HomeMy WebLinkAbout1215 W Hwy 101 N/A - BuildingELBG7MCALPERMIT
MY OF PORT ANGELES
360417-4735
Application Number . . . . . 16-00001615 Date 10/27/16
Application pin number . . . 621750
Property Address .... . . . 1215 W HWY 101 #37
ASSESSOR PARCEL NUMBER; 06-30-08-5-1-0200-0000- REPORT SALES TAX
type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City Of Port Angeles
Property Zoning . . . . . . . RESIDENTIAL TRAILER PARK (Locaflon Code 0502)
Application valuation . . . . 0
----------------------------------------- ----------------------------------
Application dtac
Feeder.repair
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Owner
DATE:
Contractor
I INSPECTOR_
------------------------
UN CHIN INC
------------------------
ELECTRIC AMERICA
8817 WELLER RD SW
16.,/,Z7
PO BOX 3523
LAKEWOOD
WA 98498
SILVERDALE
WA 98383
FINAL
(360) 912-5550
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Permit . . . . .
. ELECTRICAL ALTER RESIDENTIAL
Additional desc -
. HOURLY
Permit Fee . . .
. 96.00
Plan Check Fee
.00
Issue Date . . .
. 10/27/16
Valuation . . .
. 0
Expiration Date
4/25/17
Qty Unit Charge
Per
Extension
-BASE
FEE
96.00
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Fee summary
Charged
---------- ----------
Paid Crbdited
---------- ----------
Due
-----------------
Permit Fee Total
96.00
96.00 .00
.00
Plan Check Total
.00
.00 .00
00
Grand Total
96.00
96.00 .00
00
INSPECTION TYPE
DATE:
RESULTS:
I INSPECTOR_
DITCH
SERVICE
16.,/,Z7
ROUGH -IN
FINAL
COAMENTS:
PER.MrF WELL EXPIRE SIX (6) MOM -14S FROM LAST INSPECn0N
Signature of owner or Electrical Contractor X
Date:
WEXCHMGMBUILDING
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date:
-1 1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: /Z /<
Building Square Footage _
Description of above 7—A/4 -7f -/—'q o `
Owner Information
Name: ! jrmt —'.-,C,4e-t2r—J
Mailing Address: —< 4 EAA A .S
City: State: Zip:
Phone:Fax:
License # I Exp.
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feed
Branch Circuit W/0 Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4 Only
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 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:
trr
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft. or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $ / 0
Each Swimming Pool or Hot Tub $110.00 $
�finaliized.
�otal
2 1: 1 wn r will u the structure for two ears fter this electrical i irrwn r 'Owner as defined by RCW.19.28 6 () 0 e occ py y a pe t s(2) 0 e 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., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatur o o er, electrical contractGV
ctrical administrator: El Cash ❑ Check
El Credit Card #
•\ x Dated: dCT C b 02/06/2012
�/
Contractor Information
Name: _'L <
Mailing Address: d
city: Sce"ZI, )T { e..{ State: Zip: C�PX!R;
„
Phone: t 2—. ;s—stbax:
License # I Exp.
Unit Charge
Qt Total (Qty Multiplied by 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
$
$196.00
/ % $ / IQ
$ 64.00
- .Y $_
$120.00
l $
$102.00
If
$ 56.00
$
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft. or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $ / 0
Each Swimming Pool or Hot Tub $110.00 $
�finaliized.
�otal
2 1: 1 wn r will u the structure for two ears fter this electrical i irrwn r 'Owner as defined by RCW.19.28 6 () 0 e occ py y a pe t s(2) 0 e 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., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatur o o er, electrical contractGV
ctrical administrator: El Cash ❑ Check
El Credit Card #
•\ x Dated: dCT C b 02/06/2012
�/