HomeMy WebLinkAbout1818 W 11TH ST - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
364-417-4735
Application Number . . . . . 18-00001083 Date 7/16/18
Application pin number . . . 192209
Property Address . . . . . . 1818 W 11TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -6120 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . . RESIDENTAL SF 7000
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Temp Service
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Owner Contractor
haleena C Simmons SEQUIM VALLEY ELECTRIC
P O BOX 522 11 LONE EAGLE LANE
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 681-3330
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Permit . . . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc . .
Permit Fee . . . . 93.00 Plan Check Fee .00
Issue Date . . . . 7/16/18. Valuation 0
Expiration Date . . 1/12/19
Qty Unit Charge Per Extension
1.00 93.0000 ECH EL -TEMP SRV 0-200 SRV FDR 93.00
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Fee 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
IINSPECTION TYPE
DATE:
RESULTS:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
.
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor, X
a
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
K&UMMi
Date:
pF°°AT,� ELECTRICAL INSPECTION
WIRING REPORT
"Ks 417-4735
DA!Nn
PERMIT # INSPECTOR
O
CONTRACTOR
ADDRESS 7'
APPROVED NOT APPROVED
❑ ....................DITCH.................... ❑
❑ ................ROUGH IN/COVER ...........
❑ ....................SERVICE............... .
❑ .....................FINAL.................... ❑
CORRECTIONS NEEDED: "F,,A C_ k
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- DO NOT REMOVE --
07/12/2018 8:19PM FAX 3606834428 SEQUIM VALLEY ELECTRIC
Project Address:
Project Description_.
❑ Sinale-Family Ri
Name: 1--/V
Mailing Address:
(&0001/0003
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities DJ partment
32.1 E. 5th Street, Port Angeles, WA 98362 drl�
360.417,4735 j www.cityofpa.us I e]ectricalpermits@cityofpa.us
itiS77,*IZINy 011g,4 e#bf 7TH
14*W a ❑ x / ARU 8uildin are footage:
Email:
Phone:
Name: AX_0w4.mn 1,AZLt,Y
INP. •
license: �Ll u/1/,t 7q 4-3
Mailing Ad cess: _/1/V srli,(�,—Expiration
Dater /IIS= 7)
Email: 0e le 14WIT 1 - wk7
Phone: - zw— xp- -7-m')
PROJECT DETAILS
him
11911 Charge
t TgW (Quantity x Unit Charge)
Senrip/Feeder 200 Amp_
$120.00
$, _
Service/Feeder 201-400 Amp,
$146.00
S
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 VV/0 Service Feeder
$63.00
$
Each Additional Branch Circuit
$5.00
$ -
Branch Circuits 1-4
$75.00
6
Temp. Service/Feeder 200 Amp.
$93.00
T
« �-i $.
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder401-60OAmp,
$149-00
$
Temp. Service/Feeder S(11-1000 Amp,
$168.00
$
Portal to Portal Hourly
$96.00
$
Signal Circuit/t_imited Energy -182 DU_
$64.00
$ -
Manufactured Home Connection
$120.00
Renewable Uec. Energy: 5KVA System or less
$102.00
$
Thermostat (Note: for each adddional)
W-00
$
,$6
fa1u
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•i�``t.
t it£ �k Y'1 .r'•:n'.F ::::_�-t:"' ._.�e:�'.,.._; �,, s..°S,''?:r`. r,: "'x;r...7wI_ �'.i
"'�Each;Actiifioial,sOk} F", A".
inch Oi�ittsiilliii:hQet$cltl Gsifag�
$74 OD
::,�04 _Pin1n7�Rgr%GOV�HOtf uli; `
_
TOTAL. S
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.
Afterreading 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.0-, RCW. Chapter 19.28, WAG, Chapter 296-
465, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications.
Date Print Name
Signature([] QwnekElectrical Contractor! Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits§eityofpa,us or faxed to 360,417,47111
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Signawre of owner or Elecftical Contractor X Date.:-