HomeMy WebLinkAbout821 N/A Joshua Street - BuildingELECTRICAL PERMrr
CITY OF'PORT ANGELES
36417=4735
Application Number . . . . . 16-00001175 Date 6/08/16
Application pin number . . . 369400
Property Address . . 821 JOSHUA ST
ASSESSOR PARCEL NUMBER: -06-30-01-7-6-0120-0000-
Application type description ELECTRICAL 'ONLY
Subdivision Name . . . . . .
Property Use . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------- ----------------------------------
Application desc
New home
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Owner
Contractor
------------------------
GUSSMAN,JOHN/HICKEY,CATHERINE
------------------------
NORTH PENINSULA ELECTRIC
P.O. BOX 443
761 FRESHWATER PARK RD
MEDINA
WA 98039
PORT ANGELES WA
98363
(360) 477-1764
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Permit . . . . . .
ELECTRICAL NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . .
240.00
Plan Check Fee
.00
Issue Date . . . .
8/08/16
Valuation . . . .
0
Expiration Date . .
2/04/17
Qty Unit Charge
Per
Extension
1.00 120.0000
BCH ''EL-R-SQFT FIRST 1300
120.00
3.00 40.0000
BCH EL-R-SQFT ADDITIONAL 500
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Fee summary Charged
----------
Paid Credited Due
--------------------
---------------------------
Permit Fee Total
240.00
240.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
240.00
240.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DTE. RESULTS: INSPECTOR
DITCH '� , �� e§�
SERVICE"����=L _
ROUGH -IN
FINAL,
CON04ENTS:
PERMIT WILL EXPmE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date.
WEXCHANGEW[LDING
CITY OF PORT ANGELES PERMIT APPLICATION
Building DivisionMectrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711
Date: 2 Single Family Dwelling
* Plan Review May Be f�quired, Please Complete flectjical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above
"A i
Owner Information
Name:
Contractgr Information
Name: +14 V, - .' "-,\• t i, ') S
Mailing Address:
city: i State: 4-1 Zip:
MailingI
Qtess.
City: I' rEstate: Zip,
Phone: Fax:
Phone. '-A -v - f_? �
License # I Exp.
License # t Exp. + k)C�e--g, 7 it,
Item
Unit Charqe
QtV Total (Qty Multiplied by Unit Charge]
ServicetFeeder 200 Amp.
$120.00
$
Service[Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp
$205.00
$
ServicelFeeder 601-1000 Amp.
$262.00
$
Service/Feeder over 1000 Amp.
$373.00
$
Branch Circuit W/ Service Feeder
$ 5,00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 75.00
$
Temp, Service/ Feeder 200 Amp,
$ 93.00
$
Temp. Service/Feeder 201400 Amp.
$110.00
$
Temp, Service/Feeder 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
$
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $ 'V
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 $
$_1Z,e',_ -Total U
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit rfinalized. (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., 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.
Signature of owner, electrical contractor or electrical administrator: El Cash 0 Check
f-r-C-redft Card #
X 01101012