HomeMy WebLinkAbout1010 E 5th St - BuildingCITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date, 6 �-I
1 & 2 Single f=amily Dwelling
* Plan Review May Be Required, Please Complete lectrical Plan Review Information Sheet
Job Address: l+a #
Building Square Footage:
Description of above
g
EP �
L J
ELECTRICAL
;NSPFCTIONS
Owner Information
Contracto forgtation
Name, CDf -"tSON
Name: 1�
Mailing Address: lot o r S'ry
Malting Address
City State: zip;
Re: 7 � Fax:
City: State: Zip:
Phone, Fax:
c nee # ! Exp,
License # ! Exp. L.
P
Item
Unit Charge
Qty 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 501 -1000 Amp,
$ 262,00
$
Service/Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit W1 Service Feeder
$ 5,00
$
Branch CimultW/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. ServicelFeeder201-400 Amp,
$110.00
$
Temp. ServicelFeeder401 -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
Each Swimming Pool or Hot Tub
$ 74,00
$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 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, WAG. Chapter 296 -46B, The City of Port
Angeles Municipal Code, ghd Utility Specifications
and PAMC 14.05,050 regarding
Electrical Permit Applications,
Signature o er, a tri contractor or electrical administrator:
El Cash '"/Check
X
� �'f / ❑ Credit Card g
Dated: &__� ! �` � 0110112012
__
-
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , , , , .
15- 00001132 Date
.9/09/15
RESULTS:
Application .pin number
963924
Property Address . . ,
1010 E 5TH ST
REPORT SALE'S TAX
ROUGH -IN
ASSESSOR PARCEL NUMBER:
06-30-00-0-1- 9230 -0000-
FINAL
Applica.tion type de6cription
ELECTRICAL ONLY
COMMENTS:
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
Ductless heat pump
Owner
Contractor
------------ ------ - - - - --
EDMISTEN PHYLLIS
------------------------
BLACK DIAMOND RT,FCTRZCAL CONTR
PO BOX 57
502 BLACK DIAMOND RD
PORT ANGELES WA 983620009
PORT ANGELES
WM 98363
(360) 565 -1035
Permit . , . . , , ELECTRICAL
ALTER RESIDENTIAL
Additional desc , ,
Permit Fee . . . 63.00
Plan Check Fee
.00.
Issue Date 9/09/15
Valuation . . . .
0
Expiration Date 3./07/16
Qty Unit Charge Per
Extension
I.00 63.0000 ECH EL -R-
BRANCH CIR WO/ SER FEED
63.00
Fee summary Charged
Paid ...
-Due
Permit Fee Total 63 00
63.00 .00
,00
Plan Check Total .00
.00 ,00
1 00
Grand Total 63.00
63.00 .00
DO
INSPECTIONTYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
I. rLl I
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST. INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING