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HomeMy WebLinkAbout315 W 9th St - BuildingELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 12- 00000610 Date 5/17/12 Application pin number . . . 080620 DITCH Property Address . . . . . . 315 W 9TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 6580 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . FINAL Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 200 amp service, 10 circuit remodel Owner Contractor - ----------- ------ - - - - -- WILCOX ROMONA C ------------------------ LINCOLN WIRING P 0 BOX 883 1619 WEST 7TH STREET PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 808 -1757 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 170.00 Plan Check Fee 00 Issue Date . . . . 5/17/12 valuation . . . . 0 Expiration Date 11/13/12 Qty Unit Charge Per Extension 10.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 50.00 1.00 120.0000 ECH EL -0 -200 SRV FEEDER 120.00 Fee summary Charged Paid Credited Due Permit Fee Total 170.00 170.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 170.00 170.00 .00 .00 'ia :. , - REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: 7 1,711 o �• PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G :EXCHANGE \BUILDING d 6� V V CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 41747M -Fax: (360) 417 -4711' Date: N\ Z _ 1 & 2 Single Family Dwelling f� I P Ef � rr "a ELECUIUA INSPECTIONS * Plan Review_ May Be Re timed, Please Complete Electrical Plan Review Information Sheet Job Address: 1 S LJ �. Building Square Footage: Description of above -:b o ✓ c�,�,� F C i r CAA `t Owner In rmation Name: W Mailing d ess: / S/ f City: State: Zip: 99363 Phone: 7 ° Fax; License # / Exp. Item Service/Feeder200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401 -600 Amp Service /Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder 'Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service/Feeder 601 -1000 Amp . Portal to Portal Hourly Signal Circuit/ Limited Energy -1 & 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy - 5KVA System or Less Thermostat Note: $5.00 for each additional TStat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge $120.00 $146.00 $ 205.00 $ 262.00 $ 373.00 $ 5:00 $ 63.00 $ 5.00 $ 75.00 $ 93.00 $110.00 $149.00 $168.00 $ 96.00 $ 64.00 $120.00 $102.00 $ 56.00 $120.00 $ 40.00 $ 74.00 $110.00 Contr cto� r Infogmatio Name: Mailin Address: 1 rti T City: ocn State: _Zip: 3 Phone: G - y-175_7 Fax: L License # / Exp.i Total (Qty Multiplied by Unit Charge) 10 $ J 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 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signatur f o er, ele rical contractor or electrical administrator: �❑ Cash., ❑ Check I� Credit Card # x Dated: 17 / 0110112012 d WE 1619 West 7" Street Lincoln Wiring Port Angeles, WA 98363 July 20, 2012 Trent Peppard I am requesting a refund for the electrical permit I purchased on May 17; 2012 for 315 West 9th Street. was scheduled to perform the electrical work starting the day I obtained the permit; however, I worked for about three hours cutting holes for outlets and switches when the individual who hired me called an end to my labor in order to speak with his bank about available funds. At no time did I remove any electrical circuits or pull any wire in the residence. I have since parted ways with the job and respectfully request a refund in the amount of $170.00 for the unused permit. Thank you. Sincerely, Lt�rcoG�r $�r'tl�a�cpt Lincoln Breithaupt Lincoln Wiring (360)808 -1757 Z71 4p�� CITY OF PORT ANGELES 33.Z FEE RECEI TNUMBER DEPARTMENT OF LIGHT A PERMIT NUMBER APPLICATION AND.ELECTRICAL PERMIT TOTAL FEE L w - - PER CIR 120V 10 240V 10 OR 30 FEE CONT. LIC. NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 3 LP 15 W' / 7 14 ST. A - --11 vuncoa 1. nc'-u ... L III Vr NrrLlVNnI r.n.11 VVIIVIVV NVVMLJJCJ AIc 1 nl. LLLV Owner I /A-V ( p W I LCo X Installation By Owner's Address - f PAlA-F_ Installers Address Day Phone __ _ _457 -075`) Installers Phone_ Application is hereby made for Permit to install Electrical Equipment as follows: !tit STALL Tvv O Cl aCiJ1Y_S Wiring Method USE OF CIRCUIT" NUMBER CIRCUITS - - PER CIR 120V 10 240V 10 OR 30 FEE USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 10 240V 1 00R 30 FEE LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE -- zC 1/ 420— ! f[J MOTOR CONVENIENCE MOTOR - APPLIANCE - MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER - - REINSTALLATION LIGHT FIXTURE 4 FURNACE GAS - OIL _ SUB TOTAL FEE FURNACE ELECTRIC ENERGYFEE BASIC FEE ELECTRIC HEAT -- TOTALFEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER . AMP PHASE SIZE OF SERVICE ENTRANCE CONDUCTORS A.C. UNIT FEEDER SERVICE A W G SUB -TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in con manc :! hP N.E.C. Electrical Code. / t Date Application made By G ONTRACTOR "OROWNER (OR A HORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. .DIRECTOR OF CITY LIGHT ® Date Permit Issued WARNING — v Avir PRINTERS. INC. By PLANS APPROVED ' Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457 -0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE - Original CANARY Duplicate PINK - Triplicate WHITE CARD- Inspector's Report REPORT OF INSPECTOR - . DATE OF VISIT MADEBY REMARKS O.K. FOR COVERING O.K. TO CONNECT SERVICE FINALO.K. 0 1 1 Z B Q Q fA S F Z_ W I- 0 2 O O CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N1° 17009 Port Angeles, Washington ....... f. /C;L ............................... m9 In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby gi;anted to do elect4bal work as listed below. p Address ..__3 Owner ------ __ Wiring Contractor Light Outlets ................................ ........ Receptacle Outlets ------------------------------- Dryer, KW......... Range, KW --------- Water Heater: Heat: KW ...... GfY.'.: Motors: size, volts and phase Total Lead ............................. Remarks: ccupancy. --- - - ---------- ------- ------ Ir'YV -- - - - --- By-- -------- --- -------- ----------------_-_--- -------------------- -- tL Service, volts . - /`�o ....�. y.<J. Type of Wiring: No. wires ..._ ... _ Armored Cable. Size wires......`j_.. ... .. -,_ Non - Metallic .._ - Knob & Tube..... Main fuse ...... .............. Rigid Conduit ... Enclosure ------- ------- ---------- ----- --- - - - - -- Metallic Tubing Type of wiring: Raceway ............. Entrance Cable ............................. Circuits, Light........... Rigid Conduit ......................... ...... Utility ................. Metallic Tubing ---..... - ;..... ............ Heat -----------....... Current transformers: Range ................. No. & Size ........ ............................... Water Heater ... Ser. No ---------------------------------------------- . Motor ..._ ............ SecNo.............................................. Dryer.................._.. Furnace ................ Ser. No . .................. ................. 4...... th _ Total ........... Permit Fee Tress. Receipt LJ/ '7' W_ Ii $-------- -- ------------ --------- ------- No,-------- ------------ - - - --- By/y-t -- - / v-%, 71s2-W- NOTICE — Current must not be turned on until Certificate of Inspection has been issued. Il work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION Address Owner ELECTRICAL PERMIT N° 17009 Tenant........................................................ .......... WiringContractor ........................................................... _............................................................. By .............................................................. NOTICE — Current must not be turned on until Certificate of Inspection has been issued. If work is to be con - 1 cealed due notice must be given the Inspector so that work may be inspected before concealment. -- 1M Olympic Printers, Inc. '" 0 J'O V I ... I i CITY OF PORT ANGELES PERMIT APPLICATION � Building Division /Electrical Inspections 321 East ]Fiiftla Street — P.O. Box 1150 I Port Angeles Washington, 95362 �`" G Ph: (360) 417 -4735 Fay: (360) 417 -4711 Date: 1 & 2 Single Family Dwelling * Plan Review May Be Required, Please Comp €ete Electrical Plan Review Information Sheet Job Address Building Square Footage: I Desoription of above d' , ` V Owner fnformation Contractor Inform ion Name; s' e ".,� � � __ Name: P ss: Mailln Addr t� Mailing Address City: State: LJ�, Zlp: City: State: Zip: Phone: ,4( - Fax: Phone Fax: License # ! Exp. License # t Exp. Item Unit Charge Qjt Total {qty Multiplied by 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 Wl Service Feeder $ 5.00 $ Branch Circuit 00 Service Feeder Each Additional Branch Circuit $ 63.00 $ 5.00 "Tf $ $ Branch Circuits 1 -4 $ 75.00 f& $ Temp Service/ Feeder 200 Amp. $ 93,00 $ Temp Service /Feeder 201 -400 Amp. $ 110,00 $ Temp Service /Feeder 401 -600 Amp. $ 149,00 $ Tomp 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 $ Rene+wabie Electrical Energy - 5KVA System or Less $ 102,00 $ Thermostat $ 56.00 $ Note $5.00 for each addiflonai 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 fcr sale, rent or lease. Permit expires after six months of cast 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 instaliation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19,28, WAC, Chapter 296 -4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electricai Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ Cash © Check ❑ Credit Card # Z olroilzotz X Dated: ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 12- 00001306 Date. 10/09/12 Application pin number . . , 439792 Property Address , . , , . . 315 W 9TH ST ASSESSOR PARCEL NUM3ER: 06-30- 00-0 -2- 6580 -0000- Appl4cation type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . . , . RS7 RESDNTL SINGLE FAMILY Application Valuation . . . . 0 Application desc House remodel 24 circuits and service Owner Contractor -------------------- WILCOX ROMONA C OWNER P 0 BOX 883 PORT ANGELES WA 98362 - ----- ---------- ------ - - - - -- Permit . . ELECTRICAL ALTER RESIDENTIAL Additional desc , Permit Fee 240.00 Plan Check Fee .00 Issue Date 10/09/12 Valuation . . . . 0 Expiration Date 4/07/13 Qty Unit Charge Per Extension 24.00 5,0000 BCH EL- 3RANCH CIRCUIT W /FEEDER 120.00 1,00 120,0000 ECH EL -0 -200 SRV FEEDER 120.00 Fee summary Charged Paid Credited -~ - Due . Permit Fee Total - -- 240.00 240,00 00 .00 Plan Check Total .00 .00 .09 .00 Grand Total 240.00 240.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE s� ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (G) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Coritractor X — Dale: G:\EXCHANGEIBUE-DrNG X 9 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , . . 14-00001007 Date 8/25/14 Application pin number . . . 167515 Property Address . . . , , . 315 W 9TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 6580 -0000- Application type,desc.ription ,ELECTRICAL ONLY Subdivision Name , . . . . . Property Use . . , , . . Property Zoning . . . , . . . E87 RESDNTL SINGLE FAMILY Application valuation . , . 0 Application desc Expired permit 12-1306. Finsih top floor Owner Contractor WILCOX ROMONA C OWNER P 0 BOX 883 PORT ANGELES WA 98362 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL DATE: Additional desc . . INSPECTOR: DITCH Permit Fee , , . , 88,00 Plan Check Fee 00 Issue Date . . . . 8/25/14 valuation . . . . D Expiration Date . . 2/21/15 Qty Unit Charge Per Extension 5100 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 25.00 1100 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63,00 Fee Summary Charged Paid Credited Due Permit Fee Total 88.00 88.00 .00 DD Plan Check Total .00 .00 .00 .00 Grand Total 88,00 88.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FR'4AL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION,, Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING C1TV OF PORT ANGELES PERN11T APPLICATION Building Division /Electrical Inspections RECEIVE 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 AUG 2 Phi (360) 417 -4735 Faze (360) 417 -4711 (�f� ECTRICAL Date: � 2 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above � tpi a yL ? P&.u,-A i-T- j2 - 13p(, 1 N I far i Owner lnfcaeraiation Contractor Information Name: c. Name Mallln d ss: Mailing Address: City. State Zip: (OZ City: State: Zip Phone Fax: Phone: Fax, License # / Exp License 4 t Exp Itein Unit Charge oty Total (City Multiplied by 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 WI Service Feeder $ 5.00 $�� Branch Circuit WIO Service Feeder $ 63.00 4 $�_ Each Additional Branch Circuit $ 5.00 Branch Circuits 1 -4 $ 75.00 $ Temp. Servlcel Feeder 2C Amp. $ 93.00 $ Temp. ServicelFeeder201- 400Amp $ 110,00 $ Temp. Service/Feeder 401- 6COAmp $ 149.00 $ Temp. ServicelFeeder 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. $ 12000 $ 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 $ $�Tokal Owner as defined by RCW.19.28.281 (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 alterafion in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC, Chapter 296 -46B, The City of Port Electric Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electric I Permit Applications, Signature of owner, electrical contractor or electrical administrator: © Check 7" '(7 © �Credit Card to X Dated: ZO _J 0110112012 s- 4 .J Romona C. Wilcox P. O. Box 883 pn mg-P,l 10 DAY NOTICE OF PERMIT EXPIRATION DATE; April 29, 2015 ADDRESS: 315 W. 9th Street PERMIT NUMBER / DESCRIPTION 14- 00001007 Electrical — Residential The above referenced permit(s) is /are about to expire. Please call 417 -4735 within 10 days from the date of this notice to arrange for one of the following: 1. If work has been completed, call to schedule an inspection. 2. Request cancellation of the permit if work was never started. 3. Request an extension if work is not complete. City of Port Angeles Electrical inspections - (360) 4174735 Thank you for your cooperation —34�? Trent Pepparcd Electrical Inspector *V-ORT44,,Q ELECTRICAL INSPECTION WIRING REPORT 46,- KS 417-4735 CAT PERM17 4 INSPECT q ) vo b 4 1 19 OW ER Kp- I C-- CONTRACTOR ADDRg, J5, Cxix- NOT APPROVED ❑ .................... DITCH .................... ❑ ROUGH IN/COVER ............... ❑ ❑ ................... SERVICE. . ................. ❑ ................. .- FINAL .................... 0 CORRECTIONS NEEDED: hA� PT=v, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 0, ELECTRICAL INSPECTION WIRING REPORT -4735 ALI RKS 417 DATE: PERMIT INSPECTOR 8 1 lq- IM-7 OwNffR I lka-k r CONTRACTOR AI)DrlrSS APPROVED NOT APPROVED ............... DITCH .................... ❑ ROUGH IN/COVER ............... ❑ ......... .......... SERVICE ......... ......... ❑ i7 ..................... FINAL .............. CORRECTIONS NEEDED: - )r&- ez .......... . . . . . . I W-,m NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 0111-01MA4 III 1.3*1gle'lN =� ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 15-00001541 Date 12/10/15 Application pin number 452592 Property Address . . . 315 W 9TH ST ASSESSOR PARCEL NUMBER! 06 -30 -00 -0 -2 -6580 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use . . . Property Zoning . . . RS7 RESDNTL SINGLE FAMILY Application valuation Q Application desc House remodel expired permit 14-1007 Owner Contractor WILCOX ROMONA C OWNER P 0 BOX 883 PORT ANGELES WA 98362 Permit ELECTRICA.I., Al.,I'ER, RESIDEN,rIAL Additional desc 1 4 Permit Fee "75.00 Plan Check Pee 00 Issue Date r u 12/10/15 Valuation 0 Expiration Date 6/0'7/::1..6 Qty Unit Charge Per Extension ,BASE FEE '75.00 Fee summary Chra rged Paid Credited Dut.� Petmn'.t Fee Total. 75.00 75,00 .00 Plan Check Iot:.al 00 .00 .00 Grand'are l:al 75.00 75.00 ao 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN ho .. . . . ........ . ..... FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor_IT Date: G:\EXCHANGE\BUILDING Owner as defined by RCK19.28.261: (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 296-4613, 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: ❑ cash ❑ check Card # _. x ..... .. . .....� a �„�.,6 t�atad:.-.. 0110112012 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 "° r Date: —.. _ 1 & 2 Single Family Dwelling VAT I fin 'P09 IT * Plan Review M y. e Re juir Wlea e Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage:" L' Description of above — VN rw' r ,��7-7-, Owner Information Contractor Information Name: l evk 0A 0 r � Name: Mallin ddreiv4 `' Mailing Address: _. City: r' State: Zip: ._. City: State: Zip: Phone. °" , _ 4 -Far; Phone: Fax: License # / Exp. /,U �r Z' License # I Exp, Item, Unit Charx 9!Y Total Multiplied by 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 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 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $� Signal Circuit/ Limited Energy -1 & 2 Family 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 RCK19.28.261: (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 296-4613, 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: ❑ cash ❑ check Card # _. x ..... .. . .....� a �„�.,6 t�atad:.-.. 0110112012