HomeMy WebLinkAbout1042 OLYMPUS AVE - Building (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001894 Date 12/28/16
Application pin number . . . 684490
Property Address . . . . . . 1042 OLYMPUS AVE
ASSESSOR PARCEL NUMBER: 06 -30=14 -5 -4 -0210 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
RV meter / Main
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Owner Contractor
------------------------ ------------------------
ADAM E BREED OWNER
671 MAYBERRY
FORKS WA 98331
--------------------------------------- — -----------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120..00 Plan Check Fee .00
Issue Date . . . . 12/28/16 Valuation . . . . 0
Expiration Date . . 6/26/17
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:
DITCH
SERVICE
1 z. )IDA&
!
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or EIectrical Contractor X
REPORT STATE SALES TAX
on your excise tax form
to the City of Pat Angeles
(Location Code 0502)
INSPECTOR:
rft►
Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections t (;'k-)
`
321 East Fifth Street — Port Angeles Washington, 98362 z
Ph: (360) 4174735 Fax: (360) 4174711
Date: � " 1 & 2 Single Family Dwelling
* Plan Revievv, May Be Required, Plqase Complete Electrical Plan Review Information Sheet
ILIL41 CDjvi1iLiAs. A
Job Add -W
Building Square Footage: t
�A
Description of above
C.o AA4A -,'c i
Owner I o ation
Contractor Information
Name: 0 t 1P,f'@t%
Name:
Mailing Address: 71 AA044igeAW A,*
Mailing Address:
City: �'�K i State: ip: o133v 1 City:
State: Zip:
Phone: 411-1 - 5'' c:
Phone:
Fax:
License #"/ Exp.
License # I Exp.
Item
Unit Charqe Qtv
Total (Qtv Multiplied by Unit Charqe►
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201400 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 Feed
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4 Only
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. Service/Feeder 201400 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
$
$_ 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 296466, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatufe�gf owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
❑ Credit Card #
X �f
�� �. Dated: 02106/2012
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