HomeMy WebLinkAbout533 W 5th St - Building1
CITY OF PORT ANGELES P1ER1VIIT AP1 LICAT1ON
Building Division/Electrical Inspections
321 East Ffrfth Street — P.O. Box 1150 / Para Angeles Washington, 98362
Ph: (360) 4174735 Fax: (3 60) 417 -4711
Date;
i -1 & 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review/ Information Sheet
Job Mdrest: r - T .. , ._ � :u
suilding 8ware Fcotag
INN
D%criptkm of ebove
$
Note; $5.00 for each additional T -Stat
�.X ! 3 r'+. i .,.8
- ^a.n'•..•`J /!i C4Fa..
A v� �.riR�
$—Z- �11
EachAddifional 500 Square Ft. or Portion of $ 40.00
$
Eat Outbuilding or Detached Garage $ 74.00
$
Owner Information.
Name; f h r! / 1 �c� ss a c%
Contractor Information
Name: 5x &rte e r ecl e
$$ —Total �p atJ
Mai irg Address
Mailing Address: 1/11 � -
City: Pte_ State: w r-- Zip:—'FT 2
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C €ly: ?4- State:
7Jp;
Pho s?. Fan:
Phone 4 5' 7 - k 2_ Fex:. nx I �H
License # / > V.
License # 1 l xp. x `T+z Al
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unit Charge
Total f Qtv. l�ultipiiad
by unit Charge)
Sery €ce/Feeder 200 Amp.
$120.00
$�D
Service/Feeder 201404 Amp.
$148.00
Service/Feeder 401.600 Amp
$ 205.00
$
Service /Feeder 601 -1000 Amp.
$ 262.00
$
Sewice/Feederover 1000 Amp.
$ 373.00
$
Branch Circuit W/ Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 8100
$
EachAddiflona€ Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 75.00
g
Temp. Service/ Feeder 200 Amp.
$ 93,00
$�
Temp. Service/Feeder 201-400 Amp,
$110.00
$
Temp, SerYce/Feeder401 -WAmp,
$149.00
$
Temp. 5ervice/Feeder6014000 Amp,
$166.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Orcu llf Limited Energy -1 & 2 Family Dwelling
$ 64.00
g
Manufactured Hone Connection
$120.00
$
Renewable Electrical Energy -5KVA System or Less
$102.00
$
Thermostat $ 56.00
$
Note; $5.00 for each additional T -Stat
NEW C0148MUC-TION ONLY,
First 1300 Square Ft. $120.00
$—Z- �11
EachAddifional 500 Square Ft. or Portion of $ 40.00
$
Eat Outbuilding or Detached Garage $ 74.00
$
Each Sw immtng Pool or Hot Tub $110.00
$$ —Total �p atJ
Owner as defined by IRCW.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 eleairical contractor, I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.26, WAC. Chapter 296-459, 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
El Credit Card #
X ✓9�� t?� Dated• 61N112tt12
DATE:
PERU [T 4
INSPECTOPr---,
r4, / 12
OWNER
CONTRACTOR
APPROVED NOT APPROVED
❑ .. . ................. DITCH ........ - - - - - . .171
.............. ROUGH IN/COVER ............... ❑
....................SERVICE ...... ............ 1:1
...... ........... FINAL ..........
CORRECTIONS NEEDED: Q v
N) 4L-c- -.74 6, & -z-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
z
ELECTRICAL PERMIT
CITY OF PORT ANGELES
350- 4174735
Application Number . . . . . 14- 00000656 Date 6/04/14
Application pin number . . 172704
Property Addrass . . . . $33 W 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-8450 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application Valuation . . . . 0
Application desc
New dwelling unit
Owner Contractor
JAMES AND 70AN STEMERTDGE EXTRA MILE TECH & ELECT., LLC
1695 WINTER ST S.E 418 N. RACE ST:
SALEM OR 97302 PORT ANGELES WA 98362
(360) 457 -5222
- - - Permit . , . . . . ELECTRICAL NEW RESIDENTIAL
Additional daOc . .
Permit Fee 120.00 Plan Check Fee 00
Issue Date 6/04/14 Valuation 0
Expiration Date 12/01/14
Qty Unit Charge Per Extension
1,00 120.0000 ECH EL- R -SQFT FIRST 1300 120.00
` Fee summary Charged Paid Credited Due
Permit Fee Total 12C.00 120.00 .00 00
Plan Check Total '00 .00 00 00
Grand Total 120.00 120.00 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
bti
SERVICE
,tf
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL MWIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X_ Date:
GAEXCHANGEIBUILDING
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