HomeMy WebLinkAbout1021 E 5th St - BuildingJun 09 1412:14p JPE, LLC 360- 975 -3314
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CITY Y OF PORT ANGELES PERMIT APPLICATION u,
Building Division/Electrical Inspections
321 East )Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 i lfCTRICAt
Eh: (360) 417.4735 Fax: (360) 417 - 471.1.
Date, " 9 ' 1
_ 1 & 2 Single Family Duelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: / ZD 1 F_.5/::& S,�
Building Square Foeiage: — /2av �-
Description of above a
Owner Informatign
Name: Qa{e 9�1 (pa g4 w 242 VA4
Mailing Address; /02J - �T 5P— �S f
City: ;00_a 457 .r Stale :lk /A Zp: �-
Phone:3�4�8 -_
°ltd
License # 1 Exp,
Item
Unit Charge
ServicelFeeder 200 Amp.
$120.00
Service /Feeder 201 -400 Amp.
$146-00
Service /Feeder 401 -600 Amp
$ 205.00
Service /Feeder 601.1000 Amp,
$ 262.00
ServicelFeeder over 1000 Amp.
$ 373.00
Branch Circuit W1 Service Feeder
$ 500
Branch Circuit W/O Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
S 75.00
Temp, Service/ Feeder 200 Amp.
$ 93.00
Temp, ServicOFeeder 201 -400 Amp.
$110.00
Temp, Service /Feeder 401 -600 Amp.
$149.00
Temp. Service/Feeder 601 -1000 Amp .
$166.00
Portal to Portal Hourly
$ 96,00
Signal Circuit) Limited Energy - i & 2 Family Dwelling
$ 64.00
Manufactured Home Connection
$12DA0
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
Contractor information
Name: j 962 Lt.
a
Mailing Address: -7 e� 2U
City: _ b +7 State; Zip
Phone Fax: 3W-1] - -.331
License #! Exp. 4 P
Qt
Total fQty Multiplied by Unit Charge)
$
$
�— $�dD
$
$
$
$
$ { 15 uv 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. 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., 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, ele trical contractor or electrical administrator: ❑ cash ❑ check
-- —
c� Credit Card # r}v�, t"r G
Dated: _ �' l _ 01101120/2
b// j� v, 1W *tO
°ltd
_ 1\
Mailing Address: -7 e� 2U
City: _ b +7 State; Zip
Phone Fax: 3W-1] - -.331
License #! Exp. 4 P
Qt
Total fQty Multiplied by Unit Charge)
$
$
�— $�dD
$
$
$
$
$ { 15 uv 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. 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., 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, ele trical contractor or electrical administrator: ❑ cash ❑ check
-- —
c� Credit Card # r}v�, t"r G
Dated: _ �' l _ 01101120/2
b// j� v, 1W *tO
Jun 22 1411:22a JPE, LLC 360 -975 -3314 p.1
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street - P.O. Boca 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fag: (360) 417 -4711
Date: u Z
.) 1 & 2 Single Family Dwelling
JUN P. 3 2014
ELECTRICAL
INSPECTIONS
" Plan Review May Be Requited, Please Complete Electrical Plan Review Information Sheet
Job Address:_ /0 2.4 r aJ'1. a
—
Building Square Footage:
Description afabove
c'Kis,t.'J -+_ n,.
on
-_
-
J
Owner linf9rimall
Contractor Information
Name'. •,�� P° C u
Name: J Cs . L
G
Mailing Address:
Mailing Address: '7
City: State: ^ Tip:
City,
State: Zip: I97 S' Z
Phone: Fax:
Phone:
Fax: ' , ^'7
^eVWrs
License # l Exp.
License # I Exp.
-K-ir* --173 J --
Item
UnitCharste ft
Total (ft Muftillied_by_Unl Char a
ServicelFeeder 200 Amp.
$120.00
$
Service/Feeder 201 -400 Amp.
$ 246.00
$
ServicelFeeder 401 -600 Amp
$ 205.00
$
ServicelFeeder 601 -1000 Amp:
$ 262.00
ServicelFeeder over 1000 Amp.
$ 373.00
$
Branch Circuit V ServlcE Feeder
S 5.00
$
Branch Circuit NO Service Feeder
$ 63.00
$
Each Additional Branch Circuit
S 5.00 _
$ :y d. ,w
Branch Circuits 1.4
$ 75.0101
Temp, Serviced Feeder 200 Amp.
$ 93.00
$
Temp, ServicedFeeder 201400 Amp.
$110.00
$
Te mp. ServicedFeeder 401 -600 Amp.
$149.00
$
Temp, ServicelFeeder604 -1000 Amp .
$188.00
$
Ports! to Portal Hourly
$ 96.00
$
Signal Circuit! Limited Energy - 1 & 2 Family Dwelling
$ 64.00
$
Manufactured Rome Connection
$120.00
$
Renewable Electrical Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
$
Nete: $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 Cutbuilding or Detached Garage
$ 74.00
$�
Each Swimming Pool or Hot Tub
$110.00
$
$ 7, v u Tots!
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., RCW. Chapter 19.28, WAG. Chapter 296.41 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: 111 cash El Check (�
Z DedliCard# C_V�
x Dated; 2,11 0110112e12
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 14- 00000678 Date 6/23/14
Application pin number . . , 207878
Property Address . . . . . . 1021 E 5TH ST
ASSESSOR PARCEL NQMBER: 06-30-00-0-1- 7775 -0000-
Application types description ELECTRICAL ONLY
Subdivision game . . . , . .
Property Use
Property Zoning • . , . . , . RS7 RESDNTL SINGLE FAMILY
Application taluation . . . . 0
Application desc
SSiC CHANGE
Owner Contractor
ORSSORN ROLAND E JPE ( JERRY PETERSON )
1021 E 5TH ST 73 EAST LOMA VISTA RD
PORT ANGELES WA 983624114 SEQUIM WA 98382
(360) 731 -8994
----------------------------------------------------------------------------
Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc SVC CHANGE & GARAGE FEEDER
Permit Fee 225.00 Plan Check Fee 00
lsBue Date 6/11/14 Valuation . . , . 0
Expiration Date 12/16/14
Qty Unit Charge Per Extension
BASE FEE 75.00
6,00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 30,00
1,00 120.0004 ECH EL -0 -200 SRV FEEDER 120.00
Fee summary Charged Paid Credited Due
Permit Fee Total 225.00 225.00 .00 00
Plan Check Total .00 .00 .00 00
Grand Total 225,00 22.5.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
N
SERVICE
b)
ROUGH -IN
FINAL
P.
,✓
b
COMMENTS:
PERMIT WILL EXPIRE SIX (G) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCIIANGMBUILDING
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