HomeMy WebLinkAbout - Building (26) ELEC'�;1I,FEI?1IT' .
CITY ' ' TGELES 4
-417-4735
Application Number . . . . . 19-00001106 Date 9/12/19
Application pin number 087320 REPORT STATE SALES TAX
Property Address . . . 2015 W 16TH ST on ywr t Jfwe tax form
ASSESSOR PARCELINUMBER: 06-30-00-1-0-7600-0000- ,
Application type description ELECTRICAL ONLY t0 the �of Port Angeles
Subdivision Name . . . . . �E.00841f Code��Z�
Property Use . . . ,_ .' .
Property Zoning . RESIDENTIAL TRAILER'PA M
Application valuation 0
Application desc
Power for shed
Owner Contractor
BAUBLITS, SHIRLEY J OWNER
PO BOX 1073
PORT ANGELES- WA 9062
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 63.00 Plan Check Fee .00
Issue Date 9/12/19 Valuation 0
Expiration.Date . 3/10/20
Qty Unit Charge Per - Extension'
1.00 63.0600 EC14 EL-R- BRANCH CIR WO/ MR FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 63."00 63.06 .00 .00 •
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH-IN
FINAL
CONIIEI�I'TS• h6 R-L
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPWTION
Signature of owner or Electrical Contractor X Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 .
Ph: (360)4174735 Fax: (360)417.4711
Date: 7 s�%Z ,20/9 _18 2 SingleFamily Dwelling
"Plan Review May Reqred,Please Co eElecttical Plan Review Information Sheet
Job Address: ette�15r
Building Square Foot: /A Jo /0
Description of above
D
Owner Information Contract Information
Name: c�ie, �cr� Name: d,�_' ..t.I^
Maidr � _�_ Mailing Address:
City State:g4:1a Zip: 4 o03 City: State: zip:
Phone*: j& Phone: Fax:
License#/Exp. License#/Exp.
Item Unit Cham-a Qt Total((9ty Muhiolied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
ServicelFeeder 201400 Amp. $146.00 $
Service/Feeder 401.600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Brandt 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 401-6W 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 $
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 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 29646B,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: ❑ c"h ❑ ct"
❑ Credit Card#
x ole. oacad: �'� 0110112012