HomeMy WebLinkAbout1227 W 11th St - BuildingCITY OF PORT ANGELES PER,1MT APPLICATION RECEIVED
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 /Port Angeles Washington, 9839Eta 2 2015
Ph: (360) 417 -4735 Fax: (364) 41.7 -4711 �°
Date: .2.
I & 2 Single f=amily Dwelling ELECTRICAL
INSPECTIONS
" Plan Review May Be Required, Please Complete Electdcql Plan Reyi w Information Sheet
Job Address:. - / .2 ') / ,.
Bullding Square Footage:
Oescriptlon of above !U � .i.L� �a 1�• r —r�Ls rn tf_a..• Nom* FLT
owner Inform tlan _/� -�-^ 1
Mailing ddregs: ;t:2!7
City, . AL S(ate: Zip:
�
Phone: Fax;
License # 1 Exp.
Item
Unit Charge
ServmelFeeder 200 Amp.
$1 ?,0.00
Service/ Feeder 201400 Amp.
$146.00
SetvicelFeeder 40100 Amp
$ 205.00
Servlce/Feeder 601.1000 Amp,
$ 262.00
ServicelFeeder over 1000 Amp.
$ 373.00
Branch Circult WI Service Feeder
$ 5100
Branch Circuit W10 Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5,00
Branch Circuits 1-4
$ 75,00
Tamp, Service/ Feeder 200 Amp,
$ 93.00
Temp, Service /Feeder201400 Amp,
$110,00
Temp, Servlce/Feeder 401600 Amp,
$149.00
Temp, ServicelFeeder 601 1000 Amp .
$168,00
Portal to Portal Hourly
$ 96,00
Signal Circult! Limped Energy -1 & 2 Family Dwelling
$ 64.00
Manufactured Hame Connection
$120.00
Renewable Electrical Energy, 5KVA System or Less
$102.00
Thermostat
56.00
Dote: $5.00 for each additional T -Stat
NEW CON5TRUCl'110N ONLY.
First 9300 Square Ft.
$120.00
Each Additional 500 Square Ft. or Portion of
$ 40.00
Each Outbuilding or Detached Garage
$ 74.00
Each Swimming pool or Mot Tub
$110,00
Contractor Information
Mailing Address: , . ?
City: P 14_.. _ -- 3fate: ��ZiP: "'gpaq-
Phone,�s -�� p -- °i2 `7tUFaK: �'�
Total ft MIAW2110 by Unit ael
Chae
$
$ j- 9 G, 1-10 taI
Owner as defined by RCW,19- 28.2131: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. c2) Owner is required
to hire an electrical contractor if above said property i5 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 co ltraclor. I am making
the electrical installation or alteration in compliance with the electrinal laws, N.E,C„ RCW. Chapter 19.26, WAC. Chapter 296 1:68, The City of Port
Angeies Municipal Code, and Utility Specifications and PAIMC 14,05,050 regarding Electrical Permit Applications.
Slgnatu owner, ®Iectrlcal Co ctor or electrical administrator: C1 Cash ❑ chacir
F,afsd: )U credttcarrll �_JL
1
0410112012
�n1
�.l
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . , .
15- 00001109
Date ,9/03/15
Application pin number . , .
23.9795
DITCH
Property Address . . . . . .
1227 W 11TH ST
ASSESSOR PARCEL NUMBER,:
06-30-00-0-3- 1665 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name
Property Use . . , .
FINAL
Property Zoning . . , , . . .
UNKNOWN
Application valuation . , , .
4
Application desc
Service meter mast repair
Owner
Contractor
BROOKS JERRY W
SIMPSON ELECTRIC
1227 W 11TH ST
243036 14 HWY 101
PORT ANGELES WA 9836370.01
PORT ANGELES
WA 98363
(360) 457 -9270
Permit . . . . , . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee 120.00
Plan Check Fee
00
Issue Date 9/03/15
valuation , .
, , 0
Expiration Date 3/01/16
Qty Unit Charge Per
Extension
1.00 120.0000 ECH 'EL -0
-200 SRV FEEDER
120,00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 120,00
120.00 'CO
.00
Plan Chec]z Total .00
,00
Grand Total 120.00
120.00 .00
DO
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 4502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
e .
ROUGH -IN
FINAL
G�
COMMENT'S:
PERMri' WILL EXPME SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or EleetiicaI Contra_ ctor X Date:
G:IEXCI-iANCrE1I3UILt?EIVG