HomeMy WebLinkAbout514 W 11TH ST - Building (2) 7
1A
ELECTRICAL PERMrF
CrMOF-PORT ANGELES
360-417-4735
Application Number . . . 19-00000121 Date 1/22/19
Application pin number . . . 142908 REPORT STATE SALES TAX
Property Address . . .. . . . 514 W 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0; 3 1 4815-0000- on your exdse tax form
Application type description ELECTRICAL ONLY to the Cfty-of Port Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Lights and outlets
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Owner ContraCtolr
------------------------ ------------------------
ADAM M AND CHELSEY BETTGER OWNER
514 W 11TH
PORT ANGELES WA 98362
(360) 4'6' 1-963'7
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc, .. . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . . . 1/22/19 Valuation . . . . 0
Expiration Date 7/�1/19
Oty Unit Charge Per Extension
BASE FEE 75.00
------------------------------------------------------7--- -----------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---------
Permit Fee Total 75.00 7S.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
4
TYPE
DATE: RESULTS: INSPECrOR:
DrrCH
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FINAL
CONUMM,
,.PffltMjiWKLEe1KE SIX(6)MONTHS FROM LAST INSPECnON
si��e of owner or Electrical Contractor X Date:
ELECTRICAL INSPECTION
WIRING REPORT
Kim-
417-4735
DAT PERMIT# INSPECTOR
1 22) 6�?
OWITER
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CONTRACTOR
ADDRESS
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APPROVED (NO AP 0
13 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . .
0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 13
0. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 13
,) CORRECTIONS NEEDED: k
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— 00 NOT REMOVE—
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1 - 2 SINGLE-FAMILY CD
ELECTRICAL PERMIT APPLICATION,, .,
,AN
Public �Vorks and Utilities Department
321 F� 5th Street. Port Angeles. WA 98362
360.417.4735 1 "1WW.C1tV01'1XI.LIS I clecit-icallic.j-tiilts(ticit.�'Of I Pa.LIS CY
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ProjectAddress: -Po
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Project Description:AJA' 15 ory\p brny\6N r�y(,6\t wl auAUis "O, r(ir� Uc,`V,�'s—Hav�
Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: 4M-W—Wcu'e�— Email: aaoayop'--�Ii (5—,1�'i'o�i .(6fy�
Mailing Address: �t\ P90 &f Phone: No"Ch
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charge Quanti !QW(Quantity x 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 W1 Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 Ak $
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 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note: $5 for each additional) $56.00 $
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TOTAL $ `1�5 - 00
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-
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Name U Signature'/�' OwnerFl Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]