HomeMy WebLinkAbout1106 W 10th Street - Building ELECTRICAL PERMIT `-
CITY OF PORT ANGELES
360-417-4735
Application Number 17-00001598 Date 11/01/17
Application pin number . . 007988 •
Property Address. 1106 W 10TH ST REPORT STATE SALES TAX
ASSESSOR" PARCEL NUMBER: 06-30-00-0-3-1705-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name
Property Use to the City of Port Angeles
'_ Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
-N„:'- '•- Application valuation . . .
0
Applica.tiOn ,desc
Service Change
•
Owner Contractor
AUBIN, CHAD & SARAH SHEPHARD ELECTRIC
1106 N 10TH ST 71 E ROBERT PL
PORT ANGELES WA 98363 SEQUIN WA 98382 ,
(360), 477-3760 (360) 477-1801
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Pee" . . . 120.00 Plan Check Fee . . .00
Issue bete- . 11/01/17 Valuation . . . . 0
Expiration Date . 4/30/18
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 /•
Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 • .00 .00
Grand Total 120.00 120.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH •
SERVICE 11 )3 I I--1
ROUGH-IN y� l "
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•
PFRMTT WILL EXPO SIX(6)MO THS-FROM LAST INSPECTION
Signature of twiner or Electrie4Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION ' - P
Building Division/Electrical Inspections
321 East Fifth Street—Port Angeles Washington,98362 , ,
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Ph: (360)417-4735 Fax: (360)417-4711 �
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Date: / 0 -30 l 7
_Multi-Family or Commercial* _Commercial Addition/Alteration I Remodel/Repair*
*Plan Review May Be Required, Please Completectrical Plan Review Information Sheet
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Job Address: //c, W e ( 0
Building Square Footage: /
Description of work S e v-r/,'6-e �aJ4. � G
1 C 40,--•1j-e
Owner Information r, / / Contractor Information__ / �,{
Name: Gl0.d4--,t_ r'�" Name: G (.��r -( �(:, ,%,, �_
Mailing Address: /( t' Co k) /� -- Mailing Address: '7/ 6 (
City: r�.,-7` r/.-, State: L Zip:___22 9\ City: .S�., r. State: t .),f-Zip: �_� Z
Phone: Fax: Phone: `.I7 7-At, / Fax:
License#/Exp. License#I Exp. S/t-.1."/7`E * b'9/ .T/'"l
Item Unit Charge (qtyTotal rQty Multi li Unit Charge)
Service/Feeder 200 Amp. $132.00 / $ /7-0�
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuits 1-4 $ 86.00 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp. $164.00 $
Temp.Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $ 96.00 $
Sign/Outline Lighting $ 88.00 $
Signal Circuit/Limited Energy/First 1500 sf—Commercial $ 96.00 $ .
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
$ Total L -
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 c� ��� Dated: O 01101/2012
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