-------------------
EXTRA MILE TECH ,&
- - - - --
ELECT„ LLC
1526 W 12TH ST
418 N. RACE ,ST.
PORT ANGELES
WA 983635518
PORT ANGELES
WA 98362
(360) 457 -5222
--------------------------------------------------
b
Permit
ELECTRICAL ALTER RESIDENTIAL
Additional desc , ,
Permit Fee
66.00
Plan Check Fee
0,0
Issue Date
9/30/14
Valuation . . .
, 0
Expiration Date
3/29/15
Qty Unit Charge
Per
Extension
1.00 5.0000
ECH EL -ECH
ADDNT BRANCH CIRCUIT
5.00
1.00 63,0000
ECH EL -R-
BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged
- -- -- --
Paid Credited
--- ---- - - - - -- ----
Due
-- - - --
--- -------- - - - - -- ----
Permit Fee Total
- - -
68.00
- - -
68.00 ,00
QO
Plan Check Total
.00
.00 .00
.00
Grand Total
68,00
68,00 .00
00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
b
COMMENTS:
PER 41T WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:TEXCIiAN.GETBUILDING