HomeMy WebLinkAbout437 W 4th St - Building1S�QFQQizr�t�
CITY OF PORT ANGELES PERtVIIT
APPLICATION
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Building Division /Electrical Inspections
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321 East Fifth Street -- P.O. Box 11501 Port Angeles Washington, 98362 -....
Ph: (360) 417 -4735 Fax: (360) 417 -4711
FEB 2015
Date:
_ 1 & 2 Single Family Dwelling ELECTRICAL
INSPECTIONS
* Plan Review May Be Required, Please Complete
Electrical Plan Review Information Sheet
Job Address: _ �i
Building Square Footage,
Description of above 2 [veuw c.4f F
t
Owner Information
Contract Information
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Name: : Go
Name: -A'tTC., tsc - 4LP -Jir
Mailing Address:
City: State: Zip:
Mailing Address: G J
City' State: cytA Zip:
Phone: Fax,
Phone: Fax:
License # / Exp.
License # I Exp,
Item
Unit Charge_ City Total My Multiplied by Unit Char e
ServicelFeeder 200 Amp.
$ 120,00 $
Service /Feeder 201 -400 Amp,
$146.00 $
Service /Feeder 401 -600 Amp
$ 205.00 $
Service /Feeder 501 -1000 Amp,
$ 262.00 $
Service /Feeder over 1000 Amp.
$ 373.00 $
Branch Circuit W1 Service Feeder
$ 5.00 $
Branch Circuit W/O Service Feeder
$ 63.00 $
Each Additional Branch Circuit
$ 5.00 $_
Branch Circuits 1-4
$ 75.00 1 $
Temp. Service! Feeder 200 Amp.
$ 93.00 $
Temp. Service/Feeder 201 -400 Amp.
$ 110.00 $
Temp. Service/Feeder 401-600 Amp.
$ 149.00 $
Temp. Servf celFeeder 601 -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 Fl. or Portion of
$ 40.00 $
Each Outbuilding or Detached Garage
$ 74.00 $
Each Swimming Pool or Hot Tub
$110.00 $_
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 -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 ❑ check
r
9 Credlt Card # 0A C�
Dated: OV0112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417- 4735 .
Application Number . . . . . 15- 00000103 Date 2/09/15
Application pin number . . , 296547
Property Address . . . . 437 W 4TH ST
ASSESSOR PARCEL NUMBER: 06-30- 00-0-0 °7345 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning , . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation , . . . 0
Application desc
Heat pump
Owner
OAKES, JOSEPH C
& AMY J ANSELMO
437 W 4TH ST
PORT ANGELES WA 98362
Contractor
HOTERO & SON ELECTRICAL
940 TAMARACK WAX
PORT ANGELES WA 98352
(360) 452 -4766
Permit . . . . ,
. ELECTRICAL ALTER RESIDENTIAL
DATE:
RESULTS:
Additional desc
1-4 CIRCUITS
on your excise tax form
to the City of Port Angeles
Permit Fee
75,00
Pl.an Check
Fee
00
Issue Date
2109115
Valuation
, . ,
, 0
Expiration Date
8/06/15
j
Qty Unit Charge
Per
Extension
BASE
FEE
75,00
Fee summary
charged
Paid Credited
Due
Permit Pee Total
75,00
75.00
.00
.00
Plan Check Total.
.00
00
.00
.00
Grand Total
75.00
75.00
00
.00
co 112DI x'
INSPECTION TYPE
a
DATE:
RESULTS:
REPORT SALES TAX
DITCH
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
2, Lz3
FINAL
j
COMMENTS;
PERMIT WILL EXPIRE SLY (6) MONTHS FROM LAST INSPECTION
Signature of owner or EIectrical Contractor X Date:
G:IEXCIIANMBi1ILDING