HomeMy WebLinkAbout620 W 10th Street - BuildingI-XICAL PERMrr
Ciff OF PORT ANGELES
360-417-4735
Application Number . . . . . 15-00000616 Date 6/03/15
Application pin number . . . 823080
Property Address . . . . . 620 1/2 W 10TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -2215 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
House remodel
-------------------------------------------------- ------------------------
Owner
Contractor
------------------------
HALLER, ZACK T & SHAINA
------------------------
JEDI ELECTRIC
44 VERONA CT
1329 W 10TH STREET
DANVILLE CA 94526
PORT ANGELES
WA 98363
---------------(360) 417-9579 �j
-----------------------------------------------------------?-1---
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 118.00
Plan Check Fee
.00
Issue Date . . . . 6/03/15
Valuation . . . .
0
Expiration Date . . 11/30/15
Qty Unit Charge Per
Extension
11.00 5.0000 ECH EL -BRANCH CIRCUIT W/FEEDER
55.00
1.00 63.0000 BCH EL -R-
BRANCH CIR WO/ SER FEED
63.00
+- Fee summary Charged
--------------------
Paid Credited
--------------------
Due
-----------------
Permit Fee Total 118.00
118.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 118.00
118.00 .00
.00
INSPECTION TYPE
DITCH
SERVICE
SOUGH -IN
FINAL
COWAI TTS:
DATE: RESULTS:
PERMIT WELL EXPIRE SIX (6) MONTHS FROM LAST INSPt3C WN
Signature of owner or Electrical Contractor X
GAEXCHANGEOUMDING
REPORT SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
INSPECTOR
0
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
Date: 'c—?
1 & 2 Single Family Dwelling
* Plan Review Ma Be 5equlred, Please Complete Elect ccal Plan Review Information Sheet
Job Address: V�� < -'r I o 5�
_P,v
Building Square Footage: S 9 n r sq
Description of above `
(kLIsS t Y %,%-
Owner Information Contractor Information
Name: Z 4 2 \\A -T— Name: Te. i
�� L �' C
Mailing Address: Mailing Address:
City: State: Zip: City:
State: Zip:
Phone: Fax: Phone:
Fax: L�
License # I Exp._ P c' — Q S1 - -2 i 2 License # / Exp.
!
Item Unit Charqe Qtv
Total (Qtv Multiolied by Unit Charge)
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 WI Service Feeder $ 5.00
$
Branch Circuit W/O Service Feeder $ 63.00 �_
$ ov
Each Additional Branch Circuit $ 5.00 1 t
$ .Z'2b U
Branch Circuits 14 $ 75.00
$
Temp. Service/ Feeder 200 Amp. $ 93.00
$
Temp. Service/Feeder 201 400 Amp. $110.00
$
Temp. Service/Feeder401-600 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:
p,
Aw
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., RCW. Chapter 19.28, WAC. Chapter 296-468, 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
VZ'`
�� 1 Er Credit Card te-
S
X - Dated: O` �,
0110112012