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HomeMy WebLinkAbout1203 Georgiana St - Building CITY OF PORT ANGELES PERMIT APPLICATIONS Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 1 Ph: (360) 417-4735 Fax: (360)417-4711 Date, `" _1 &2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above ~ t'' " L Owner Infor ation �/ Contract Information Name:J -//\I p»�n r �/ Name: '; "--c' Y, (�A�-u Mailing Address: Mailing Address: City: State: Zlp: Qlty6l Z State:4M Zip: Phone: Fax: Phcne:c4,i License#1 Exp. License#!Exp, i I Item Unit Charge Q�t Total fQt Multiplied by Unit Charge Service/Feeder 200 Amp. $120,00 I $ !ZU Service/Feeder 201-400 Amp. $146.00 $ ServlcelFeeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $262,00 $ Servica/Feeder over 1000 Amp. $373.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit W10 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/Feeder401-600 Amp. $149.00 $ Temp.Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $ 96,00 $ Signal Circuit!Limited Energy-1&2 Family Dwelllrg $ 640 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Scat NEW CONSTRUCTION ONLY: First 1300 Square Ft $120,00 $ Each Additional 500 Square Ft.or Portion of $ 400 $ Each Outbuilding or Detached Garage $ 7C00 $ 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 l 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 296-4613,The City of Part 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 — �credlt card r- /1 X Dated: / '� [ Yti 0110112012 r ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 tV4 Application Number . . . . . 13-00000033 Date 1/08/13 Application pin number . , , 495724 Property Address , . , , . . 1203 GRORGIANA 8T REPORT SALES TAX ASSESSOR PARCEL NUMR'ER; 06-30-00-5-3-1045-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning , , . . . . , RSV RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . 0 Application desc 200 amp service Over to under ---------------°_-__-------------------------_ _-------------------------_ Owner Contractor BARBARA K MILLER BOTERO & SON ELECTRICAL 1203 GEORGIANA ST 940 TAMARACK WAY PORT ANGELES WA 98362 PORT ANGELES WA 98362 -- (360) 452-4766 ---------- ---------- -- --------------------------- Permit ELECTRICAL ALTER RESIDENTIAL C, Additional desc Permit Fee . , , . 120.00 Plan Check Fee .00 Issue Date 1/08/13 Valuation . . , , 0 Expiration Date 7/07/13 Qty Unit Charge Per Extension. 1,00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 Special Notes and Comments aanuary 8, 201 9:41;55 AM tamict. REVISE SERVICE TO UNDERGROUND COORDINATE CONNECTION POINT AT NW CORNER OF PROPERTY A=ACENT TO EXISTING POLE. + Fee summary Charged Paid Credited Due t{p� ------------------ ---------- ---------- ---------- ---------- U Permit Fee Total 120.00 120.00 .00 .00 Pian Check Total ,00 ,00 .00 .00 Gr.aznd Total 120.00 120,00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: C,:IEXCHANGEIBUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~UILL)IN~ lal::l~MII ISSUED: 10122/2002 PERMIT NO: 13796 OWNER/APPLICANT PROPERTY LOCATION 1203 GEORGIANA E DEBRAH VOLTURNO P. O. BOX 332 Lot: 10 & W 1/2 OF 11 Port Angeles, WA 98362 Block: 10 [] Long Legal 360/565-1153 Subdivision: PSCC T: S: Parcel No: 063000531045000 CONTRACTOR ARCHITECT EVE RWARM N/A 257151 HWY 101 Port Angeles, WA 98362-0000 , 98360-0000 3601452-3366 3601000-0000 PROJECT INFO Project Value: $1,000.00 SFD Units: 0 Commercial: 0 Project Type: WOOD STOVE SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES INSTALL FREE STANDING WOOD STOVE RECEIPT#9833 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $50.00 Plumbing: $0.00 AMOUNT PAID: $50.00 Mechanical: $50.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The grant ng of a perm t does not presume to give authority to violate or cancel the provisions of any state or,local law regulating construction or the performance of, construction. Signature of Contractor or Authorized Agent Date Sign~ture~-Owner (if owner is builder) /Dat~ - T:\PLAN~[NG\FORMS\ 1 ]0Z 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCE,4L ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECItANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEy HOOD / DUCTS PWUTILITIESI SITEWORK (EnglncerlngDivision) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT O's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION ~ R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIPdE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 /'~/--/OF~O~ ~X~ ~ BUILDING T:\PLANNING\FORMS\1102.15 [4/2002] / CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /'~/-- / ~ ~ ~) ~ Time Received by ~)~V (phone, person) Location of Work to be inspected / 7_ (~ ~ Name of person requesting inspection Address of person requesting inspection Phone No,/'//=/ ~ --~/~ Type of Inspection (circle appropriate one): Permit No. I--~'7c~'/o Sewer Foundation Framing Chimney Plumbing ~'~ina~ Sewer Excav. Other INSPECTION NOTES: ~ ~/j~c~_ Inspected: Date ~//~/~Z~.~ Time By 7~ ~ Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel I~Asphalt [~]PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE}