HomeMy WebLinkAbout126 E 12th Street - BuildingA
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3644174735
Application Number 16-00001566 Date I0/17/16
Application pin number 489844
Property Address . 0 , 126 E 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8010-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY On yrour excise tax form
subdivision Name
Property Use . . . . to the City Of Port Angeles
Property Zoning . . . . , RS7 RESDNTL SINGLE FAMILY (Location Code 0502,)
Application valuation . . 0
--------------- ------- ----------------- --------------------------
Application desc
Securitysystem
---------------------------- _ -----------------------
Owner
Contractor
---------------------
LNURANCE NICKEY III/ J WRAY
------------------------
PROTECT YOUR HOME
126 E 12TH ST
3750 PRIORITY WAY
SOUTH DRIVE
PORT ANGELES WA 9836278I2
4200
INDINAPOLIS
IN 46240
(317) 810-4720
-------------------------------------
Permit . M , , . , ELECTRICAL ALTER
---------------
RESIDENTIAL
-----------
Additional desc . ,
Permit Fee . . . 64,00
Plan Check Fee
Issue Date . . . . 10/17/16
Valuation
0
Expiration Date 4/15/17
Qty Unit Charge Per-
Extension
1.00 644000 ECH EL -SINGLE
CIR LIMITED RES
. 64.00
------------------ -------
Fee summary Charged
----------------- -------- ----------
...... �W: -----------
Paid Credited
----------
--------------
Due
---------
Permit Fee Total 64,00
6000 .00
.00
Plan Check Total .00
so .00
'00
Grand Total 64.00
64.00 00
.00
INSPECTION TYPE
DATE: RESULTS-
INSPECTOR.
DITCH
SERVICE
ROUGH IIS"
FINAL
COTAMETUS:
PERMIT WILL EXPIRE SEX (6) MONTHS FROM
LAST INSPECTION
Signature of owner or Electrical Contractor X_ Daten
GAEXCHANGMBUILDING
raaal
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: � - 1--1- �U q — Z18,2 Single Family Dwelling
* Plan Reviewby Be ReqUred Please Co lete Electrical Plan Review Informatior Sheet
Job i RD
Building Squarege:
Des nrition of at Foola
love
Owner Information
Name: t
Valli ddre
city:M 7jp,
Phone: t7 ax: n A
License #I Exp. —p
Item
Unit Chante
ServiceiFeede, 200 Amp,
S 120,G0`
Servic:elFeeder 201A00 Amp.
$146,00
ServicelFeeder 401-600 Amp
$205.00
Serv;ce)Feeder 601-1000 Amp.
S 262.0
ServicelFeeder over 1000 Amp.
$373.0,0
Branch Circuit W/ Service Feeder
$ 5.00
Branch Circuit W/O Service Feeder
S 63.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 75,00
Temp. Servilicel Feeder 200 Amp.
$ 93,00
i ernp, ServicefFeeder 201.400 Amp.
$1,10,00
Temp. Service/Feeder 401,600 Amp.
S 1149,00
Temp SarvimlFeeder1301,1000 Amp
5168.00
Portal to Portal Hourly
S 06-010
Sigrat Circuit/ Limited Energy - I & 2 Family Dwelling
$ 64.00
Manufactured Home Connection
S 120.00
Renewable Electrical Energy - 5KVA Svstern or Less
$ 102,00
Thermostat
$ 56.00
Note: $5,00 for each additional T-Stat
NEW CONSTRUCTION ONLY;
First 1300 Square Fl,
$120,00
Each Addihonal 500 Square Ft. or Portion of
$ 40,00
Each Outbuilding or Detached Garage
$ 400
Each Swimming Pool or Hot Tub
S 110,00
Contr6or*informati n
Name: (fi K—
MaRna Address: 'k77#�'j
city` tale! Zip:
Phonel•&40 Fax:
Lice -A—aLteki
Total (Qtv Multiolied by Unit Charael,
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 it above said property is for sale, rent or lease. Permit expires after six months of last inspechon.
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 Iwas, N.E.C., RCV4. Chapter 19.28, ViX-'. Chapter 296A68, The City of Port
Angeles Municipal Code, and Utility Specifications and PAIVIC 14.05,050 regarding Electrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator: 0 cash 0 Ch
edit Card #
Dated: OV0112012