HomeMy WebLinkAbout1125 N 12TH ST - BuildingiNzr,5G u0N TYPE DATE: RESULTS:
DITCH
I SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX (6) MOl+irW FROM LAST IIdSP crm
Signature of owner or Electrical Contractor X
INSPECTOR:
Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
300-417-4735
Application Number 18-00000178 Date 2/12/18
Application pin number 028046'
Property Address . . . . . . 1128 W 12TH ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBERi 06 -30 -00 -0 -3 -5465 -0000 -
tax fofm
Application type description ELECTRICAL ONLY
on your excise
Subdivision Name . . . . . .
to the CNy Of Port Angeles
Property Use . . . . . . . .
(Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
New home
------------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
Arland Elstrom NORTH PENINSULA ELECTRIC
PO Box 1402 761 FRESHWATER PARK RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 471-1764
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . . 160.00 Plan Check Fee .00
Issue Date . . . . 2/12/18 valuation . . . . 0
Expiration Date 8/11/18
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-R-SQFT FIRST 1300 120.00
/
1.00 40.0000 BCH EL-R-SQFT ADDITIONAL 500 40.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
a
Permit Fee Total 160.00 160.00 .00 OQ
Plan Check Total .00 .00 .00 .00.
Grand Total 160.00 160.00 .00 .00
iNzr,5G u0N TYPE DATE: RESULTS:
DITCH
I SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX (6) MOl+irW FROM LAST IIdSP crm
Signature of owner or Electrical Contractor X
INSPECTOR:
Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street – P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: 2---3 -- � 1�11
i & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: % % Z
l t ,✓ Z
Building Square Footage: f
Description of above
J
Owner I Drmf ti n L
Name: t!f Sr %_
Contractor Info ati
Name: /LYY t'E� 11tsdV
Mailing Add `
rD •Z
Mailinib �-
C
city: State: 4Lja Zip: G� !tom
Phone: — Fax:—
< t �, Y
City: State:, gip:
Phone: - L F : ' (1 t Ij
License # / Exp. —
License # / Exp.nt_`°
Item
Unit Charqe
Total (Qtv Multiplied by Unit Charge)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 2011100 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 Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. ServicelFeeder 201-400 Amp.
$110.00
$
Temp. ServicelFeeder 401-600 Amp.
$149.00
$
Temp. ServicelFeeder 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 Electrics Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First
C
2-G
1300 Square Ft.
$120.00
$ -
Each Additional 500 Square Ft. or Portion of
$ 40.00
/ $ 44 CJ
Each Outbuilding or Detached Garage
$ 74.00
$
Each Swimming Pool or Hot Tub
$110.00
$
b -L -Lf—' 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, electrical contractor or electrical administrator: ❑ cash ❑ check
11creditcard #
Dated: 2-- ( 011D112012