HomeMy WebLinkAbout844 WILLOW AVE - Building ELECT cAL PERMIT
CITY OF PORT ANGELES
60-4174735
Application. Number . . . 18-00001608 Date 10/16/18
Application pin number . . 381640 REPORT STATE SALES TAX
Property Address . . . 844 WILLOW AVE Ort your excise fax form
ASSESSOR PARCEL NUMBER: 06-30-15-4-1-0050-000.0-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision .Name . . (Location Code 0502)
Property Use . . . . .
Property Zoning . . . .
Application valuation . 0
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Application desc
Temp power
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owner contractor
JEROME AINSCOUGH / KERRI COOK KIRSCH ELECTRIC INC.
1033 W 13TH ST P. 0. BOX 3396
PORT ANGELES WA 98363 SEQUIM WA 98382
(360) 333-5042 (360) 683-6819
Permit .. ELECTRICAL TEMPORARY SERVICE
Additional desc ,
Permit" Fee . 93.00 Plan Check Fee .00
issue Date 10/16/18 Valuation 0
Expiration Date 4/14/19
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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
Jolagr ML
ROUGH-IN
FINAL
COM[NIENTS;
PERMIC wi LL EXPIRE SIX(6)MONTHS FROM LAST INSPWnON
Signature of owner or ElectdW �X Date:
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE: PERMIT# INSPECTOR
OWNILER
CONTRACTOR
JA L C w� e2—
ADDRESS
APPROVED NOT APPROVED
❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . .
- �
❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑'
CORRECTIONS NEEDED: Kms `�M-f>d.11� �v7� 1f�2 'fAll-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE—
I -. 2SIL
NG - MILY
ELECTRICAL PERMIT APPLI CATIONRECEIVED
Public Works and 13tilities Departi-nent
3""1 F. 5th StreeT, Port Angel.-S,, WA 98362
160.417,4735 : vvw-w.6ty0I'pa,u,,i ELECTRICAL
Project Address:, �8H l ull)
CD
Project Description. aDL-i I_
$ingie-Family Residential 0 Duplex I ARU Building Square footage.
IWW, I f 1 1,111 1
N a m e:(Z 74 I—>s Email,
Mailing Address: Phone,,
Name. WNWWM
LicensW
Maillng.Addresr.- r- /-""'VExpiration Date:
Email, r-�CSc--P�A vc A:C.'A C- Phone12(_)=—(;-'2�P
PROJECT.DETAI LS
a 1f ]—��(Q�a-rltfty x Unit Charge)
Servic&Feeder 206-Amp.
ServicefFeeder2014GOAmp, $146.00
Service/Feader401-600Arnp $205.00
Service/Feeder 601-10MA#np. $262.00
Service/Feeder over 1000 Amp, $373.00 $
Stanch Circuit W1 Service Feeder $5.00 —. , $
Branch Circuit W10 Service Feeder $63.00 $
Each Additional Stanch Circuit $5.00 $
Branch Circuits 1-4 $75,00
Temp,ServicefFeeder 200 Amp $93.00
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp, $149.00 $
Temp-Service-IFeeder601-1000 Amp, $168-00 $
Portal to Portal Hourly $96-00 $
Signal CircultILienited Energy-1&2 OU. $64-00
Manufactured Home Connection $120-00 $
Renewable Elec.Enetgy7 5KVA System or Ins' $102m $
Thermostat(Note:$5 for each additional)
4
6
4
It
TOTAL
Owner as defined by RCW19,213,261:(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 certifp that I am the owner of the above named property or a licensed electrical contractor. I
an)making the electrical installation or alteration in compliance with the efectricat laws.N-E,C,.RCW.Chapter 19,28:WAC. Chapter 296-
469,The City of Angeles Port Anicipal Code,and Utility Specifications an PAM( 14.05.050 r,! �kiilectrical Permit Applications.
n�n-� I L
Dart
ex-
Print Name Signature(N owner FI Electrics Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electrica1permits@cityofpa,us or taxed to 360.417,4711]