HomeMy WebLinkAbout1411 GEORGIANA ST - Building (2) ELECTRICAL PERMIT
CITY OF PORT ANGELES
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360=4174735
Application Number . . . . . 17-00000251 Date 3/03/17
Application pin number 348853
Property Address . . . . 1411 GEORGIANA ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0845-0000-
Application type description ELECTRICAL ONLY ony our excise tax form
Subdivision Name . . . . . .
Property Use to the City of Pat Angeles
Property Zoning . . . . . . : RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . 0
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Application desc
Panel and circuits
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Owner Contractor
i
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DAVID C HERRIDGE AND STEPHANIE BOTERO & SON-
1411 GEORGIANA 940 TAMARACK WAY
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-6848 (360) 452-4766
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 140.00 Plan Check Fee .00
Issue Date . . . 3/03/17 Valuation 0
Expiration Date 8/30/17
Qty Unit Charge Per Extension
4.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 20.00 '
r
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
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Fee summary Charged Paid Credited Due -
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Permit-Fee
-------Permit Fee Total 140.00 140.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 140.00 140.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN f L I
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION'
Signature of owner or Electrical Contractor X Date:
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RECEIVE
CITY OF PORT ANGELES PERMIT APPLICATION `!'��►
Building Division/Electrical Inspections 14AR
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321 East Fifth Street— Port Angeles Washington,98362I''`
Ph: (360)417-4735 Fax: (360)417-4711 Ft. CPRR'gt V 1
Date: -3' Z _1 &2 Single Family Dwelling
*Plan Review May Be Rgguired, Please Complete Electrical Plan Review Information Sheet
Job Address: I L� l I ( c� :-
Building Square Footage: t<�U(3 SG.J f
Description of above
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Owner InformationContractgl Information
Name: v(ti.1 tA ett,r�ck_ Z Name: o f oY, (C',Cd r c
Mailing A ress: t U t i (,: - 4t G h q Mailing Address: G cK :]U-?-
city:
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Phone: Fax: Phone: _ J Fax:
License#/Exp. License#I Exp.
Item Unit Charge Qty Total(Qty Multiplies)by Unit Charge)
Service/Feeder 200 Amp. $120.00 _ $ LZz>
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 Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 Only $ 75.00 $
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 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 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 296-466,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
L�Credit Card# a^ 1"/'
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x Dated: 0210612012