HomeMy WebLinkAbout230 1/2 W 6TH ST - Building (2) ELEcTMAL PERmn
MY OF�OkT ANGELES
360-417-4735
Application Number . . . . . 17-00001700 Date 11/16/17
Application pin number 554200
Property Address . . . . . . 230 1/2 W 6TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6430-0000-
Application type- description ELECTRICAL ONLY .on your excise tax form
Subdivision Name, . . . . ; . - to the City of Part Angeles
Property Use . . . . . . . .
(Location Code 0502)
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
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Application desc
Ductless heat pump
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Owner Contractor
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TIMOTHY J GUSTAFSON OWNER
230 .5 W 6th Street
PORT ANGELES WA 98362
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 11/16/17 Valuation . . . . 0
Expiration Date 5/15/18
Oty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FRED 63.00
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Pee summary charged Paid . Credited I Due
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Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63-00 63.00 .00
INSPECTIONTYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FERAL
CON04ENTS:
PERmrr wiLL ExPmE six(6)mowTHs FROM LAST INSPECMN
Signature of owner or Electrical Contractor X Date:
CITY OF PORT ANGELES PERTNUT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street— Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)4174711
Date: k I /t I &2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 2 ,
Building Square Footage:
Description of above '9 e,74 5-.S' Wel,� P�xna
Owner Infopnati Contractor Information
Name: '7i"I_ �-Q
Name:_c)� —,/'
Mailing dress: 3n li? 1-6�as-j- Mailing Address:
City:24 61 Slate: WA Zip: qj'_'146.� City: State: Zip:
P h o n e:3C4 r t!V__y r y4b Phone: —Fax:
License Exp. License# Exp.—
Item Unit Char-ge ON Total(Qtv Multiplied by Unit Change)
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 Feed $ 5.00 $ U
Branch Circuit WIO 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 $ �rl)
Each Swimming Pool or Hot Tub $110-00 $ t I
t)_? Total
Owner as defined by RCW.1 9.28,261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required
to hire an electdcal 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,ellectrical contractor Qr electrical administrator: Cash El Check
Credit Card#
x d: 0210612012