HomeMy WebLinkAbout1626 E 5TH ST - Building (2) � I
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ELECTRICA .PERMIT
CITY OF EST ANGELES
360 4I7-4735
Application Number . . . . . 16-00000787 .Date 6/01/16
Application pin number . . . 092405
Property Address .. . . . . . 1626 E 5TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-8620-0000-
Application type description ELECTRICAL- ONLY on your excise tax form
Subdivision Name . . . .
Property Use to the City Of Port Angeles
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Application desc
Bath , Laundry remodel
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Owner Contractor
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SCHAEFERMEYER MICHAEL JALASKAN ELECTRIC,
1625 E 5TH ST 237 ROBERSON RD
PORT ANGELES WA 983624810 PORT ANGELES WA 98362
(360) 582-3874
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Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 80.00 Plan Check Fee ,. .00
Issue Date . . . . 6/01/16 valuation . . . . 0
Expiration Date 11/28/16
1
Y Qty Ait Charge Per Extension
BASE FEE 75.00
1.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 5.00
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Fee summary, Charged ---Paid--- Credited ----Due---
----- ------ ---------- ----------
Permit Fee-Total 80.00 80.00 .00 .00
Plan Cheok'Total .00 .00 .00 .00
Grand Total 80.00 80.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR
DI'T'CH
SERVICE
ROUGH-IN `
FINIAL
COATS: Vy
PERMIT WR,L.WME'SDC(6)MONTHS FROM LAST INSP [ =
Signature of owner or Electrical Contractor X Date:
e\EXCHANGSBUILDING
Lc
oar
CM OF PORT ANGELES PERMIT AppucAna v " a
BuDditrg Division0ectriical Inspections l
321 East Fifth Street—P.O.Box 1150/Port Angeles'W2shiagton,98362
Ph.(360)417-4735 Fax: (360)417-4711
Date: S-3 t - L �, &2 Single Fam11y Dwelling
Plan Review May Be Required, Tease complete>=ledrical Plan Review Information Sheet.
Jab Address: is; --
13ulid1ng Square Footage:
Desaiption of above ( - T
Mo Q w
Owner infonnetion Contractor Information
Name,S4r%*4q��. 4teaF-aBm0a� Name:
AlaiAngAddress: -0?� - maWngmdnns: 737 �Loi3�+a6v RSD_
City - _ Stater Zip: `9�_ City: P - - SWWe W zip:
phone: 6/- / Fou _ Phopax: ySZ
Ucense#/l=rrp, — „� License#I t.xp. KS DOZe l S
HAM Unit Chum Total(6Ltt I Multiplij¢by Ung Chgrrgel
SeNicelFeeder 200 Amp. $120,00 — -
SenricelFeeder 201-400 Amp. $146.00
SmIce/Feeder 401-600 Arnp $205.00 $ - -
SeNice/Feador 601-10W Amp. $26200 $
ServicelFeeder over 1000 Amp. $373.00
Branch Circuit W/Service Feeder $ 6.00 -
Branch Circult W/4 Service Feeder $ 63.00 _ $
Each Additional Branch Circuit $ 5.00t $ ctS�
Branch Circuits 1-4 $ 75.00
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.Sere WFedder 201.400 Amp. $110.00
Temp,ServlcelFeeder401.6W Amp. $149.00 3
Temp.Servlce/FeeWr 6011000 Amp. $168.00 $ --
Portal to Portal Hourly $ 96,00 $
Signal Graulf/Limited Energy-1&2 Family Dwelling $ 84,00 #
Manufactured glome Connection $120.00 _ $
Renewable Electrical Energy-5KVA System or Less $102.00
Themmstet $ 56.00 $ -
Note:$5.00 for each aW ionai T-Stat
HN ASTI ON ONLY;
First 1300 Square Ft, $120.00 3
Each Additional 500 Square Ft.or Portion of $ 40.00 $�
Each Outbuilding or Dalached Garage $ 74,00 - $ -
Each Swimming Pool or Hot Tub $110.00 $_ - -
Owner as defined by RCWA 9.21,261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required
to hue an electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspection.
After reading the above statement,I hereby certify that l am the owner of the above named property or a licensed eledsical contractor.I am making
the electrical installation or akwallm in compliance whh the electrical laws,NEC,,RCW,Chapter 19.2$,WAC.Chapter 2964613,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Flec6ical Permit Applications.
Stgnatove of owner,electrical co
ntractor or electrical adminiatrator: ❑ c urn ❑ Cho*
TO 39ad sns •103-13 NVAsty-la
68E5Z5b096 b9:80 9T0Z/TC/90