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Home My WebLink About1011 W 11th St - Engineering t ELECTRICAL PERMIT �1 CITY OF PORT ANGELES 360 417 -4735 Application Number 12- 00000880 Date 7/13/12 Vv Application pin number 113280 Property Address 1011 W 11TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1875-0000- on your excise tax form Application type description ELECTRICAL ONLY J Subdivision Name to the City of Port Angeles Property Use Property Zoning (Location Code 0502) Application valuation 0 Application desc Meter repair Owner Contractor RODNEY A /GRETCHEN SOUZA OWNER 1011 W 11TH ST PORT ANGELES WA 983637208 Permit ELECTRICAL ALTER RESIDENTIAL /1 Additional desc Permit Fee 120.00 Plan Check Fee .00 Issue Date 7/13/12 Valuation 0 Expiration Date 1/09/13 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL -0 -200 SRV FEEDER 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 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL 42.3hr COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING FpOR7A, ELECTRICAL INSPECTION WIRING REPO ._,T m`' �wo��„F 417 -4735 DATE: PERMIT INSPECTOR O Lb) z 12 cD t Z-J4 CONTRACTOR ADDRESS ZIJ L) 3 l APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: US l'f} C"(-- GU t�. Rii l,.■NL L*{1, 15 Gq u,_. 1.514 g. )4 Go C._..1 _T NOTIFY INSPECTOR WHEN NS RE COMPLETED WITH!' 15 DAYS DO OT EMOVE Jul 12 12 09:39a p.1 RICENED ?CAT 4 N t`y cFrr l CITY OF PORT ANGELES PERMIT APPLICATION JUL 12 2e`i'� Building Division/Electrical Inspections 10 IWO I 00 321 East Fifth Street ,N P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL 00 Ph: (360) 417 -4735 Fax: (360) 417 -4711 mom- NOW Date: 1 1 1 L2- 1 1 2 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: t P 1 I LO 1 1 S P -f- A-, ,-_CQ s L -761- ctg;>e, 3 Building Square Footage: Description of above 12.10P1 IQ Fy7rZa7lG Owner Information '-1' 36115 Contractor Information Name: is TCH 5.60z-P1 Name: Mailing Address: 1n11 ltil 11 .1-- ,1 Mailing Address: City: State: Zip: 11 1 `7 $G City: State: Zip: Phone: Fax: Phone: Fax: License Exp. License Exp. Item Unit Charge Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 120.00 1 t Service /Feeder 201.400 Amp. 146.00 Service /Feeder401 -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 Each Swimming Pool or Hot Tub 110.00 I zc. env 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. Signature of owner, electrical contractor or electrical administrator: 0 Cash Check �7 J 1 0 Credit Card V Dated: l L`�/ 0110112012 _.- CITY OF PORT ANGELES j)Wb250I- 1537 DEPARTMENT OF PUBLIC WORKS REQUEST . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . .. / Date '). - Lf - 0 0 Time Received by (phone, person) location of Work to be inspected .I D II W I f fh, Name of person requesting inspection T I J. \ 1 , (() (<' Address of person requesting inspection 1 1 t- h T () Phone No Type of Inspection (circle appropriate one) lJ, D ~ No I <;;~ ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other I A.J (~t-e V INSPECTION NOTES Inspected Remarks Date Time fA) 5'frA II Ruck '0 Pi eft LUr\_~ I . ~,. l~ 1- .~ u r '~A /\ (/ {) 0 Ie) I By C<~ ::^J 't- ;~0 4~ )/1 -, C)/Jz 0\.1 1'1 I RESTORATION REQUIRED YES NO L/ IV1 B J , , n 3-1, k ~ liuc/'-~V (:9 \ () LU 0 0 <f q;n {J\", \'\ f..- -eel ( 'f .t~,tA"- ~ - ~ .__ ._ _ .-&.-- -/~ >'\1'~ CUr+C\( n Dv-lAt/V +0 cuV'b I 1 -l+- 35') --...-] " Li SURFACE RESTORATION SURFACE TYPE 0 Unimproved DGravel 0 Asphalt I G o Repaired by City CJ Repaired by Permittee o No Damage Found o Other Workyrder # I S 3 r qycOMPlETE o INCOMPLETE OPCC (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)