HomeMy WebLinkAbout1814 W 11TH ST - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00001082 Date 7/16/18
Application pin number . . . 119086
Property Address . . . . . . 1814 W 11TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -6115 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Temp service
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ANN M RIDER SEQUIM VALLEY ELECTRIC
82 N JENSEN RD 11 LONE EAGLE LANE
PORT ANGELES WA 98363 SEQUIM WA 98382
(360) 681-3330
----------------------------------------------------------------------------
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 BCH EL -TEMP SRV 0-200 SRV FDR 93.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 93.00 93.00 100 .00
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .00 .00
X
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION:
Signature of owner or Electrical. Contractor X Date:
07/12/2018 8:19PM FAX 3606834428 SEQUIM VALLEY ELECTRIC
Project Address:
Project Description.:
❑ Sinale-F M
Name. 1%V
Mailing Address:..
I - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION,
Public Works and Utilities Department
32,1 E. 5th Street, Port Angeles, WA 9$362
360,417.4735 1 www.cityofpa.us I electzicalpermits(a),cityofpa.us
1A1,,P7.&G,/N4 ` a4
ss1dential El DyaarrAkU
Building Square footage:
Email?
,Phone:
00002/0003
Name: !,I1}Y,G?' license: tib /✓wMailing Address: %t .C4ve EAd4F JAI. .,,&aWY77 , AA �� ,E 6
Email: 3 xpiration Date o
Phone. .74d OMFL(vS(•r-',7;7':rt�'
11112M
Uw1 chart a S'tu11 ft
.79W (Quantity x Unit Charge)
Servioe/Fe eder 200 Amp.
$120.00
$.
Service/Feeder 201-40o Amp,
$148.00
$
Service/Feeder 401$00 Amp.
$205,00
$
Service/Feeder 601-1000 Amp.
$262,00
$
Service/Feeder over 1000 Amp,
$373,00
$
Branch Circuit W1 Service Feeder
$5.00
$
Branch Circuit W/0 Service Feeder
$6100
$
Each Additional Branch Circuit
$5.00
$ -
Branch Ciroults 1-4
$75.00
$
Temp. Service/Fesder 200 Amp.
$93.00 �_
$._ 2 Z
Temp. Service/Feeder 201400 Amp-
$110,00
$
Temp. ServiftTveder 401-600 Amp.
$149:00
g -
Temp. Servioe/Feeder 601-1000 Amp•
$188.00
$
Portal to Mortal hlouriy
$96,00
$
Signal Circuit/Limited Energy -1&2 DU,
$64-04
Manufactured Rome Connection
$120.00
$;
Renewable Elec, Energy: 5KVA System or less
$102.00
$
Thermostat (Note: $5 for each additional)
$
M.i. . Y'�"•.. Cy+,t�`{.y.s,''�r!rf?7/,�F'�d'.'."_�i'�,
�JIy.i }numarew+i•-T'=r-:�i:?;itf'`' `^i,
y"� , i , �'{y+Pl::_:.??r;w+:?3"'= _: f.''+-•4,�„'"•,,,..+,,,.;
-: ,1'?�.,O;,i:l�'t �'.,. r..,c.: r
_�. ;...
.. r .;ei': ',5F}. ?'• + '';i
t.6ch�Q.Otttuitdr �':/ `rr •. "'y,.,
eF'Glol+/,attot=7ut5
Owner as defined by RCW. %28.261: (1 ) owner will occupy the stiWure 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 malting the electrical installation or alteration in compliance with the electrical laws, KE -C., RCW, Chapter 19.28, WAC, Chapter 296-
46B, The Chyyof Port Angeles Municipal
}Code, and Utility SSpecifications and PAMC 14.05.050 regarding Electrical Permit Applications.
-12-24r
j
Date Print Name Signature (❑ Owner lectrical Contractor /Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalperrnitsecityofpa.us or faxed to 360-417.47111