HomeMy WebLinkAbout535 W 4th Street - BuildingELECTRwAL PERmrr
MY OF PORT .ANGELES
30417-4735
Application Number . . . 16-00000996 Date 7/01/16
Application pin number . . . 806588
Property Address . . . . 535 W 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -7450 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use . . . . . . . .
Property Zoning , . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
PV system. Net metering agreement required
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Owner Contractor
----------------- ------ --------------- --------
GABRIELLE GLASEN POWER TRIP ENERGY CORP.
PO BOX 281. 83 DENNY AVE
CARLSBORG WA 98324 PORT TOWNSEND WA 98368
(360) 643-3080
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 165.fl0 Plan Check Fee .00
Issue Date 7/01/16 valuation 0
Expiration Date 12/28/16
Qty UAit Charge Per Extension
1.00 102,0000 ECH --EL-RENEWABLE 5-KVA OR LESS 102.00
1.00 63.,0000,ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----- ----
Permit Fee Total 165.00 165.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 165.00 165.00 .00 .00
TWE
DITCH
SERVICE
ROUGH IN
FINAL
COAGdENTS:
DATE- RESULTS:
PERWWILL E1PWS1X(6) MONTHS FROM LAST INbrto-4tuR
Signature of owner or Electrical Contractor X
GAEXCHANGEWILDING
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECrOIL-
Date,
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
[)ate: 6/30/2016
-- I & 2 Single Family Dwelling
A- t
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 535 WEST 4TH ST. PORT ANGELES, WA 98362
Building Square Footage: N/A
Description of above ROOF MOUNTED RESIDENTIAL SOLAR PHOTOVOLTAIC (PV) SYSTEM- 3.45 kW SUNPOWER SYSTEM.
10 0 345 WATT MODULES. 3.8 kW SMA INVERTER
Owner Information Contractor Information
Name: GABRIELLE GLASEN Name: POWER TRIP ENERGY CO.
Mailing Address: 535 WEST 4TH ST Mailing Address: 83 DENNY AVE
City: PORT ANGELES State, WA Zip: 98362 City: PT. TOWNSEND State: WA Zip: 98368
Phone: 360-565-6745 Fax: N/A Phone: 360-643-3080 Fax: 360-539-1857
License # I Exp. N/A License # Exp. POWERTE964JN 14116/2018
Item Unit Charge Qty Total [Qum Multiplied by Unit Charqej
Service/Feeder 200 Amp. $120,00 $
Service/Feeder 201400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W1 Service Feeder $ 6.00 $
Branch Circuit W/O Service Feeder $ 63.00 1 $63,00
Each Additional Branch Circuit $ 5.00 5
Branch Circuits 1-4 $ 75.00 $
Temp. Service/ Feeder 200 Amp. $ 93,00 $
Temp, Service/Feeder 201400 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 S 64,00 $
Manufactured Home Connection $120.00 S
Renewable Electrical Energy - 5KVA System or Less $102,00 t $102.00
Thermostat $ 56.00 $
Note: $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 $
$165.00 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., RCK Chapter 19,28, WAC. Chapter 296468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatur of owner, electrical contractor or electrical administrator: 0 Cash F Check
Credit Card#
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X I Dated,. 6/3012016 0110117012