HomeMy WebLinkAbout605 I ST - Building (3) ELECTRICAL PERMIT
CITY OF PORT ANGELES
300417-4735
Application Number 18-00001492 Date 10/05/18
Application pin number . . . 819536 REPORT STATE SALES TAX
Property Address . . . . . 605 1 ST
ASSESSOR PARCEL NUMBER- 06-30-00-0-1-5150-0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Put Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code OS02)
�Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
Owner Contractor
------------------- ---- ------------------------
JAMIE L BLAYLOCK OWNER
PO BOX 1703
PORT ANGELES WA 98362
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIR
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . . . 10/05/18 valuation 0
Expiration Date 4/03/19
Qty Unit Charge Per Extension
BASE FEE 75.00
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Fee summary Charged Paid Credited Due
----------------- --------- ---------- ---------- ----------
Permit.Fee Total 7S.00 75.00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 �00 .00
INSPECTIONTWE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN Jo�
FINAL
A
CohmmNTS:
PERMff WILL EXPME SIX(6)MM4KS FROK6(0��'
Signature of ovmer or Electrical Contractor X Date:
ELECTRICAL INSPECTION
WIRING REPORT
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4tiws 417-4735
DATE: PERMIT --T—INSPECTOB
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OWNER
-�Nw'arA-
CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 13
ROUGH IN/COVER . . . . . . . . . . . . . . . 0
. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0
. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0
71 CORRECTIONS NEEDED:
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE—
1 - 2 SINGLE-FAMILY
3
ELECTRICAL PERMIT APPLICATION ,'),
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98')62
360.417.4735 :' www.cityofpa.us electricalpermitsCacityofpa.us
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ProjectAddress: (o(�9 a-iiik 't SL
Project Description: C�u Aeal -I-Atvvi
WSingle-FamilyResidentiajl El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: _')�cy�kg Email: L-q I U Lk� C)
C) K-A q q-11)(0�4_ Phone: q-77— -1 q,; ct
Mailing Address: -i, \-7C) V i�uo t
ELECTRICAL CONTRACTOR INFORMATION
Name: �Omp—y— License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
mill-_ Unit Charae Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 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 $
7 Branch Circuits 1-4 $75.00 41 $ D-6
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 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note: $5 for each additional) $56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $
(5 6:1
TOTAL $
Owneras defined by RCW.19.28.261:(1)Ownerwill occupythe structurefortwo years after this electrical permit isfinalized.(2)Owneris
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.
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Date Print Name ' �_tignature(��bv�ner [-] Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]