HomeMy WebLinkAbout2128 W 16th Street - BuildingINSPECTION TYPE
ELECTRICAL PERMIT
I DATE, RESULTS:
MY OF PORT ANGELES
DITCH
360-417-4735
Application Number . . . . .
16-00001577 Date 10/18/16
1(2 bb _A>
Application pin number . . .
619332
Property Address ., : . . . .
2128 W 16TH ST
REPORT SALES TAX
ASSESSOR PARCEL NUMBER:
06-30-00-1-1-0450-0000-
Application type description
ELECTRICAL ONLY
on your excise tax form
Subdivision Name . . . . . .
COAMEWS:
to the City Of Port Angeles
Property Use . . . . . . . .
PERMIT WILL EXPME SIX (6) MONTHS
Property Zoning . . . . . . .
RESIDENTIAL MEDIUM DENSTY
(Location Code 0502)
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Meter repair
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Owner
Contractor
------------------------
SCOTT HILLIARD
------------------------
ANGELES ELECTRIC
2128 W 16TH ST
524 B. IST ST.
PORT ANGELES WA 98362
PORT ANGELES WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00
Plan Check Fee .00
Issue Date . . . . 10/18/16
Valuation . . . . 0
Expiration Date . , 4/16/17
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 .00 .00
Plan Check Total .00
.00 .00 .00
Grand Total 120.00
120.00 .00 .00
INSPECTION TYPE
I DATE, RESULTS:
INSPECTOR.
DITCH
SERVICE
1(2 bb _A>
ROUGH -IN
FINAL
COAMEWS:
PERMIT WILL EXPME SIX (6) MONTHS
FROM LAST T In FS E -71 - N
Signature of owner or Electrical Contractor X
Date:
GAEXCHANGEWILDING
10/17/2016 11:46 FAX 360 452 9265 Angeles Electric
QTY QF PART ANGEim PERm Appuwm
BuffdIngDivisionMedrIWhup=dons
321 East Fifth Street — P.O. Box 1150 / Port Angda Washbi&n, 99362
Ph: (360) 417-4735 Fax: (360) 4174711 1/
Date. 1phzz' e -P ZI & 2 31n9b FaWly NvUlIng
I f,
* Plan Review May Be Required, Please Complete Elechtal.Plan Review Iribmation Sheet
Job Address:
Bing Square Footage:.
Description of above
owner 'n
Name:
'
Mailimi Address:
_ZIP:,
Phorw- Foac
License 0 / Exp,
90001/0001
212-e- A.). 1401
YIV 120/(
bm
Unkalm Total
(01V mum* hx unk Owd
$ervice/Feeder 200 Amp..
$ 120.00
SenricalFeeder 201400 Amp.
$146.00
S~eeder 401.600 Amp
$205.00
Service- Feeder 601-I000 Amp.
$267-00
$
SovioWFeader over 1000 Amp.
$373.00
$
Branch Circuit WIWWoo Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch UaA
$ 5.00
$
Branch Oroub 14
$ 75.00
$
Tamp, Servical Feeder 200 Amp.
S 93.00
$
Tamp. Sendca Feeder 201400 AnV.
$110.00
$
Temp. SeMceJF98der40I-WAmp.
$149.00
$
Temp. SerwceFeeder6014WO Amp.
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Ckw?J Umbd Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy - 5WA System or Less
$102.00
$
Them=tat
$ 56.00
$
Note: $5.00 for each addftW T-Stat
NP CPMSTRUCTION ONLY.
FW 1300 Square Ft
$120-00
$
Each Additional 500 Square Ft or Portion of
$ 40.00
$
Each OUbuilding or Detached Garage
$ 74.00
$
Each Swimming Pod or Hot Tub
$110.00
$
1:'�n JTOW
I -
Omer as d" by RCW.1928.261: (1) Owner will occupy the structure for two Years der this electrical permit
is finalized. (2) Owner is required
to hire an electrical contractor N above said property Is for sale, rent or base. Parmli wores after six months of IW Inspection.
After reading the above staternsint; I hereby oertify that I am the owner of the above named property or a licensed
electrical corrtractor. I am mal frig
the electrical installation or alteration in cornplence
Wth the electrical laws, N.E.C., RCW. Chapter 1028, WAC, Chapter 29640, The City of Port
Angeles Municipal Code, and Uffity Specifications and PAMC 14.05.050 regarding Electrical Pwd Applications.
Signature of ower, electrtcal contractor or electrical administrator: a coh a co"
CWd#
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IIIMMU