HomeMy WebLinkAbout2302 W 12th Street - Building ELECTRICAL PERMIT t
CITY OF PORT ANGELES s. s
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360-4. 17-4735 om
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Application Number 16-00000375 Date 3/18/16 V
Application pin number . . 803625
Property Address 2302 W 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-01-5-8-0260-0000- REPORT STATE SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
Owner Contractor
ARLAND C ELSTROM JR AND CYNTHI NORTH PENINSULA ELECTRIC
124 N POINT RD 761 FRESHWATER PARK RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 808-4814 (360) 477-1764
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc . NSFR 1200 SQ FT / NPE
Permit Fee . . . 120.00 Plan Check Fee . . .00
Issue Date . . . • 3/18/16 Valuation . . . . 0
Expiration Date . . 9/14/16
Qty Unit Charge Per Extension
BASE FEE 120.00
Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 120.00 .00 .00 ,
Plan Check Total .00 .00 .00 .00 ,
Grand Total 120.00 120.00 .d0 .00
I
76!' f,e `1
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INSPECTION TYPE DATE: RESULTS: INSPECTOR: -
DITCH 3 jt. cpe ,, ,.i,
SERVICE q I (Lre9
ROUGH-IN 3/L�✓1 1_ ,;1�
FINAL31 P
re 4? 1,0.
COMMENTS: ..
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Q 4
Signature of owner or Electrical Contractor X Date:
1
U M'OF PORT.tai\TL ,S .LRIVI T ALPPLICATIONU
Building,ing,DMsion.,./Eii l a vase ons ,.
321 es —P.O. o 1 54)/Port Angeles WastiirAg,ton,98362 ----- kj\
Ph:(360)417-4735 Fax (360)417-4711
Date: ~ 1
• _ 4:. _'i &2 Single Family Dwelling
=Plan Review May Be Required,Please Complete Bend Plan Review Information Sheet
Job Address: 2-- . •L-•• 2- ` ')-- _^
Building Square Footage: ,
�a ption of above \' St --- —_--
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Owner In\"f rmaidon 1_:_ r.. Cont-acror Infos taiioc.
`i na: 1� C\0'i \(. *_- '. , . 1. C I,5 \ Nern:a \\.:. `-1 _ \'.:. -N,,; .- ' . ('
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MailingAddress' ;ac es _ - .-
---- --- W tirg�dt;: s: . � �-c=_ `----- - ...\(-
City. State: :�o: City: v *:.: - ;i-
Phone: Fax: _ Phone \ -\ \ , 7:-...' _ ...__. ,
License r i Exo_ License /C). --,, _.. __
..._ `-
ltern Unit Charne Lir iitit iic: Charge:
Servit»te er200Amp. $120.00
ServimiFeede'201-400 Amp. S 146.00 __
ServiclFeed6 401-600 Amp S 205.00
Service/Fee 601-1000 Amp. S262.00
Servic/Fe e over 1000 Arno_ S 373.00 _
Branch Circuit W/Service Feeder S 5.00
Branch Circuit W/O Service Feeder S 65.00
Each Additional Branch Circuit S 5.00 —
Branch Circuits 1-4 S 75.00 _,
Tamp.Service/Feeder 20D Amu_ $ 93.00
-erro.SerticelFeeder201-400 Anil). S 110.00 — _—
Temp.ServicesF er 401-600 Amp. $149.00 .. _
"rano.Service;i-ee ler"a01-1000Arnp_ S 168_00 --
Portal to Portal Hourly S 96.00
Signal Circuit/Limited Energy-1&2 Family Daiaiiing S 64.00 _..
Manufactured Home Connection $120.00 - _----_—
.
Penewaele Ele�ral Energy-5KVA System or Less $102.00 _ __
•
Trremostat S 56.00
Note:65.00;or each additional T-Stat
NEW CONSTRUCTION ONLY: 1
First 1300 Square FL S 120.05 1 -'
Each Additional 500 Square Ft.or Portion Ci $ 40.00
—
Earn Outbuiidino or Detached Garage $ 74.00
Each Swimming Pool or Ho:Tub $110.00 _. ,
Gomer as defined by RCW.19.28261:(1)Croner udtl occupy The slrucfurefor two years after thin;:,_.::rice:.I.::.I l''-::. .::edd.112)O,nn, =a
to hire an electrical contactor if above said property is for sale,rent or lease.Permit expires eh.-,,,; ;:.1-1;-,-;)tris :::: _ ,:ijon.
After reading the above statement,I hereby certify that I am the owner of the above named prep;cy era li ::<.r , ..:d corittarcc: 'ors iia:ir:c
the electrical instellabon or alteration in compliance with the electrical laws,NEC.,RCN.Chapter 19_28,trV.L.':,.i . 1-19i-3-46B,Ti.'..,,.-:; ' qt•
-
_
Angeles Municipal Code,and Utility Specifications and PANIC 14.05.050 retarding Electrical Permit Appiice,"1-..�:- - .. _-: __
Signature of owner,electrical contractor or electrical administrator: 0 Cash 0 'cnec„
r . ) :
;-"/ v Dated: '- S 1 t,r-' ;.,..-1
/ 4 ELECTRICAL INSPECTION
�r` P*AP WIRING REPORT
417-4735
ATE: PERMIT# INSPECTO'
D
X11.7 1 37.E
OWN R
CONTRACTOR
Aly 0,TO ' 'ULA L- -�-
ADDRESS
2-502, C3 � Z �
APPROVED NOT APPROV:
❑ DITCH ❑
❑ ROUGH IN/COVER ❑
❑ SERVICE 0
❑
FINAL
CORRECTIONS NEEDED: I145 LL._ C.Ot 4 C-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE--