HomeMy WebLinkAbout3606 McDougal Street - Building ELECTRICAL PERMIT t
CITY OF PORT' ANGELES
360-417-4735
• Application Number 16-00000670 Date 5/10/16
Application pin number . . 290750
Property Address 3606 MCDOUGAL ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-15-4-1-0100-0000
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
Rewire existing home •
Owner Contractor
EDWARD AND PEGGY ADAMICH OWNER I
121 COLUMBUS AVE .
PORT ANGELES WA 983622501
{360) 452-9998 ,
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 220.00 Plan Check Fee . . .00
Issue Date . . . 5/10/16 Valuation . . . . 0
Expiration Date . 11/06/16
, , Qty Ufit Charge Per Extension
20.00 5.0000 ECH •EL-BRANCH CIRCUIT W/FEEDER 100.00
-1..00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
Pee summary Charged Paid Credited Due
Permit Fee Total 220.00 220.00 .00 .00
Plan Check Total .00 .00 .00 .00 •
Grand Total 220.00 220.00 .00 .00 ,
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:-
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COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owns or Electrical Contractor X ` �" Date:
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CITY OF PORT ANGELES PERMIT APPLICATION . A►vae,
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Building Division/Electrical Inspections ow--
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321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711 • -„
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Date: kJ; xrzaff_suga- _1 &2 Single Family Dwelling
*Plan Review May Be Re wired, Please Complete Electrical Plan Review Information Sheet
Job Address: �36o6 :lr)VL.x til
Building Square Footage: /A.40 .S ft- �
Description of above / �r;rrex.r-,�:�k -r'\1 Re k...,%_-1c- (=xKf+ V,,r..\\SF Qe•,rt,,.a-c-1.. t frpvicec. 1.--57,c1-1.
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Owner Informatio /� Contractor Information
Name: --d(J�. At t`r\.Ck Name:
Mailin Address: IQ t Cotu,e•NK S Mailing Address:
City: 4- State: u c Zip: 471.36 Z. City: State: Zip:
Phone:' R Fax: Phone: Fax:
License#/Exp. License#/Exp.
Item Unit Charge Total(QUI Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $ 120
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 • $ 'bp
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 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 $
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 $
$ T,otal
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.
Signature of owner,electrical contractor or electrical administrator: ❑ Cash 0 Check
li Credit Card# �� `%� � ��%
X (-4, � "/74)///, ' .1X Dated: 7/0! 2.- 4( 01101/2012
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ELECTRICAL INSPECTION
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WIRING REPORT
417-4735
DATE. PERMIT INSPECTOR
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OWNER
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CONTRACTOR
ADDRESS
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APPROVED NOT APPROVED
O DITCH 0
o ROUGH IN/COVER
O SERVICE
0 FINAL . . . . . . . . . . . . . . . . . . 0
7CORRECT1ONS NEEDED: r,,,4114)4
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
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WIRING REPORT
`'O41,eKs day 417-4735
DATE PERMIT# INSPECTOR
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OWNER
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CONTRACTOR
ADDRESS A
APPROVED OT APPRED
❑ DITCH 0
❑ ROUGH IN/COVER
>❑ SERVICE
❑ FINAL 0
CORRECTIONS NEEDED: +10 41-ALL- ''1t-tO i : ° C 5
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —