HomeMy WebLinkAbout1210 Dutch Drive - Building -J
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735 ,,b
Application Number 17-00001069 , Date 8/08/17
Application pin number . . 155521
Property Address 1210 DUTCH DR, REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-8-0-0090-0000-
Application type description ELECTRICAL. ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
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Application desc
Temp service
Owner Contractor
DAVID A AMD MARILYN K HILDEBRA KIRSCH ELECTRIC INC.
2311 259TH PL SE P. O. BOX 3396
SAMMAMISH WA 98075 SEQUIM WA 98382
(360) 683-6819
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Fee . . . 93.00 Plan Check Fee . . .00
Issue Date . , . 8/08/17 Valuation . . . . 0 •
Expiration Date . 2/04/18
Qty Unit Charge Per Extension
1.00 93.0000 ECH EL-TEMP SRV 0-200 SRV FDR 93.00
Pee summary Charged Paid Credited Due
Permit Fee.Total 93.00 93.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE Fit/
117
--ROUGH-IN
FINAL O'' i i/7
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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Vic- x. � - ,_ ‘0%v(411 11r/ 1
CITY OF PONT ANGELES PERN11T APPLICATION '` , `l. N
Building Division/Electrical Inspections
321 East Fifth Street-P.O. Box 1150/ Port Angeles Washington.98362 - Q-
Ph: (360)417-4735 Fax: (360)417-4711
Date ..' 1 1 —_ _1 &2 Single Family Dwelling
Plan Review May Be Required, Please CompKte Electrical Plan Review Information Sheet
Job Address: 1"L(c3 a].,.)tC -D-c-:Nit_ t O.c-lc- (11\ct've S --- -
Building Square Footage:
Description of above_ �s==T e-, ,r„A--
Owner Information Contractor Information
Name: t ka.C:Als,1\ Name -- 4- `"n .,)-tf K.k__,
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Mailing Address _ Mailing Address PS2� x.. 33eNC
City ..._ State: Zip .._ City ,nkiY\. State wit-4--Zip:S 'SP,Z-
Phone. Fax -_-.. Phone' (n`C,S•( (\ -_Fax-. .----_--- _
License#I Exo._ _ License#I Exp. AL,r-c2,5C. Lc,_5273'H/ _
Item Unit Charge Qty Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. S 120.00 $
Service/Feeder 201-400 Amp. S 146.00 $-
Service/Feeder 401-600 Amp S 205,00 $
Service(Feeder 601-1000 Amp - $262.00 $
Service/Feeder over 1000 Amp 5 373.00 _ $
Branch Circuit W/Service Feeder $ 5.00 S
Branch Circuit Wr0 Service Feeder 5 63.00
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 75.00 $ _
Temp.Service;Feeder 200 Amp. $ 93.00 G1,,C(.' $ i..__
Temp,ServicelFeeder 201-400 Amp. 5 110.00 $
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 — $i
Manufactured Home Connection $120.00 $____
Renewable Electncal Energy-5KVA System or Less $102.00 $
Thermostat S 56.00 _ - $�_
Note'$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. S 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 S 110.00 ___. ., $
$--, .__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 electncal 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: ❑ Cash ❑ Check ,
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L relit Card A ��r: +It
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