HomeMy WebLinkAbout1772 Melody Ln - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
REQUEST:
Date t -{., -0'
Time / PiVL
Received by
fJ"'VlPl"<j C.
(phone, person)
Location of Work to be inspected / { 7 Z f'VLz..J odf L-.^-.VLL-
Name of person requesting inspection tJe"'VI t<:, ~ '
Address of person requesting inspection ~V'O YC7L""d I 7~E Phone No. rf/7-'f?<.fCY
I
Type of Inspection (circle appropriate one): Permit ~ ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Oth~<'\..+e.(
INSPECTION NOTES:
Inspected: Date 0 - 0 - 0 (" Time L jJ II{ By f}e"I vi 1<; E:. .
Remarks: K.~o.. ,-.--eA 3/Y' f?t:.. Se....-ikt:ec I e..c-...L
RESTORATION REQUiRED...... YES NO 'x'
~
~
e:<
,::.
~
~
\)
\8
.3 J r fJ.,e12f
~
{!Lie (oJi I.o..Vle
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 503'-1 b - /10
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 16- 00000394 Date 3/21/16
Application pin number , , , 076542
Property Address . . . . 1772 MELODY LN �+
ASSESSOR PARCEL NUMBER: OG 30- 1A -1 -1- 0030 - 0000- REPORT STATE SALES TAX
Application type descKiption ELECTRICAL ONLY on your excise tax form
Subdivision Name . , . . .
Property Use . . . . . . , . to the City of Port Angeles
.Property zoning , , . . . . . UNKNOWN (Location Code 0502)
Application valuation 0
Application desc
200 amp service
--------------------------------------------------- --- - - -- -- -- ---- -- - - --
Owner
Contractor
INSPECTOR:
- ------------ -----
SCOTT AND THERESA
- - - - --
HEDRICKS
------------------ - -
LINCOLN WIRING
- ---
133 HANSEN RD
1619 WEST 7TH STREET
PORT ANGELES
WA 98362
PORT ANGELES
WA 98363
FINAL
(360) 808 -1757
Permit . . . . .
. ELECTRICAL
ALTER RESIDENTIAL
Additional desc .
,
Permit Fee
120.40
Plan Check Fee
.00
Issue Date
3/21/1G
Valuation , .
0
Expiration Date
9/17/16
Qty Unit Charge Per
Extension
1.00 120.0000 ECH EL -0 -200 SRV FEEDER
120.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
120.00
120,00 .00
.00
Plan Check Total
.00
00 .00
.00
Grand Total
120,00
120,40 .00
.00
INSPECTION TYPE
DATE: RESULTS:
INSPECTOR:
DITCH
SERVICE
3
ROUGH -IN
FINAL
COMMENTS:
PERMIT 'WILT, EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
IL
C�
VErrtr
low
CITY OF PORT ANGELES PERMIT APPLICATION
Building DivisionlElectricai Inspections,!
321 East Fifth Street -- P.O. Box 1150 / Port Angeles Washington, 90 "A"', Rl "? . tv� +r,,, ,;fir
Ph: (360) 417 -4735 Fax: (360) 417 -4711 t
311716 X
Date: 1& 2 Single Family Dwelli g k # 1
�5'�la�;tltla3�
Plan Review Mayy Be Required, Please Complete Electrical Plan Review Information Veet
Job Address; 1772 Melody Lane Port Angeles, WA 98362
Building Square Footagge: inn .
Descnotion of above 20 serve e c hange and inside panel relocation and consolidation.
Owner Information
Contractor Information
Name: Scott Hendrix
Name Lincoln Breithaupt
Mailing Address: 1772 Melody Lane
Mailing Address: 1619 W. 7th St.
City: Port Angeles State: ILIA Zip: 98362
City: Port Ange es State: WA Zip: 98363
Phone: (360)912 -1702 Fax:
Phone: (360)808 -1757 Fax:
License # I Exp.
License # I Exp, LINCOW *901 D6 - 312611 8
Item
Unit Charge
Total (Qtv Multiplied by Unit Charge)
ServlcelFeeder 200 Amp.
$120.00
1 $ 120.00
ServlcelFeeder 201 -400 Amp.
$146.00
$
Service/Feeder 401-600 Amp
$ 205.00
$
ServicelFeeder 601 -1000 Amp.
$ 262.00
$
Service/Feeder over 1000 Amp.
$ 373,00
$
Branch Circuit Wl Service Feeder
$ 5.00
$
Branch Circuit W10 Service Feeder
$ 63.00
$
Each Additicnai Branch Circuit
$ 5.00
$
Branch Circuits 1 -4
$ 75.00
$
Temp. Servicel Feeder 200 Amp.
$ 93,00
$
Temp. ServlcelFeeder 201400 Amp,
$ 110.00
$
Temp. ServlcelFeeder 401 -600 Amp.
$149.00
$
Temp. ServicelFoedor 601 -1000 Amp .
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit! Limited Energy -1 & 2 Family Dwelling
$ 64,00
$
Manufactured Home Connection
$120.40
$
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
$
$_120.00 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 -466, The City of Port
Angeles Munfcipal Code, and Utility Specifications
and PAMC 14,05,050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
❑ Cash ❑ Check
Lf1��A Enid haq�
3117/16
[X Credit Card # On file
x
Hated:
alrolrzolz