HomeMy WebLinkAbout521 W 15th Street - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES � �..
360-417-4735
Application Number 17-00000991 Date 7/21/17
Application pin number . . 940411
Property Address 521 W 15TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-1865-0000-
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
Broken meterjaw repair
Owner Contractor
SZABO, JEREMY A OWNER
521 W 15TH ST
PORT ANGELES WA 983627510
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 63.00 Plan Check Fee . . .00
Issue Date . . . 7/21/17 Valuation . . . . 0
Expiration Date . 1/17/18
Qty Unit Charge Per Extension
1.00 63.0000 ECM EL-R- BRANCH CIR WO/ SER FEED 63.00 f
Pee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00 •
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN ?/74 ) j^�I
FINAL ? , 44Y
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
W/,..
I ••••—.
CITY OF PORT ANGELES PERMIT APPLICATION O. e;:,
Building Division/Electrical Inspections ,.4 --,
321 East Fifth Street— Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360) 417-4711 ‘41111111V 1
Date: —I &2 Single Family Dwelling
* Plan Review Mayfie Required, Plepse Complete Electrical Plan Review Information Sheet
Job Address: r-a. i I-/ i
Building Square Footage:
Description of above
13712,0)4 CA M i -- -- ,..)#
Owner Information Contractor Information
Name: .1..E 4,g yvi Y S Z.A ig d Name:
Mailing Address: r x. / L.-, /s-1::-1. .17 Mailing Address:
City:4 .4.Ai 6V-it!State:A/A Zip: 7 0,..?6 City: State: Zip:
Phone260-L/77-TUfFax: Phone: Fax:
License g/Exp. License#1Exp.
Item Unit Charge Qtv Total(Qtv Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
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 VIII Service Feed $ 5.00 $ .
19C)
Branch Circuit W/O Service Feeder $ 63.00 1
Each Additional Additional Branch Circuit $ 5,00 $
Branch Circuits 1-4 Only $ 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 .
$$,7;:ffietel-'
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 0 Check
0 Credit Card#
X Dated: 0210612012