HomeMy WebLinkAbout920 E 10th St - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 15-00000642 Date 6/08/15
Application pin number 365692
Property Address 920 11 10TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0 3 -3625 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
Application desc
service change
Owner Contractor
CIACIUCH, JAMES & KIMBERLY BLACK DIAMOND ELECTRICAL CONTR
PO BOX 758 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-1035
Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 120.00 Plan Check Fee 00
Issue Date 6/08/15 Valuation 0
Expiration Date 12/05/15
Qty Unit Charge Per Extension
1.00 120,0000 ECH -EL-0-200 SRV FEEDER 120.00
Fee summary Charged Paid Cfedited 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
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:
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
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Bos 1150 /Port Angeles Washington, 9836'�
Ph: (360) 417-4735 Fax: (360) 417-4711 �k" ECT10NS
Date: � — =5--�
K1 & 2 Single Family Dwelling
" Plan Review May Be Re aired, Please CoTpjete Electrical Plan Review Information Sheet
Job Address: e
Building Square Footage:
Description of above
0 Meer Information N: Tt,A 1,c-44 Nameractor In r
mation
Mailing Address '`` Mailing Address:
City: Pik State: _WA- Zip: - City: State: Zip:
Phone: Fax: Phone: Fax:
License # I Exp. License # / Exp. « --
Item Unit Cham Q / Total (QtV Multiplied b Unit Char e
Service/Feeder 200 Amp. $120.00 �" $
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 $
?t]PE r4.
$
$
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 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. kl#5--909
Signature�7�
trio" I contractor or electrical administrator: 11 Cash k Check
❑ Credit Card #
-( 0110112012
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
$
$
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 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. kl#5--909
Signature�7�
trio" I contractor or electrical administrator: 11 Cash k Check
❑ Credit Card #
-( 0110112012
VORT'J* Q ELECTRICAL INSPECTION
00
WIRING REPORT
nKs 4'17-47W
BRini r
OWNER
CONFRACTOR
NOT AFIFIR(
APPROVED
[I � — a . — ,— -- — DITCF-i. ...........
0........ ROUGH INICOVER.— . . . —, .0
0 .... SERVICE. ....... D
0", FWAL. in
COIRREc nONS MEEDE[): - - -------- - --
w6l
NOTIFY INSPECTOR WHEN CORFMCI 1014S
ARE COMPLETE,D WITHIN 15 DAYS
— [)o iqo"r FIEMOVE" I—