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HomeMy WebLinkAbout127 W 3rd St - Buildingpr\ Pq)-Tcttj�k CrTY OF PORT ANGELES P ORMIT APPLICATIO fCEI ' Building Aivision/Eleetirical Inspectlons Grp 0 321 East Fifth Street — P.O. Sox 1150 / Port Angeles Wfi"'Si lagton! 9:0 Ph, (360) 417 -4735 Fax: (360) 417 -4711 �� GTRi L Rate; � 1.1 1 & 2 Single F2m' If yling AUG 31 rl RIB. it FECTIONS 'Plan Review Mayy Be Required, Pleas Cam lets Electrical Plan Review Information Sheet Job Address: t2�- VJ . 3� Sr PA- -.- .,, -•,- . . Building Square Foolage: Description of above ✓LQtsia.sa _e ,cam. Owner Infqrmation conlracto Information Name: I ,rv.�t � �� Name, ' is�r. -2-Af r .0 t.. :C nC- Malling Address: 17, . $;'� SS- Mailing Address: V6 i?.c+x S 3 g is City: rb f< state;vjk Zip: 4$�2 City: 5.CQjhi No State: gL_Zip:� Phone• o - 30 2 ax; R• Phone: Z- (6%q—Fax ct, Q3 � o>A6 license #/ Exp. %0\40,&2. __ license #/ Exp. Item Unll Char �yt Total MY Multiolied by Unit Charge) Service/Feeder 200 Amp. $120.00 _ $ I &O Servicaeeder 201 -400 Amp. $146.00 § Service/Feeder 401 -600 Amp $ 205.00 $ ServicelFeeder 601 -1000 Amp. $ 262.00 Service/Feeder over 1000 Amp, $ 373.00 $ Branch Circuit W/ Service Feeder $ 6.00 $ Branch Circuit W/C Service Feeder $ 63,00 $ Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 75,00 $ Temp, Servicel Feeder 200 Amp. $ 93.00 $ Temp. Servlco/Foeder 201400 Amp, 5110,00 - $ Temp. Service/Feeder 401.600 Amp, $149.00 $ Temp. ServicelFeeder 601 -1000 Amp . $169.00 $ Portal to Portal Hourly $ 96.00 $ Signal Cirouit/ Limited Energy -1$ 2 Family Dwding $ 64.00 $ Manufactured Horne Connection $120.00 $ Renewable Electrical Energy- 5KVA System or Less $102.00 $ Thermostat $ 66.00 $ ' Note: $5,00 for each additional T Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft $120,00 $ Each Additional 500 Squats Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool ar Hat Tub $110.00 $ $ 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 elec[rical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, l hereby certify that I am the owner of the above named property or a licensed elect ical contractor. I am making the electrical installation or alteration in Wmpliance with the electrical laws, N_E.C„ RCW. Chapter 19.28, WAC. Chapter 296 -460, The City of Port Angeles Municipal Code, and Utility Specifications and PAMG 14.05.050 regarding E[ectrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: © Gauh ❑ Check n V ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , , . . . 15- 00001107 Date ,9/02/15 Application pin number , . , 720673 Property Address 127 W 3RD ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 5356 -0000- Application type description ELECTRICAL ONLY Subdivision Name . , , , . . Property Use Property Zoning , , , . , , . RESIDENTIAL HIGH DENSITY Application valuation , , . . 0 Application desc Service Change Owner Contractor ------------ ---- -- - - - - -- ------------------------ LORI & BARBARA AMBROSE KIRSCH FLECTRiC INC. 127 W 3RD ST P. 0, BOX 3396 PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 6B'3 -6879 LL --------------------------------------------------------------- ----------- Permit . . . , . . ELECTRICAL ALTER, RESIDENTIAL Additional desc . . Permit Fee 120,00 Plan Check Fee 00 Issue Date . . . . 9/02/15 Valuation , , , . 0 Expiration Date . . 2/29/16 Qty Unit Charge Per Extension 1,00 12010000 ECH .RL -0 -200 SRV FEEDER 120.00 Fee summary Charged Paid Credited Due Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 00 .00 .00 Grand Total 120,00 120,00 ,00 ,00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GA EXCHANGETUILDING s •J