HomeMy WebLinkAbout1121 S PINE ST - Building (2) ELECTRICAL PERMIT .'1Y
CITY OF PORT ANGELES
360417-4735
Application Number . . . . . 17-00000452 Date 4/10/17
„? 4pplication pin number . . . 532448
perty Address . . . . . . 1121 S PINE ST REPORT STATE SALES TAX
Ad$S$S$OR PARCEL NUMBER: 06-30-00-0-3-4750-0000-
Ap011 motion type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . .
Property Use to the City of Port Angeles
. . . . . .
Property Zoning (Location Code 0502)
RS7 RESDNTL SINGLE FAMILY-
Application valuation . . . . 0
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Application desc
Bath / Kitchen remodel
Owner Contractor
---------------
CHERYL
--------- --CHERYL VEBLEN ANGELES ELECTRIC -
1121 S PINE ST 524 E. IST ST.
PORT ANGELES WA 983627520 PORT ANGELES- WA 98362
(360) 452-9264 -
----- ----- ------ -----------------------'--------------------------------
Permit
---------------- -----------Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 85.00 Plan Check Fee .00
Issue Date 4/10/17 Valuation 0
Expiration Date 10/07/17
city Unit Charge Per Extension
BASE FEE 75.00 j
2.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 10.00'
----------- ----------------------
Fee summary Charged Paid Credited Due
---- - ---------- ---------- --- --- -- -------
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 00 .00 .00
Grand Total 85.00 85.00 .00 .00
1
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROVGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735 ,
DATE: PERMIT# INSPECTOR
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OWNER
CONTRACTOR
Aro
ADDRESS
APPROVED NOT APPROVE
❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . .
. ROUGH IN/COVER . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑
7 CORRECTIONS NEEDED: Pf C'.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-DO NOT REMOVE--
04/07/2017 07:39 FAX 360 452 9265 Angeles Electric Z0001/0001
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CITY OF PORT ANGELES PERMIT APPLICATION v ,
Building Dividon/Elechical Inspections
321 East Fifth Street=P.O.Boz 1150/Port Angeles Washington,98362
Ph:(360)417-4735 Fax:(360)4174711
Date: ZZ 7 ✓[]1 &2 Single Family Dwelling
Plan Review May Be Required,Please Complete Electrical Plan Review lnformation Sheet
Job Address:
Building Square Footage:
Descdptfon of above
Owner Informal' Contractor information
Name:�. Name AN09M Faa:CINA 00
Mailing Address: t--w Md"Address: 04 E.FMT XTFVMT
Phone Fax: Phone: -004 Foc 330- mss
license 41 Exp. License#I Exp. eoae
.766 929—n7f nit ChIM Toth Alulgolied hiUnit til
ServicelFeeder 200 Amp. $120.00 $
Senric a Feeder 201400 Amp. $146.00 $
ServicelFeeder 401-600 Amp $205.00 $.
ServicWFeeder 601-1000 Amp. $26200 $
ServioelFeeder over 1000 Amp. $373.00 $
Branch Granit W/Service Feeder $ 5.00 $
Branch Circuit W10 Service Feeder $ 63.00 $
Each h C f Grantsinns Brand,cKaat $ 5.00 $__
Branch 14 $ 75.00 $
Temp.SwAcel Feeder 200 Amp. $ 93.00 $
Tamp.Service/Feeder 201400 Amp. $110.00 $
Temp.ServicelFeeder 401.600 Amp. $149.00 $
Temp.SenrdoelFeeder 601-1000 Amp. $166.00 $
Portal to Portal Hourly $ 96.00 $
Signal Grcuitl Limited Energy-i&2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 ti
Renewable Electrical Energy-SWA System or toss $102.00 $
Themastat $ 56.00 $
Note:$5.00 for each additimral T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square FL $120.00 $
Each Additional 500 Square Ft or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Svrimrrarg Pool or Hot Tub $110.00 $ TOW
Owner as defined by RCW.19.28.261:(1)Owner will occupy this structure for two yearn alter this 91ectria81 permit Is finalized.(2)Owner is required
to fire an electrical contractor I above said property is for sale,rent or Wase.Pemdt expires agar six months of lad inspection.
After reading the above stathment,i hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making
the electrical inst Mw or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296468,The City of Port
Angeles Municipal Code,and Utility Specifications and PANIC 14.05:050 regarding Electrical Pena$Applications.
Signature of owner,electrical contractor or electrical administrator. O c.sn •❑ Check
C.0 Cade ON FILE
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