HomeMy WebLinkAbout821 Joshua Street - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES = -0
360-417-4735
Application Number 16-00001075 Date 7/20/16
Application pin number . . 587875
Property Address 821 JOSHUA ST A
ASSESSOR PARCEL NUMBER: 06-30-01-7-6-0120-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . 0
' Application desc
Temp Pole
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
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Fee . . . 93.00 Plan Check Fee . . .00
Issue Date . . . 7/20/16 Valuation . . . . 0
Expiration Date . 1/16/17 1
Qty Unit Charge Per Extension
1.00 93.0000 ECH —EL-TEMP SRV 0-200 SRV FDR 93.00
Fee summary Charged Paid .Credited Due
Permit Fee Total 93.00 93.00 .00 .00
Plan Check Total .00 .00 .00 .00
• Grand Total 93.00 93.00 .00 .00
•
•
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE 7/2.) hi. '^
ROUGH-IN
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COMMENTS: 7_\,;)
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGE\BUILDING
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CITY OF PORT ANGELES PERMIT APPLICATION pv' s- Q
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 iirmalM111111/ T\
Ph: (360)417-4735 Fax: (360)417-4711
Date: ( ( fl - I L-? --1&2 Single Family Dwelling
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: L_ j 1-)LLA,-\ ... k"
Building Square Footage:
Description of above 1 - (c( ) . r k' "' r —
Owner Information Contractor Information
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Name: Name:Ylr.)v-t-1-4 1n, t"11 0C'- (^� r
Mailing Address: Mailing Address: -1i: c 1= r-'J'1-,L,, C:�,} '-- \' 'L
City: State: Zip: City: (Y, State: L.,A Zip: -,(.<--.--
Phone:
�Phone: Fax: Phone:kt-11.--N-11.-'--1 F)�cc'' C' 'z_.rr- e� Li L n'
License#I Exp. License#/Exp. f c,r A-1. 'f �.K`-` . '1_
Item Unit Charge (qty Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 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 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 $ 4ti-
Temp.Service/Feeder 200 Amp. $ 93.00 $ I _�
Temp.Service/Feeder 201-400 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 $ I
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 $
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 $ S
$L- l
_ 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 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
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Signature of owner,electrical contractor or electrical administrator: 0 Cash 0 Check
. a-Credit Card# (-1)n- -.,, _14t._2_._
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x .tir J li.� C Dated: L; 1 - I 1 Lo 01101n012