HomeMy WebLinkAbout620 W 10th Street - Building (2) ELECTRICAL PERMIT
CITY OF RT ANGELES t 7 4 (�
360.417-4735
Application Number 17-00000691 Date 5/31/17.
Application pin number . . 589369
Property Address 620 1/2 W 10TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2215-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning R57 RESDNTL SINGLE FAMILY
Application valuation . . . 0
Application desc
Trim out house
Owner Contractor
HALLER, ZACK T & SHAINA ANDERSON ELECTRIC
44 VERONA CT PO BOX 1638
DANVILLE CA 94526 FORKS WA 98331
(360) 374-9884
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc . 1-4 CIRCUITS
Permit Pee . . . 75.00 Plan Check Fee .00
Issue Date . . . 5/31/17 valuation . . . . 0
Expiration Date . 11/27/17
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL C )12,1)1it„, ,t •
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or 44iiiical.Contractor X Date:
ow% ELECTRICAL INSPECTION
(fer=
WIRING REPORT
l'61tRocs 417-4735
DATE/6
PERMIT# INSPECT
:7 17
OWNIR
CONTRACTOR
44 vi124o4 .6._{_ecliat
ADDRESS
j
APPROVED NOT APPROVED
o DITCH 0
O ROUGH IN/COVER
o SERVICE 0
o FINAL )><1
7C7CORRECTIONS NEEDED: L,41:046e.C.— 1411E-44,___,
2) /Nib 1.1)Eap
13,zp ) 0 4-s-q 4s fq>
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE-
ac?OW'4,1, --NI
CITY OF PORT ANGELES PERMIT APPLICATION n
Building Division/Electrical Inspections -4J
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 " ` ----.
Ph: (360)417-4735 Fax: (360)417-4711
Date:
s- 2(:- 2-'1 -3 +./1 &2 Single Family Dwelling AY 2 2017. O1
*Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet
Job Address: le 2- 'IL, v14 l v rib
Building Square Footage: Ck_c t tom+. Nu,‘53,(v.t-
Description of above S',ti.St., 4-uw.;Li du.cIt;,-,3= 1,\5tz.k1 5., o}[I..Fs t,y, - ,,,LL- .f.,v I St''"IL etlhrz,. 'J Lre_._
Owner Information Contractor Infomlrr�ation
Name: Zgct,' l-k41\,C.i- Name: AC`aCrs-." F--le,tv, c.
MailingAddress. `{4 U e,2c N A C--'I Mailing Address: h o 13 X 143 t
City: 17ct,\v.1.\t✓ State: CIA Zip: q 45 2* City: iv r2 RS State:t-c 4 Zip: '70.33't
Phone: / S-13Sb 393. ax: Phone:30-3'14-71"/f Fax: 3(pv-37y-e'o Bb
License#/Exp. License#/Exp. A N D E rzE 9 Ss-J)Li 3--/ti ZL i`j
Item Unit Charge gty Total(Qty 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 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 I $ -TS e
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 S.`--` 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: ❑ cash gAheck
( " ❑ Credit Card#
X "I v� a k.. -:�Ce-1-,--- Dated: S 2f. C,'I -1 _ 01/0112012