HomeMy WebLinkAbout1432 W 11TH ST - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . 17-00000580 Date 5/08/17
Application pin number 008160
Property Address . . . . . . 1432 W 11TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5740-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . .. . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . RS? RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
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Application desc
Security system
Owner Contractor
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TANNA M MCGUIRE PROTECT YOUR HOME
1432 W 11TH ST 3750 PRIORITY WAY SOUTH DRIVE
PORT ANGELES WA 983630510 #200
(360) 457-1643 INDINAPOLIS IN 46240
(317) 810-4720
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Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 64.00 Plan Check Fee .00
Issue Date 5/08/17 Valuation 0
Expiration Date 11/04/17
Qty Unit Charge Per--.. Extension
1.00 64.0000 ECH EL-SINGLE CIR LIMITED MULTI - 64.00
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Fee summary ' Charged Paid Credited Due
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Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .00 .00
I
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
CONDAENTS: Z
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature,of owner or Electrical Contractor X Date:
GAEXCHANGEBUILDING
0 PORT AA nY��
CITY OF PORT ANGELES PERMIT APPLICATION �►'�,+�-
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711 _
Date: 9 I ? X 1 &2 Single Family Dwelling
*Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet
Job Address: I W ')- W I( 'rk Si ; Fo R T Rr&ele�5 ) wf} 4-19363
Building Square Footage:_1 7-Q L{ sgt
Description of above
Owner Information Contractor Information
Name: I&n h a M[ w r r-. Name:Pr Are+ Yoo r Pcwnf.
Malin Address: 1 3 Z W ;t�- Mailing Address: 37130 E r 10 i-1-Y Fde �-
City: o r• State: W Zip: : ih- Cityd;aha py ,r State:�Q/ Zip: a 4 214 n
Phone:36o4 A'711,43 Fax: Phone: 9(1;6 5A�)3 554 Fax: 317 56 N 254 7
License#1 Exp. License#!Exp. R t7�T'j i 134 4
Item Unit Charge Qty Total(Qty Multiplied by 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 WIO Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 14 $ 75.00 $
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201400 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 �_ $ 6 4-,C?D
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 $
$ 64,0r) 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
® CredltCard#
x �.�.r Dated: g—(7 --- 01101/2012
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