HomeMy WebLinkAbout1418 E 4th Street - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360=417-4735 .1�'
Application Number 17-00001702 Date 11/16/17 J
Application pin number . . 129918
Property Address 1418 8 4TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-8115-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLB FAMILY
Application valuation . . 0
Application desc
Service change for top unit
Owner Contractor
PAUL AND PAULA" SLYH SHEPHARD ELECTRIC
PO BOX 3685 71 E ROBERT PL
SEQUIN WA 98382 SEQUIN WA 98382
(360) 681-2859 (360) 477-1801
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc . DOUBLE FEE / NO PERMIT
Permit Fee . . . 240.00 Plan Check Fee . . .00
Issue Date . . . 11/16/17 Valuation . 0
Expiration Date . 5/15/18
Qty Unit Charge Per Extension
BASE FEE 120.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
Fee summary Charged Paid Credf Due
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Permit Fee Total 240.00 240.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 240.00 240.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 11)/71)7 .•
ROUGH-IN
FINAL i Jii I ji
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections '"
321 East Fifth Street—Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711 N
Date: f(— /3 - ,/7
Multi-Family or Commercial* _Commercial Addition/Alteration/Remodel/Repair*
*Plan Review May Be Required, Please comt Electrical Plan Review Information Sheet
Job Address: /5/0? 4 y
Building Square Footage:
Description of work
Owner Information P4_K ( s/ / Contractor Info gn /�Q r p-14-4--...—
Mailin
Name: nr\ Name: kk e k ddrgss. /�fa F 4- � , Mailing A dress: 7/ f ,f - e,--
City: s' '' l ' State:V✓�F Zip: 4�'�G� City: Statef,Jit-- Zip: rilii
Phone:3610 fk r 6 Fax: Phone: Fax:
License#/Exp. License#/Exp. S t'itr ff- ; '5'/ Sri 'F ,
Item Unit Charge / Total(Qtv Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $ /c' 0 ' J c.9
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $ E.
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $ 2,1c f
Branch Circuits 1-4 $ 86.00 $ �' J
Branch Circuit W/Service Feeder $ 5.00 $ �u
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $ ,-1f (—
Temp.Service/Feeder 200 Amp. $102.00 $ r. — ic)
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp. $164.00 $ 'Wyaz1"n----
Temp.
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 $
$ 2,4 C) 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,electricalcontractoror electrical administrator: ❑ Cash 0 Check
I'
0 Credit Card#
x 0 "Z- Dated: //'— (3 '—(7
0110112012
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