HomeMy WebLinkAbout1129 W 12TH ST - BuildingINSPECTION TYPE DATE:
RESULTS: - "_
INSPECTOR
f ELECTRICAL PERMIT
SERVICE
CITY OF PORT ANGELES
360-417-4735
AxQ
COMMENTS:
Application Number 18-00001282 Date 8/21/18
Application pin number . . . 311096
Property Address . . . . . . 1129W 12TH ST
REPORT STATE SALES TAX_04
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5458-0000-
on your GXC/$e tax fOiri7
Application type description ELECTRICAL ONLY
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Subdivision Name . . . . . ,
t0 the City Of Port Angeles
j Property ' Use . . . . . . .
(Location ('sC1tA�'. (�. 02)
Property Zoning . . . . . . . RS7 RESDNTL'NINGLE FAMILY
Application valuation . . . . 0
E
i Owner Contractor
------------------------ ------------------------
ELSTROM, R. ARLAND JR. NORTH PENINSULA ELECTRIC
P. O. BOX 1402 761 FRESHWATER PARK RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
-il (360) 477-1764
Permit . . . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc 60 A TEMP.
j Permit Fee . . . . 93.00 Plan Check Fee .00
Issue Date . . . . 8/21/18 Valuation . . . . 0
Expiration Date 2/17/19
i
Qty Unit Charge Per Extension
1.00 93.0000 ECH EL -TEMP SRV 0-200 SRV FDR 93.00
Fee summary Charged Paid Credited Due
-------------------- ---------- ----------
-----------------
Permit Fee Total 93.00 93.00 .09 .00
Plan Check Total .00 .00 .09 .00
Grand Total 93.00 93.00 .0 .00
INSPECTION TYPE DATE:
RESULTS: - "_
INSPECTOR
DITCH "
SERVICE
f - ROUGH -IN
MNAL
AxQ
COMMENTS:
j
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
1 - 2SINGLE-FAMILYCD
ELECTRICAL PERMIT APPLICATION
wys, {, •�gM;'! l'ubiiC N -)rks an t Utilities ()epartmCnt
321 V. 5th Street; Port Angeles, WA 98362
360.417."715 ! wwtiv.cityolr a.us! cicctricat pcrniits1,q�;.cityorpa.us
Project Address:
Project Description.- -C%!�/r,� Tom' f'1 k'C;(:!,�-
-Single-Family Residential 11 Duplex / ARU Building Square footage.
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Name: d f P1-1 �T^Y`() Email:
Mailing Address �r�2 r�'i Y Phone:
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Name: `2%' l'� liI %i:� LCj 1 7'; i✓C, License: ?� r'', j,�'
Mailing Address: ��t 1 /" ��'C''h (, 'rr h �'X" t._5 .A- i' Expiration Date:
Email: ,� r YLI :S C hr ('� , _ Phone.. , t -I I � — i If
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Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp,
Service/Feeder 401-600 Amp
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp_
Branch Circuit W1 Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder601-1000Amp.
Portai to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet'
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charge Quantity Total (Quantity z Unit Charge)
$120.00
$
$146.00
$
$205.00
$
$262.00
$
$373.00
$
$5.00
$
$63.00
$
$5-00
$
$7500
$
$93.00 - f—
$ q 3
$110.00
$
$149.00
$
$168.00
$
$95.00
$
$64.00
$
$120.00
$
$102.00
$
$56.00
$
$120.00
$
$40,00
$
$74.00
$
$110.00
$
TOTAL
$ _J .T
Owner as defined by RCW 1928.261. (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 elect ri at laws, N.E C., RCW. Chapter 19.28, WAC. Chapter 296-
466, The City of PortAngele Municipal Code, and Utility Specifications an AMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Name Signa_ture_(Z ner ❑ Electrical Contractor / Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa us or faxed to 360.417.4711]