HomeMy WebLinkAbout1622 Maloney Ct - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number , , . , , 15- 00000640 Dare 6/30/15
Application pin numher . , , 868480
Property Address . . . . 1622 MALONEY CT
ASSRSSOR PARCEL NUMBER; 06-30-01-8-5- 0060 -0000-
Application type. de.scription ELECTRICAL ONLY
Subdivision Name . . , . .
Property Use
Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY
Application valuation , . . , 0
----_--------------------------------------------------- --------- ._.__. __ --
Applicat.ion desc
New home
Owner Contractor
HABITAT FOR HUMANITY CL COUNTY CENTECH NORTHWEST LLC
3430 HWT 101 E STE #32 PO BOX 2195
PORT ANGELES, WA, SEQUIM WA 98362
PORT ANGELES WA 98362 (360) 506 -6188
Permit . . . I ELECTRICAL NEW RESIDENTIAL
Additional deec .. .
Permit. Fee 120,00 Plan Check Fee .00
Issue Date 6/30/15 Valuation 0
Expiration Date 12/27/15
Qty Unit Charge Per
1.00 120,0000 BCH E
Fee summary Charged
Permit Fee Total. 120,00
Plan Check Total ,00
Grand Total 120,00
Extension
L- R -SQFT FIRST 1300 120.00
Paid Credited Due
--- -- - - - -- - --- - -- - -- ---- - - - - --
120,00 .00 .00
,00 .00 .00
12.0.00 .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
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAS`;' Ih5PI CTI0,N
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Box 11501 Port Angeles Washinston, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: - 1
A& 2 Single Family Dwelling
* Plan Review May Be Required, Please Comp #ete Electrical Plan Review Information Sheet
Job Address: f (o L7. rrI At ors t_.y CCD,) yL i (�r - — _
Building Square Footage: t "L00 SU
Description ofabove -fit ,,c;11 FtaV'\ `P 1,-AoMt - 3 Vstr,nyi_czbtn„ Z r4y)'T -k AVL.n rte.
Owner Information
Name: t-1w GI-m-r rwn. t- 4u'nAnh)k, :4 C. l.Vat%.AL6-1
Mailing Address: I W 7 G1 !f 10 C-Sc)�
City: 'k pg State: W"'4 Zip: 2 R3 l� Z
Phone: k 1- L7 k Fax: d� _
License #lExp. KA131'TFi} z1'Z1 1_0
Item
ServicelFeeder.200 Amp.
Service /Feeder 201.400 Amp
Service /Feeder 401 -600 Amp
Service /Feeder 601 -1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit Wl Service Feeder
Branch Circuit W10 Service Feeder
Each Additional Branch Circuit
Branch Circuits 1.4
Temp. Service/ Feeder 200 Amp.
Temp, Service /Feeder 201 400 Amp,
Temp. Service /Feeder 401 -600 Amp,
Temp. Service /Feeder 601 -1 000 Amp .
Portal to Portal Hourly
Signal Circuit! Limited Energy -1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft, or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charge
$120.00
$146.00
$ 205.00
$ 262.00
$ 373,00
$ 5.00
$ 63.00
$ 5.00
$ 75.00
$ 93.00
$110.00
$149.00
$168.00
$ 96.00
$ 64.00
$120.00
$102.00
$ 56.00
Contract gr In�ma eon � ,
(�+rvv1 �*�
Name: e _
Name
Mailing ddress: 4
e R 9-1 =
City ,4071 ;
State: G� fl Zip;
Phone' lie . 1
ax:
License # 1 Exp. N'f
-ty
Total (Q!y Multiplied by
Unit Charge)
$
$
$
$
$
$120.00 ✓ $ 12-0 —.
$ 40.00 $
$ 74.00 $
$110.00 $�_
$ i 7-0 _ 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 certlfy that I am the owner of the above named property or a licensed electrical contractor, I am making
the eiectrical installation or alteration in compliance with the electrical laws, N.E.C„ RCW. Chapter 19,28, WAC, Chapter 296 -466, 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
sy/ ❑ Cradlt Card q
X Dated: `� ` e 0110112012