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HomeMy WebLinkAbout226 W 12TH ST - Building (2) ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000893 'Date 6/13/18 Application pin number . . . 805557 �.. Property Address . . . . . . 226 W 12TH ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7835-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 -------------------------------- Application desc Remodel ---------------------------------------------------------------------------- Owner Contractor CHERYL A / JON K BRONDYKE UPPER-LEFT ELECTRIC LLC 25990 SHAKE RIDGE RD 1306 ROOK DR VOLCANO CA 95689 PORT ANGELES WA 98362 }ii ----------- (360)-461-7720- - ---- L i Y________ ----------------- Permit . . ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS Permit Fee . . . , 155.00 flan Check Fee .00 Issue 'Date . . . . 6/13/18 Valuation 0 Expiration Date 12/10/18 Qty Unit Charge Per Extension j" BASE FEE 75,00 16.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 80.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Bee Total 155.00 155.00 .00 .00 Plan Check Total; 00 .00 .00 .00 Grand Total 155.00 155.00 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR; DITCH SERVICE ROUGH-IN FINAL COMMENTS; PERMrr WILL EXPIRE SIX(6)MOWM FROM LAST INSPECTION Signature of owner or Electrical Contractor X ' ' 4 Date: ° ' LI 1 - 2 SINGLE-FAMILY poR ELECTRICAL PERMIT APPLICATION PuloTic Works and Utilities Department 321 G. 5dhStncet Port Angeles, WA 98362 360.4l74735 | vvvvwc' ofpa.us el�-ctricalpcnoitsCa,ci ofpa.ua Project Address: \� Project Description'. �_Bingle-Family Residential El Duplex/ARU Building Square footage: OWNER INFORMATION Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: 4� License.- Mailing Address: 0 6 V_G 0 i0c i:)t 11 V_Q__ Expiration Date: PROJECT DETAILS Item Unit Chaia�e Quantity Total(Quantity Unit Charge) Service/Feeder 2O0Amp. $12V00 $_________ Service/Feeder 2O1-4OOAmp. $146.00 $__________ Service/Feeder 4O1'000Amp. $205.00 $_________ Service/Feeder 8U1'1OOOAmp. $282.00 $_________ Service/Feeder over 1000Amp, $373.00 $_________ Branch Circuit wW Service Feeder $5.00 *__________ Branch Circuit W/O Service Feeder *53.00 $ Each Additional Branch Circuit $5.00 _L�� $ Branch Circuits 14 $75�80 � $ Temp.Service/Feeder 2V0Amp. $93.00 $__________ Temp. Service/Feeder 2O14OOAmp. $110.00 $_________ Temp Service/Feeder 4O1-G00Amp. $149.00 $_________ Temp. Service/Feeder 8V1'1OOOAmp. $168.00 $_________ Portal to Portal Hourly $96.00 $_________ Signal Circuit/Limited Energy'1Q2 DU. *84.00 $__________ Manufactured Home Connection $120�00 $_________ Renewable Elec. Energy:5KVA System orless $102.00 $_________ Thermostat(Note:$5 for each additional) $58.00 $__________ First 13OV Square Feet $120.00 $_________ Each Additional 5OU square feet" *40.00 *-________ Each Outbuilding/Detached Garage $74.00 $_________ Each Swimming Pool/Hot Tub $110.00 % TOTAL $__i��_�__ Owner as defined by RCW.19,2&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 A e|emMunicipal Code and Utility Specifications andPAMC14O5O5O regarding Electrical P it Applications. -date I Print Name 'Signature 6wner F-1 Electrical Contractor/Administrator) [Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] ELECTRICAL INSPECTION , � WIRING REPORT + $, 417-4735 DATE: PERMIT# INSP r OWN CONTRACTOR ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: x o - NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS -- DO NOT REMOVE-- ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE:,�, PERMIT# 'PEC-LOR OWNER CONTRACTOR ovm�- ADDRESS APPROVED NOT APPROVED 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0 0 . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 C3. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: i!�> 1)u &2hJ 12 VQ 4� -AL,5> NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - 00 NOT REMOVE-