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HomeMy WebLinkAbout1725 E 6th St - Building0 ra�rn'►'c � CITY OF P0AT ANGELES PERNXL'I' .(1,PPLICA'%'ION RECERE'D Building .Di+vision /Electriical Inspections ,w 321 East Fifth Street —P.®. Box 11.501 Part: Angeles Waglhington, 98362A G+ .5 2015 Ph: (360) 417 -4735 Fax. (360) 417 -4711 ELECTRICAL 1 & 2 Single Family Dwelling 1�151't CTli��4 * Plan Review May Be Required, Please Complete I qtr' I Plan Revia Information Sheet Job Address: -- ...._.�. G'^ Building Square Foo*@: 4ascription of above _• -- r %L S Owner Infr ation Nam ®: �""vexe.<<. Q9�uQJ Maille, R dress: City: State; rv� Zip: - Pheng:,�,yo�..Fax: ( EUe nsol! Exp. Item Unit_CI1me ServicelFeeder 200 Amp. $120.00 ServicelFeeder 201400 Amp, $146,00 ServicelFeeder 40"00 Amp $ 205,00 Service/Feeder 601,1000 Amp. $ 262,00 Service/Feeder over 1000 Amp, $ 373.00 Branch Circuit W/ Service Feeder $ 6.00 Branch Circuit 1N10 Service Feeder $ 63.00 Eoeh Additional Branch Circuit $ 5.00 Branch Circuits 1.4 $ 75.00 Temp, Service! Feeder 200 Amp. $ 93.00 'temp. ServlcelFeader 201.00 Amp. $110,00 Temp. ServicelFeede(401 -00 Amp. $149.00 Temp. SarvicelFeeder 601 -1000 Amp . $166.00 Portal to Porlal Hourly $ 96.00 Signal Cimuitl Limited Energy -1 & 2 Family Dwelling $ 600 Manufactured Home Connection $120.00 Renewable Ete&cal Energy - 5KVA System or Less $102.00 Thermostat $ 56.00 Note: $5.00 for each additional T•Stat NRW CON tJ 0 L,,N t] INIM. First 1300 Square Ft, $120.00 Each Additional 500 Square Ft, or Portion of $ 40.00 Each Outbuilding or Detached Garage 3 74,00 Each Swimming Pool or Hot Tub $110.00 Contractor Informati n Name, CFi SPhone: ' Licenseltlf:Rp, l Total MuRil plied tr�Unit Charcle�. $ ='n $ $� Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after This electrical permit is finalized_ 1:2) 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 oe 'Aractor, I am making the electrical installatlon or alteration in compliance with the electrical laws, N,E,C„ RCW, Chapter 19.26, WAC. Chapter 296.668, Thu City of Port Angeles Municipal Code, and Utility *611licatlons and PAMC 14.05.050 regarding Electrical Permit Applications_ Sig to of owner, electrical c tractor or electrical administrator: Dated: 0 Caeh © Check Credit Cold o� 0110111012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . 15- 00400991 Date B/06/15 Application pin number 389577 Property Address 1725 E 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00--0--1- 8570 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . , . , Property Use Property Zoning . . , , . RS7 RES1]NTL SINGLE FAMILY Application valuation . , , . 0 __ ____ Application desc Ductless heat pump Owner Contractor RESULTS: GRAUBERGER DAVID DITCH SERVICE SIMPSON ELECTRIC. 1725 E 6TH ST 243036 W HWY 101 PORT ANGELES WA 983624921 PORT ANGELES WA 98363 (360) 457 -9270 Permit . , , . , . ELECTRICAL ALTER RESIDENTIAL Additional deep 1 -4 CIRCUITS Permit Fee 75.00 Plan Check Fee .00 Issue Date B/06/15 Valuation 0 Expiration Date 2/02/16 Qty Unit Charge Per Extension BASE FEE 75,00 Fee summary Charged Paid Credited Due Permit Fee Total "15,00 75,00 00 .00 Plan Check Total .e0 .00 ,00 00 Grand Total 75,00 75.00 OD 00 1) &A +R)Ia )as- REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: - RESULTS: INSPECTOR: _ DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIC (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCRANGEIB UILD CNG