HomeMy WebLinkAbout1614 W 12th St - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
C C;
360 417 -4735
Application Number 12- 00000877 Date 7/12/12 f
Application pin number 857212 'V
Property Address 1614 W 12TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 6415 -0000- on your excise tax form
Application type description ELECTRICAL ONLY Y
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Application desc
1 -4 circuits kitchen remodel
Owner Contractor
CROWLEY TIMOTHY L EXTRA MILE TECH ELECT., LLC
1614 W 12TH ST 418 N. RACE ST.
PORT ANGELES WA 983635308 PORT ANGELES WA 98362
(360) 457 -0198
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00 1
Issue Date 7/12/12 Valuation 0
Expiration Date 1/08/13
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00 r--�
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN IT lb 1
FINAL L i l Z_ ��•M
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:AEXCHANGE \BUILDING
RECE[WEB' „,t tor:►
CITY OF PORT ANGELES PERMIT APPLICATION s i 1
Building Division/Electrical Inspections r
321 East Fiftb Street P.O. Box 1150 Port Angeles Washington, 98362 INSPECTIONS A W' vac:- °:r
Ph: )alp -4735 Fax (360) 417-4711 I NSPECTIONS
Date: 7-/0-12_
i& 2 Single Family Dwelling
Plan Review May Be Required, Plekse Complete Electrical Plan Review Information Sheet
Job Address: I r!7 14' 1 41 hZEET
Building Square Footage:
Description of above Iti. p r
r
Owner information Contractor Information
Name: CY Lo w` Nance /-�acil -I2 M (ec,8
Mailing Address: 1 1 4 G-� la et S T,•. G �tPC i�
Mailing A ddress: �-(I g :J Z l C T
City: IPA-- State r A- Zip: el B r. city: PA. State:),.; il- Zi cc r! lu 2_
Phone Fax Phone: 4 15 7 -5_;1 Fax 44 -A GS
License# /Exp. License /Exp:. E L fr' 'n r' 9 ?ak'
Item Unit Charge (3ty Total (Qty Multiplied bV Unit Charge)
ServicelFeeder 200 Amp. 120.00
ServicelFeeder 201-400 Amp. 146.00
ServiceiFeeder 401-600 Amp 205.00
Service/Feeder 601 -1000 Amp. 262.00
SeiviceiFeeder over 1000 Amp. 373.00
Branch Circuit WI Service Feeder 5.00
Branch Circuit W/O Service Feeder 63.00
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 75.00 75
Temp. Service/ Feeder 200 Amp. 93.00
Temp. Servio/JFeeder 201-400 Amp. 110.00
Temp. Service/Feeder 40l -600 Amp. 149.00
Temp. Service/Feeder 601 -1000 Amp 168.00 3
Portal to Portal Hourly 96.00
Signal Circuit/ Limited Energy -1 2 Family Dwelurg 3 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 FL or Portion of 40.00
Each Outbulldmg or Detached Garage 74.00
Each Swimming Pool or Hot Tub 110.00
7 S
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, 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.
Signature of owner, electrical contractor or electrical administrator. D cash 0 Check O r l:Eds
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