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Home My WebLink About1218 E 4th St - Building . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. 33p)- DATE/:2/3 /9'/ , , Installed By: I J' .2. [) o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: ~L- Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair ~Overhead o undergzr 'Ulls! /" " Voltage ~ ~ 1.0 0-3.0 Service size ;:I/O i:J Amps o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai IslDescription: !./Of- . d&O W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough-in/cover O.K. .'~ Jj>I O.K. to connect service IIJi1 '0 Final O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: PermitfReceipt No. ,... '3395 Site Address: I ~ ,8 c. '- New Metl) . Notify the Department of (City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the ~r in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~o ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall ELECTRICAL PERMIT CITY OF PORT ANGELES - 360-417-4735 Application Number 15-00001554 Date 12/14/15 Application pin number . . . 094678 Property Address . . . . . 1218 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 7920 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc Heat pump Owner Contractor Amanda and Matt Dubeau ELECTRIC SERVICE 1218 E 4TH ST 503 RHODES RD PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460-1238 (360) 452-6424 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS Permit Fee 75.00 Plan Check Fee c00 Issue Date 12/14/1S Valuation 0 Expiration Date 6/11/16 Qty Unit Charge Per Extension 'BASE FEE 75.00 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 COQ Plan Check Total .00 .00 00 .00 Grand Total 75.00 75.00 00 00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X--- Date: GAEXCHANGEWILDING REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X--- Date: GAEXCHANGEWILDING FROM : FAX NO. : Dec. 12 2015 1:26PM P1 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 19.26, WAC. Chapter 296 -46B, 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: ❑ cath ❑ check ❑ CndltCaMS— 0110112012 (1 V 1' gar 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: i V 1 & 2 Single Family Dwelling Plan Review May Be R uired Please Complete Electrical Plan Review Information Sheet Job Addresa; 1 S Building Square Footage: Description of above Owner Inforrnad n Contract Iform tlan Name: tj46+2° Name: Mailing Address; k,� Maili A City: State :, 'p: cit+, 6hahe. 2�p: Phone; Fax: Phone" Fax License # / Exp, Ucense # l ;p. Rem Unh C ta e 9!X Tot I Ku_hjg!lj# ov Unit Chlra e Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201400 Amp. $146.00 $ Service/Feeder 401500 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 Ci Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. Servlce/Feeder201-400 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 Circu1V Limped 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 TStal NEW CQUIRUMQU f9NLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft. or Portlon of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ t 70tal 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 19.26, WAC. Chapter 296 -46B, 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: ❑ cath ❑ check ❑ CndltCaMS— 0110112012 (1 V 1'