HomeMy WebLinkAbout1930 W 5th St - BuildingC�
RECEIVED
CITY OF PORT ANGELES PERMIT APPLICATION AU 6 6 2015
Building Division /Electrical Inspections `
321 East Fifth Street -- P.O, Box 1150 / Port Angeles Washington, 98362 aTTRICAL ;,fir jr
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date; �� _ 1 & 2 Single Family Dwelling
* Plan Review May Be Require, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage;
bescriptlon of above
Owner Information
Name: f!J�G1
Contractor Information, l
Name —.ld ff/�r ��• ��d1�
Mailing Address; '.fie•'' - 5-7;`f
Mailing Address: % 1 7:
City; State; �� Zip;
City;` iv% Slate; Zip: d—
Phone �l i �_ 3 7' Fax;
PhonefuC1
License # / Exp
License
Item
Unit Charge
Qty Total (Qtv Multiplied by Unit Charge)
ServlcelFeeder 200 Amp.
$120,00
$
Service)Feeder 201 -400 Amp
$146.00
$
ServicelFeeder 401 -600 Amp
$ 205.00
$
Service/Feeder 601 -1000 Amp.
$ 262,00
$
Service /Feeder over 1000 Amp.
$ 373.00
$
Branch Circult UV! Service Feeder
$ 5.00
$
Branch Circult VV10 Service Feeder
$ 63.00
$
Each Additional Branch Circult
$ 5.00
$
Branch Circuits 14
$ 75,00
,/_..- ....__. $ ,06
Temp, Service/ Feeder 200 Amp,
$ 93.00
$
Temp. Service /Feeder 201 -400 Amp.
$110.00
$
Temp. Service /Feeder 401 -600 Amp.
$149.00
$
Temp. Service /Feeder 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 -Slat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$12000
$
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
$
$_ 7n 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 electricai 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, electrical contractor or electrical administrator: ❑ Cash ❑ Check
•-
-
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . . . 15- 00000998 Date 8/07/15
Application pin number . . . 574552
Property Address . . . . 1930 W 5TH ST
ASSESSOR PARCEL NUMBER; 06-30-00-9--0- 0225 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . . . . . . RS7 RESONTL SINGLE FAMILY
Application valuation , . , , 0
Application dese
Ductless heat pump
Owner Contractor
Chelli Lefler JEFF NELSON ELECTRIC
1930 W 5TH ST 7062 OLD OLYMPIC HWY.
PORT ANGELES WA 983631606 PORT ANGEY,ES WA 96362
(369) 460 -4291
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75,00 Plan Check Fee 00
Issue Date 6/07/15 Valuation . . . . 0
Expiration pate 2/03/16
Qty Unit Charge Per Extension
BASE PEE 75.00
Fee summary Charged Paid -Cr edited Due
Permit Fee Total 75.00 75,00 .00 C0
Plan Check Total .00 .00 .0o .00
Grand 'total. 75.00 75.00 .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
SERVICE
ROUGH IN
hcr 11!5—
FINAL
'h
COMMENTS:
PERMIT WILL EXPIRE S IX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X
GAIEXCHANGCU3UILDiNG
Date:
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