HomeMy WebLinkAbout1117 W 16th St - Building ELECTRICAL PERMIT i
CITY OF PORT ANGELES
360 417 -4735 0
Application Number 12- 00000898 Date 7/18/12
Application pin number 721400
Property Address 1117 W 16TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4- 3160 -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
.200 amp breaker replacement
Owner Contractor I/v
HENKE FRED L JEFF NELSON ELECTRIC
1117 W 16TH ST 7062 OLD OLYMPIC HWY.
PORT ANGELES WA 983637039 PORT ANGELES WA 98362
(369) 460 -4291 aj HZ s
Permit ELECTRICAL ALTER RESIDENTIAL l
Additional desc
Permit Fee 120.00 Plan Check Fee .00
Issue Date 7/18/12 Valuation 0
Expiration Date 1/14/13
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 120.00 120.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 112:1 i i— jx.T. eloN.P7
ROUGH -IN
FINAL I �CS
Z 1s�Q
COMMENTS: c c OAT
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
CITY OF PORT ANGELES PERMIT APPLICATION CTRICA L
Building Division/Electrical Inspections 0
321 fast Fifth Street P.O. Box 1150 /Port Angeles Washington, 98 362 1 7 IL 7 C
NEW e
CSO
Ph: (360) 417 -4735 Fax: (360) 417 -4711
J ELE
Date: 7 7 /1/ Z 18 2 Single Famil Dwel lingy$ PECr10NS
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: ,LLL7 Lt2 hip 7
Building Square Footage: i'ae,D
Description of above
P LC M 91•u c -gg�:�'/. t
Owner Information Contractor Information
Name: Name: Jee A3 e $or.
Mailing Address: Mailing Address: 5 Tl2
F- IT .R
City: State; Zip: City: 5'eatv:AA State: LA) Zip: Z-
Phone: Fax: Phone: Woo '{Zc? Fax: C. 5f
License Exp. License 1 Exp. sJE Flo Ail/ 9R'1_,
Item Unit Charge gay Total (Qtv Multiplied by Unit Charnel
Service/Feeder 200 Amp. 120.00 ____1___ I
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
JEW 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
1W 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 296 468, 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: 0 cash 0 Check
�e
l e redl Card 9 09 l) 004 7 S'SS' 7
x l G J p 7/ i 7/' 2 01101/2012
-4Xed a e fr ui.e 2,., fr. ,e.erf_L d le__
CZ