HomeMy WebLinkAbout1111 1/2 W 17TH ST - Building ELECI'ICAL PERMIT
CITY OF FORT ANGELES - -
360-4174735
Application Number . . . . 17-00001827 Date 12/11/17
Application pin number 282924
P ids rty Address . . 1111 1/2 W 17TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-4080-0000- On our excise tax form
Application type;description ELECTRICAL ONLY y
subdivision Name . . . . . . to the City of Port Angeles
Property Use .
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Applicationvaluation . . . 0
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Application desc'
New home
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Owner Contractor
TOMMY & JOANN COOK LIVING TRST OWNER
1112 W 16TH ST
PORT ANGELES WA 98363
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Permit . . . . . ELECTRICAL NEW RESIDENTIAL'
Additional desc . .
Permit Fee . . . . 280.00 Plan Check Fee .00
Issue Date . . . . 13/11/17 Valuation 0
Expiration Date 6/09/18
Qty Unit Charge Per Extension ;
1.00 120.0000 BCH EL-R-SQFT FIRST 1300 120.00
4.00 40.0000 ECN EL-R-SQFT ADDITIONAL 500 160.00
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Fee summary Charged Paid Credited Due
Permit Fee Total° 280.00 280.00 00 00
Plan Check Total 00 .00 .00 .00
Grand Total, 280,00 280.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMrr wiLL EXPIRE SIX(6)MONTHS FROM LAST INSPWI ION
Signature of owner or Electrical Contractor X Date:
pcM r 4 c
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 ;
Ph: (360)417-4735 Fax: (360)417-4711
Date: -2- Tl _1 &2 Single Family Dwelling
*Plan Review May Be Required, Please Com lete Electrical Plan Review Information Sheet
Job Address: fV-2—
Building Square Footage: T
Description of above
Owner Information Contractor Information
Name: a e"k Name:
Mailing Address: i/iR w iG Mailing Address:
City: Pref 12a4cle, State:�Zip: 9'36 3 City: State: Zip:
Phone: 360 4 / /oit Fax: Phone: Fax:
License#I Exp. License#I Exp.
Item Unit Charge (fit Total(Qtv Multiplied by Unit Charge)
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 Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 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: a U
First 1300 Square Ft. $120.00 $1 —
Each Additional 500 Square Ft.or Portion of $ 40.00 _ $ ILt
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
S 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 2964613,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:
x /urr,�,,,,� �. C.c Dated: Jz c �� G/