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HomeMy WebLinkAbout1205 Forest Tr - BuildingELECTRICAL PERMIT "` m CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 16- 40000286 Date 2/26/16 Application pin number . . . 672074. Property Address . . . . . . 1203 EOREST TR REPORT STATE .SALES TAX ASSESSOR PARCEL NUMBER; 06-30-14-6-7- 0170 -0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . I I Property Use to the City of Port Angeles n ^ Property Zoning . . . ... . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 Application desc Temp Service Owner HOPE MERIDETH AND MARK BLACK 3423 MCDOUGAL AVE PORT ANGELES, WA PORT ANGELES WA 98362 Contractor SEDI'ELECTRIC 1329 W 10TH STREET PORT ANGELES WA 95363 (360) 417 -9579 permit . . , . , . ELECTRICAL TEMPORARY SERVICE RESULTS: INSPECTOR: Additional desc , . Permit Fee 93.00 Plan Check Fee 00 Issue Date . . . . 2/26/16 Valuation . . . . 0 Expiration Date . , 8/24/16 r� . Qty Unit Charge Per Extension 1.00 93.0000 ECH EL -TEMP SRV 0- 200 SRV FDR 93100 Fee summary Charged Paid Credited Due Permit Fee Total 93.00 93.00 QO .00 Plan Check Total DO .00 00' '00 Grand Total 93.00 93.00 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE j ROUGH -IN FINAL r� . COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: CITY OF PORT ANGELES PERMIT APPLICATION RE-CHWE'D - Building Division /Electrical Inspections FR 2 G `� 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417- 4711tFC�`4L Date; '7 -z 1 & 2 Single Family Dwelling Iii l' `CflOil * Plan Review May Be lNuired Please Complete Electrical Plan Review Information Sheet Job Address; 7— Z i Building Square Footage: Description.of above Owner,/ form n Contractor Information Name: w el ri l Name; �qK � _ Mailin ddres : _ Mailing Address: City: ri Stater Zip: City: State: Zip; Phone: q 63 Fax: Phone: Fax: License # 1 Exp, License #! Exp, Item Unit Charoe (�yt Total (Qtv Multiplied by Unit ChaMqg� Service/Feeder 200 Amp. $ 120.00 $ Service /Feeder 204 -400 Amp, $ 146.00 $ Service/Feeder 401 -600 Amp $ 205.00 $ ServicelFeedor 601 -1000 Amp, $ 262.00 $ Service/Feeder over 1000 Amp. $ 373.00 $ Branch Circuit W! Service Feeder $ 5.00 $ Branch Circuit WO Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 14 $ 75.00 $ —�_ Temp. Service! Feeder 200 Amp. $ 93,00 $ Temp. ServicelFeeder201 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 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 $ Mote: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 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 Hot 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 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 electrical installation or alteration in compliance with the electrical laws, N.E.C„ ROW. Chapter 19.28, WAC. Chapter 296 -4613, 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 UX El Dated; Credit Card # i "° c v �✓ 0110112412