HomeMy WebLinkAbout2415 W 10th Street - BuildingELEMUCAL PERMIT`
CY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001613 Date 10/27/16
Application pin number . . . 474850
Property Address . . . 2415 W 10TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -01 -7 -8 -0040 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . , . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Ductless heat pump
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Owner
CRAWFORD, BRIAN/MINDY
2415 W 10TH ST
PORT ANGELES
PORT ANGELES WA 98362
Contractor
BLACK DIAMOND ELECTRICAL CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . . .
ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . .
63.00
Plan Check Fee
.00
Issue Date . . . .
10/27/16
Valuation . . . .
0
Expiration Date
4/25/17
Qty Unit Charge
Per—
Extension
1.00 63.0000
BCH 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
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
RESULTS:
FINAL I hr 1
COh 4IENTS:
PERMir WILL EXPME SDC (6) MOM'HS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR
Signature of owner or Electrical Contractor X Date:
Q\EXCHANGEWILDING
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 4174711
Date: /O ' Z 6 —a
X 1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 2 4 13'
r✓ � n'%�
Building Square Footage:
Description of above 7zE'd�
Owner Information
Contractor Information
Name: .AWf7a /Lb
Name: IF
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Mailing Address:
Mailing Address:
City: State: Zip:
City:
State: Zip:
Phone: V61 Y604 Fax:
Phone:
Fax:
License # / Exp.
License # / Exp.
Ai=Dr" FIF!,
Item
Unit Charge
Qt)f
Total (Qtv Multiplied by Unit Charae)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp
$ 205.00
S
Service/Feeder 601-1000 Amp.
$ 262.00
S
Service/Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit W/ Service Feed
$ 5.00
$ r. i
Branch Circuit W/O Service Feeder
$ 63.00
$ Yr
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4 Only
$ 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
S
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
$
$ 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 296-466, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of , eIIctrical contractor or electrical administrator: ElCash Kcheck
❑ Credit Card #
X / Dated: /Q —2,6-4 0210612012
ViV 11-4-6317