HomeMy WebLinkAbout2201 W 18th St A2- BuildingCITY OF PORT ANGELES PERMIT APPLICATION
321 East Fifth Street — P.O. Box 11.50 / Pol't Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 4174711
Date J.
__ . — I & 2 Single Family Dwelling
j
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Wet
Job Address: Q 7-1b-
Building sfivare i-oot; 'ipe
Description of above
Owner Irtformation
Namo —C�re-,re_4��IA
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Phone, -Fax.
ax
Item
unit Chaff
Sorvice/Fooder 200 Amp
$120.00
Swvice,'Feodor 251.400 Amp.
$146.00
Service)Feodgr 401-600 Amp
$205,00
Servicoff oodor 501 -1000 Amp
$ 262 00
ServicelFeeder over 1 ON Amp.
$373.00
Branch Circuit Wi Service Fooder
$ 5.00
Branch Circuit VV IC) Soniiro Fooder
$ 6300
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1.4
$ 75.00
temp Stirvico; Foeder 200 Arrip
$ 9300
Temp. ServiceFeeder 201-400 Amp,
$110.00
Temp SprvicelFcoder401.600Airip
$ 149,00
Ternp, ServiceiFeedor 601 -1000 Amp .
$168.00
Portal to Portal Hourly
$ 96.00
Signal Cimuili Limited Ffwrljy -1 & 2 f-amily Dwokng
$ 64 0()
Manufactured Home Connection
$120.00
Renavmble Eectrical Energy - 6KVA System or Leas
$ 102M
Thermostat
$ 5600
Nolt, $5.00 for each additional I -sjjt
NEW CONSTRUCTION ONLY:
First 1300 Square 1`1
$ 121) oo
FaGh Additional 600 Squire R OF Portion of
$ 40.00
Each Outbuilding or Detaches! Garage
$ 74.00
leach Swmrnirig Pool or Hol. I uh
$110.013
Contract r Infor rPI", o
Name 6m-Tkne
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License 0
9ty
Total Qty Multiplied by Unit Charge)
$._.._._..._._....._._.._.._.
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$
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---Total
Owner as defined by RCIN. 19.28.26 1: (1 ) Owner will occupy the structure for two years after this electrical permit is finalized- (2) Owner is required
to hire en electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
Aftt--,,r r(.,,adiflq the above statement, I hereby certify that I am the mvnc:r of the above namod property or a licensed electrical contractor. I arn makim
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the electrical installation or alteration in compliance with the cfleolricai lFiws, N.E.C., RM Chapter 19.28, VVAC, Chapter 2913-46[3. The City of fort
Angeles Munimpal ("ode, and Utility Specificalions and PAW 14 06,060 reclarding Applications
Signature of owner, electrical contractor or electrical administrator: 11 Cash 0 Check
Credit Card#-
X Datad:
0110112012
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
' 1
ELECTRICAL PERMIT
ROUGH -IN
y
CITY OF PORT ANGELES
FINAL
360- 417 -4735
Application Number , . ,
15- 00000839 Date 7/14/15
't
!3+
Application pill number
500419
Property Address ,
2201 W 18TH ST A2
REPORT SALES TAX
ASSESSOR PARCEL NUMBER:
06- 30- 99- 1- 1- Q310 -0000-
Application type description
ELECTRICAL ONLY
on your excise tax form
Subdivision Name . , , , . .
to the City of Port Angeles
Property Use
Property Zoning ,
RESIDENTIAL MEDIUM DENSTY
(Location Code 0502)
Application valuation
0
----------------------------------------------------------------------------
Application desc
Ductless heat pump T -stat
---------------------------------------------------------------
-- ---- - - - - -°
Owner
Contractor
SERENITY HOUSE OF CLALLAM
DAVE'S HTG & COOLTNG SRVC INC
PO SOX 4047
PO BOX 413
PORT ANGELES WA 98362
PORT ANGELES YEA 98362
(360) 452 -1429
(360) 452 -0939 -
Permit . . , , , , ELECTRICAL
ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . 56.00
Plan Check Pee .00
Issue Date 7/14/15
Valuation 0
Expiration Date 1/10/16
Qty Unit Charge Per
Extension
1.00 56.0000 ECH 'EL-
.LVT- THERMOSTAT 56.00
Fee summary Charged
Paid Credited Due
Permit Fee Total 56.00
56.00 ,00 .00
Plan Check Total .00
.00
Grand Total 56.00
56.00 .00 00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
y
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Cotltractor X
G:IEXCHANGEIBUILDING