HomeMy WebLinkAbout320 W 12th St - BuildingELECTRICAL PERMIT
CITY OF FORT ANGELES
360 -417 -4735
Application Number , . , , .
14- 00401122 Date
9/19/14
Application pin number , . .
171318
DITCH
Property Address . , . .
320 W 12TH ST
ASSESSOR PARCEL NUNZER;
06-30-00-0-3- 7732 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
FINAL
Property zoning . . . . , ., ,
Application valuation . , , ,
0
Application desc
Ductless heat pump
----------------------------------------------------------------------------
Owner
Qontractor
------------------- - - - - --
BRENDA SMITH
------------------ - -- - --
BLACK DIAMOND ELECTRICAL
CONTR
320 W 12TH ST
E02 BLACK DIAMOND RD
PORT ANGELES WA 983627606
PORT ANGELES WA
98363
(360} 565 -1035
Permit , , . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc ,
Permit Fee 63.00
Plan Check Fee
.OS
Issue Date 9/19/14
Valuation.
0
Expiration Date 3/18/15
Qty Unit Charge Per
Extension
1.00 63.0000 ECH EL-R-
BRANCB CTR WO/ SER FEED
63.00
----------------------------------------------------------------------------
Fee summary Charged
paid Credited Due
---------- - - - - - -- ---- -- - - --
Permit Fee Total. 63,00
---- - - - - -- ---- - - -- -- ---- - - -
63.00 ,00
- --
.00
Plan Check Total 00
.00 ,00
.00
Grand Total 63,00
63.00 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
FINAL
COMMENTS:
!
PEKMIT WILL EXPME SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division[Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 48362
Ph: (360) 4177 --4735 Fax: {360} 417 -4711 en
Date; 1 & 2 Single Family Dwelling
k Plan Review May Be Required, Please Complete Electricai Plan Review Information Sheet
Job Address; Rjo VV 7-9
Building Square Footage:
Description of above a 1
Owner Information
Name: T6 "- -JJDA-
ati
Mailing Address:
_-
City: Slate: Zip:
State: Zip:
Phone: Fax:
Fax:
License # I Exp.
A-- 4 ►—
Item
Unit Charge
Servicel7eeder200 Amp.
$ 120.00
ServicalFeeder 201 -400 Amp.
$ 146.00
ServicelFeeder 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 2C 1 -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
Contractor I
Name:
ati
Mailing Address-:
_-
City:
State: Zip:
Phone:
Fax:
License # I Exp.
A-- 4 ►—
Total (Qty Multiplied by Unit Charge)
$
$
$
$
$Totail
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 altqr ation in pliance with the electrical laws, N.E,C„ RCW. Chapter 19.28, VVAC, Chapter 296 -466, The City of Port
Angeles Municipal Code, Vnility ec' cations and PAMC 14.05.050 regarding Electrical Permit Applications.
Slgnature o r, elecc ctor or electrical administrator; ❑ cash heck
❑ Credit Card #
0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . , . .
14- 00001122 Date
9/19/14
Application pin number
171318
DITCH
Property Address
320 W 12TH ST
ASSESSOR PARCEL NUMBER;
06-30-00-0-3- 7732 -0000-
Application type description
ELECTRTCAL ONLY
Subdivision Name . . . , . .
Property Use . . . . . . . .
FINAL
Property Zoning , . . . , . .
Application valuation . , . .
0
Application desc
Ductless heat pump
----------------------------------------------------------------------------
Owner
Contractor
------------------ - - - - --
BRENDA SMITH
------------------ - - - - --
BLACK DIAMOND ELECTRICAL
CONTR
320 W 12TH ST
502 BLACK DIAMOND RD
PORT ANGELES WA 983627606
PORT ANGELES WA
98363
(360) 565 -1035
Permit , . , . . . ELECTRTCAL
ALTER RESIDENTIAL
Additional desc . ,
Permit Fee 63.00
Plan Check Fee
.00
Issue Date 9/19/14
Valuation . . , ,
0
Expiration Rate 3/18/15
Qty Unit Charge Per
Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED
63.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited Due
----- ------ - -- - -- -- -- -- - - --
Permit Fee Total 63.00
---- - - - - -- ---- - - - - -- ---- - - -
63.00 .00
---
.00
Plan Check Total .00
.00 00
00
Grand Total 63.00
63.00 .00
.00
REPORT SALES TAX
on your excise tax farm
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or EEectrical Contractor X Date:
G:IEXCHANGEIB UILDING
Black Diamond Electrical Contractor
502 Black Diamond Road
Part AnaQlQs, )MA 983 63
10 DAY NOTICE OF PERMIT EXPIRATION
DATE: April 29, 2015 ADDRESS: 320 W 12th Street
PERMIT NUMBER / DESCRIPTION
14- 00001122 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) 417 -4735
Thank you for your cooperation
Trent Peppard
Electrical Inspector