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HomeMy WebLinkAbout909 S Pine St - BuildingCITY OF PORT ANGELES PEPUNIIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles 'Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date; t 1 & 2 Single Family Dwelling * Plan Review Ma Be Required, Please Complete Electrical Plan Review Information Sheet Job Address; © / Building Square Footage: „ g do Description of above _ [1 mmw JUL. 2 2 ELECTRIC IMSPE ONO Owner Info oration Contractor Information Name: (c)h7 1�Q L ) V Name: Mailing Address: 10.1 S /W! Mailing Address: City: R7' dV6�kalate: Zip: :2 city State: Zip: Phone: -,42!# 2 Fax: Fhone: Fax: License #I Exp. License # 1 Exp. Item Unit Charge Total (Qty Multi lied by Unit Charge) Service /Feeder, 200 Amp. $120.00 $ Service /Feeder 201.400 Amp, $146.00 $ Service /Feeder 401.600 Amp $ 205.00 $ Service /Feeder 60 1 -1000 Amp. $ 262.00 $ Service /Feeder over 1000 Amp. $ 373.00 $ Branch Circuit W! Service Feeder $ 5.00 Branch Circuit W/0 Service Feeder $ 63.00 $ 463 Each Additicnal Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. Service /Feeder 201 -400 Amp. $110.00 $ Temp. ServicelFeeder 401.600 Amp. $149.00 $ Temp. Service /Feeder 601 -1000 Amp . $ 168.00 $ Portal to Portal Hourly $ 96.00 $ Signal CircuiV Limited Energy - 1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Conrecl'ton $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5 CO for each additiorai T -Scat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Fl, or Portion of $ 40.00 $ Each Outbuilding or Celached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $6 $ x — 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 l 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 -468, 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 E] Check " Credit Card # X * U,d: 01!0112012 vI 43 A ELECTRICAL PERMIT CITY OF PORT ANGELES 360.417 -4735 Application Number 14- 00000866 hate 7/22/14 Application pin number 930718 Property Address . . . . . . 909 S PINE ST ASSESSOR PARCEL NUMBER; 06-30-00-0-2- 9555 -0000- Application type�deseription ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . . . . . . Application laluaticn : , . , 0 Application desc Outside light addition Owner Contractor - ----------------- - -- - -- ------------------------ JAMES /COLLEEN /RONALD LINDLEY OWNER 411 LOPEZ ST PORT ANGELES WA 983626506 Permit . . . . .. . ELECTRICAL ALTER RESIDENTIAL Additional desc , Permit Fee 63.00 Plan Check Fee .00 Issue Date 7/22/14 Valuation 0 Expiration Date 1/18/15 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 Pee summary n Charged Paid Credited Due Permit Fee Total 62.00 63.00 00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 63,00 63.00 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 _ 1 FINAL " COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING Date: