HomeMy WebLinkAbout1003 HOMESTEAD AV - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number . . . . . 17-00000946 Date 7/10/17
Application pin number . . . 164402
Property Address . . . . . . 1003 HOMESTEAD AVE
ASSESSOR PARCEL NUMBER: 06 -30 -14 -3 -2 -0550=0D00 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .. UNKNOWN
Application valuation . . . . 0
------------------------------------------------------------------------
Application desc
Kitchen remodel
----------------------------------------------------------------------------
Owner
Contractor
MICHAEL p AND THERESA R TETREA
OWNER
PO BOX 724
FORKS
WA 9$331
(360) 640-9239
------------------------------------------------------
Permit . . . .
. ELECTRICAL ALTER RESIDENTIAL
---------------------
Additional desc .
. 1-4 CIRCUITS
Permit Fee . . .
. 75.00
Plan Check
Fee
.00
Issue Date . . .
. 7/10/17
Valuation
. . .
. 0
Expiration Date
1/06/18
Qty Unit Charge Per
Extension
BASE
FEE
75.00
Fee summary
Charged
-
Paid Credited
-
--
Due
Permit Fee Total
75.00
75.00
.00
.00
Plan Check Total
.00
.00
.00
.00
Grand Total
75.00
75.00
.00
.00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
DATE: RESULTS:
FINAL
f �
GONIME'i�l'i'S:
X80* VYILL.EXPUM SIX t� MONTHS FROM LAST INSPECTION
REPORT STATE SALES TAX
on ytw:' excise tax form
to the tarty of Port Angeles
(Location code 0502)
INSPECTOR:
Se re cifor Ett acAl Contractor X . `�, Date:
i
, yGAT
ON ELECTRICAL INSPECTION
��%' WIRING REPORT
417-4735
PERMiT #
';DL)1-7 'i
OWNffR
t -i, I C 4 k rx-t--
CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
0 .................... DITCH .................... 0
0 ................ ROUGH IN/COVER ............... 0
0 .................... SERVICE ................... 0
0 ..................... FINAL ..................
CORRECTIONS NEEDED: ri *-0,4
co u
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- 00 NOT REMOVE --
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: 0 Cash 13 Check
El Credit Card #
0210612012x Dated.
?ORF
CITY OF PORT ANGELES PERIMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: X/(-1 & 2 Single Family Dwelling
Plan Review May Be Required lea? �Zmplete Electrical Plan Review Information Shut'
Job Address:
Building Square Footage:
Description of above
Owner Information Contractor Information
Name: Name: 9",iej—
Mailing Address: lvo:i 4j7' Mailing Address:
city:Qf State: w Zip: --- jd3i2- City: State:
Zip:
Phone:Uo64:7 -4,ri Fax: Phone: Fax:
License # I Exp. License # I Exp.
Item Unit Charqe QtV Total (Qtv Multiplied by Unit Charge)
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 W1 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 l
$
Temp. Service/ Feeder 200 Amp. $ 93.00
$
Temp, Service/Feeder 201-400 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
$
$ 75-�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: 0 Cash 13 Check
El Credit Card #
0210612012x Dated.