HomeMy WebLinkAbout1028 W 12th Street - Building �i
ELECTRICAL PERMIT a1,
CITY OF PORT ANGELES _. w
360-417-4735 -4,)
Application Number 17-00000829 Date 6/20/17
Application pin number . . 148096
property Address 1028 W 12TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7035-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
Application desc
Service upgrade
Owner Contractor
TERESA RUSSELL APS ELECTRIC
1028 W 12TH ST 546 BENSON RD.
PORT ANGELES WA 983637214 PORT ANGELES WA 98363
(360) 452-6753
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 120.00 Plan Check Fee . . .00
Issue Date . . . 6/20/17 Valuation . . . . 0
Expiration Date . . 12/17/17
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
Fee summary ( Charged Paid Credited Due
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Permit Fee Total 120.09 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
GrandTotal120.00 120.00 .00 .00 •
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE b4 i"2 '` al. r
ROUGH-IN 4/29 17 I- �z:.sM
FINAL /74"- .j;
COMMENTS: 11
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PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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@6/15/2817 08:19AM 3604526753 A.P.S. ELECTRICAL PAGE 01/01
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Cm Or PORT ELES PERMIT APPLICATION Apr liNallo:...
Baildbig DivisionfEleeirieal Inspections
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321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 4.,:Q,P1--'''''''' ei, -_ • . • ,:I
Ph:(360)417-4735 Fa :(360)417-47/1 lirs
Date: I (7 ' I 1 " X 1&2$ingle Family Dwelling
*Plan Review May Be ReqUired,Please Qampiete Electrical Plan Review information Sheet
Joh Address: )0 '3' 1A) - I Q -/
Sliding Square Footage: !i
Ption of at ove 11. *: ... I'.1131..
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°Mar Infonnation 1
Nam, -1—Q.-c,r•Li ir--. 11\5 9.-1 1,... Nerne:Clmtract 15121,11/C(*I`/ 6..41 a)ritiketeilib(*-
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City: i State: Zip: Cily: S1;Fe):* ...1.1....ZEir.
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UMW#/Exp. , License#1 Eco. -
IIIM UTlit Chan* al____ —10.11ft, fileitiolied by Unit Chem ). 01
Service/Feeder 200 Amp. $120.00
___I _
Woe/Feeder 201-40e Amp. : $146.00 $
Service/Feeder 401-600 fop : $205.00 $
Service/Feeder 601-1000 Amp. 5262.00 $
SendoeFearier over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder, $ 5.00 $ -
Breech Girard W/0 Service Feeder $ 63.00 . $
Each Addltionar Branch Circuit - $ 5.00• $
Branch Circuits 1.4 $ 75.00 $
Temp.Smite/Feeder 200 Amp. ' $ 93.00 $
Temp,Saviceffeeder 201-400 AMp. $110.00 $
Temp.Service/Feeder 401-800 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Anip. $168.00 $
Portal to Portal Hourly $ 96_00 • $
Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 . $
Manufactured lonie Connection .: 5 120.00 $
Renewable Electrical Energy-51(VA System or Less $102.00 S
ThermOstat $ 56.00 $
New$5.00 for each additional 7-Stat
NEW commucnoti coLy;.
Fast 1300 square FL : $120.00 $
Each Add 500 Square Ft or Porfion of $ 40.00
Each PAN/Hang ar Detached Galte $ 74.00 _ '5;
EaCh Swimming Pool or Hot Tub $110.00
$)20 r Total
Owner as defined by RCW.19,28.261:(1)Owner wit occupy the structure for two years after ihis electrical permit is finalized.(2)Omer Is required
to hire an electrical confractor if above said property is for sale,rent or lease.Permit expires after six months of last inspacfion.
Ater reading the above statement,I hereby certify that!am the owner of the above named property or a licensed electrical contactor.I am making
the electrical installation or alteration in compliance WM the electrical laws,N.E.C.RCW.Chapter 1a28,WAC.Chapter 296-468.The City of Port
Angeles Municipal Code,and Utility Specifications and PAW 14,05.060 regarding Electrical Permit Apolicutione.
Signature of owner,electrical continctor or electtical administrator! 0 cows 0 *Mo.
01 Cred2 Card /-A;Le
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