HomeMy WebLinkAbout1435 E 4th Street - Building VI N
ELECTRICAL PERMIT t k
CITY OF PORT ANGELES k
360=417-4735 . .
Application-Number 16-00000368 Date 3/16/16
Application pin number . . 113088
Property Address 1435E 4TH ST
ASSESSOR PARCEL NUMBER: 06-300-5-6-0053-0000- REPORT STATE SALES TAX
Application-type description ELECTRICAL ONLY on your excise tax form
SubdProperty us Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
Application desc
125 Amp svc to outbuilding
Owner Contractor
BOE, TRACI E SIMPSON ELECTRIC
1435 E 4TH ST 243036 W HWY 101
PORT ANGELES WA 98.3624707 PORT ANGELES WA 98363
(360) 457-9270
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 194.00 Plan Check Fee . . .00
Issue Date . . . 3/16/16 Valuation . . . . 0
Expiration Date . 9/12/16
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
1.00 74.0000 ECH EL-R-OUTBD/DTCH GAR IN/SEP 74.00
• Fee summary Charged Paid Credited Due
Permit Fee Total 194.00 194.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 194.00 194.00 .00 .00
•
- INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE !2-->lr_ cife •:„.„..,
ROUGH-IN
FINAL
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COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION .* , I. v
Signature of owner or Electrical Contractor X Date:
CITY OF PORT ANGELES PERMIT APPLICATION ,
Building Division/Electrical Inspections if
321 East Fifth Street–P.O.Box 1150/Port Angeles Washington,98362 '-' : -
Ph: (360)417-4735 Fax: (360)417-4711 _NIIIIPPF
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Dated- I 17–/t! x I &2 Single Family Dwelling
*Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet
Job Address: -3 S E L t -
Building Square Footage: /4717/
Description of above ie - , -____../ll�-
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Owner In_foa ion Contract I forth tion_! /
Name: !/ cl C ci gee- �/� Name:.s /fpr/V,eje rfz-I_ LL
Mailing reds /X35 � a- Mailing Addiess: •0 • c9 /OE
City: • // • State:/.01- Zip: �f'c 3lo.L City: H• State: /9- hp: �3 6 �v
Phone: Fax: Phone: ' vl 7 CT Fax: 7O
License#/Exp. License#/Exp. P L 7
Item Unit Charge Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 yr $ 4 0�O'e'r)
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 $
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 ;C' $ 7 y ,do
Each Swimming Pool or Hot Tub $110.00 $
$/5 1 -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 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Sign of owner,electrical contractor or electrical administrator: 0 cash 0 Check
Credit Card
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2CL -1- Dated:_3 --/4/--/ 01/01/2012
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —