HomeMy WebLinkAbout1323 Mcdonald Space 14 St - BuildingCITY OF PORT ANGELES PERINIIT APPLICATION Noy 2 5 201k
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 ELECTRICAL
Ph: (360) 417 -4735 Fax: (360) 417 -4711 mprOOM
Date:
1 & 2 Single Family Dwelling
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" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1 3 me-, D ny%c,.w1 Cr,
Building Square Footage: -
Description of above ,�j c— 5 e.,r tA 4
Owner Information
Name;
Mailing Address:
City; State: Zip:
Phone: Fax:
License # 1 ExD.
Item
Unit Charge
ServicelFeeder_20C Amp.
$120.00
ServicelFeeder 201 -400 Amp.
$146,00
ServicelFeeder 401 -600 Amp
$ 205.00
" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1 3 me-, D ny%c,.w1 Cr,
Building Square Footage: -
Description of above ,�j c— 5 e.,r tA 4
Owner Information
Name;
Mailing Address:
City; State: Zip:
Phone: Fax:
License # 1 ExD.
Item
Unit Charge
ServicelFeeder_20C Amp.
$120.00
ServicelFeeder 201 -400 Amp.
$146,00
ServicelFeeder 401 -600 Amp
$ 205.00
Service/Feeder 60 1 -1000 Amp,
$ 262.00
Service/Feeder over 1000 Amp.
$ 373,00
Branch Circuit W1 Service Feeder
$ 5,00
Branch Circuit W10 Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 75.00
Temp. Service/ Feeder 200 Amp,
$ 93,00
Temp. Service/Feeder 201-400 Amp.
$ 110.00
Temp, ServicelFeeder401 -600 Amp,
$ 149.00
Temp, Service/Feeder 60 1 -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
Contracto formation
Name; o �+ � S G h . ce C- v tC CA
Mailing Address: G r x _ -ZQ Z
City: Lc 3 5t-r' r4 State: eo A Zip: _ ge, _9 !j
Phone: �— Fax:
License # [Exp.
Qjt Total (Qtv Multiplied by Unit Chargel
$
$
$
$
$
$
$
$
$ fiZ�..�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, Perm €t 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 El Check
( -° dit Card 4 0h _� -e—
x Dated: L 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , , . , . 14- 00001439 Date 11/25/14
Application pin number . . .. 505831
Property Address . . . . . . 1323 MCDONALD ST SPACE 14
ASSESSOR PARCEL NUMBER; 06-30-00-1-0 -6400 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . , . .
Property Use , . . . . . . .
Property Zoning . , . . . , , UNKNOWN
Application valuation . . . . 0
------------------------------------------------ ---- -- -- ---- ---- --- -- -- -- ---
Application desc
200 amp service
Owner
FIRWEST AND OCEAN VIEW LLC
C/O SHIRLEY BAUBLITS
PC BOX 1073
PORT ANGELES WA 98362
Contractor
ROTBRO & SON ELECTRICAL
940 TAMARACK WAY
PORT ANGELES WA 98362
(360) 452 -4766
---- - ---- -- - - -- _ __
Permit , , , , . ,
-__ -
ELECTRICAL
____ r _ -_
ALTER RESIDENTIAL
-
INSPECTOR:
Additional desc . .
Permit Fee , . . ,
120.00
Plan Check
Fee
00
TSStle Date . , . .
11/25/14
Valuation
. . .
. 0
Expiration Date . ,
5/24/15
11
Qty Unit Charge
Per ,
Extension
1.00 120,0000
ECH EL -0 -200 SRV FEEDER
120100
Fee summary Charged
- - -- ----
Paid Credited
- - -- -- ---- - - -
- -- --
Due
-- - - - - --
----------- - - - - -- ----
Permit Fee Total
- -
120,00
120.00
.00
.00
Plan Check Total
00
.00
.00
.00
Grand Total
170.00
120.00
.00
.00
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
li g5 1
ROUGH -1N
FINAL
11
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Data:
GArXCHANGEIBUTLDTNG