HomeMy WebLinkAbout231 W 4TH ST - Building (2) ELgCTRICAL PERmn
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CITY OFTORT ANGELES
360-417-4735
Application Number . . . . . 17-00001650 Date 11/08/17
Application pin number . . . 657650
Property Address . . . . . . 231 W 4TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER! 06-30-00-0-0-7150-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH D99SITY (Location Code 0502)
Application valuation . . . . 0,
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Application deac
Kitchen and living circuits
----------------- --------------- ------------------------------------------
Owner Contractor
------------------------ --------------- --------
ZACHARY N SLOTA OWNER
231 W 4TH ST
PORT ANGELES WA 983622807
(360) 477-7454
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . . . 11/08/17 valuation 0
Expiration Date 5/07/18
Oty 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 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTIONTYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
FINAL
COMMENTS: 7. )14 1-07
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Contrac"
Signature of owper or Electrical tor X— Date:
Von ELECTRICAL INSPECTION
WIRING REPORT
4, 40/1 417-4735
DATE.,,,, PERMIT 4 INSPECTOR
NER
CONTRACTOR
7-AprMNY
ADDRESS
APPROVED NOT APPROVE
. . . . . . . . . . . .
0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . .
0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 13
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . [3
)CORRECTIONS NEEDED: ML C) )<):Q=.a F " ro v NODEZ
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
—DO NOT REMOVE—
CITY OF PORT ANGELES PERTNUT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street- Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711
Date: 111'2-1( 7 1 &2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: Z ?n k \Aj --ATK
Building Square Footage: I q �)��
Description of above F—i�I cl c C (5�', ",e L��,�st Ale� i -ne +,o V;4-c�ievi A"1-1.2-1,1 Acia (-eLfj)t-d(1
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Owner Information Contractor Information
Name:- 2-c-c Vt c,r,( Name:
Mailing Address: W L-1-T 11 Mailing Address:
City: soc,r-� A \ 4 c k State: Zip: City: State: Zip:
Phone:I�-c +71-7q54 Fax: Phone: Fax:
License#/Exp. License# Exp.
Item Unit Change Qty 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 W/Service Feed $ 5.00 $—
Branch Circuit W10 Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 14 Only $ 75.00 1 $ 75. (D
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-I &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 $
$—Total
Owner as defined by RCW.19.28,261:(1)Owner will occupy the structure for two years after this electical 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.,RCK Chapter 19.28,WAC.Chapter 296-468,The City of Port
Angeles Municipal Code,and Utility Specificabons and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: [I Cash El Check
0 Credit Card#
x Dated: k k.1-2-1 117 0210612012