HomeMy WebLinkAbout115 W 5th Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001478 Date 9/30/16
Application pin number . . . 079622
Property Address .. . . . 115 W STH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -8870 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
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Application desc
Ductless heat pump
--------------------------------- — -----------------------------------------
Owner
Contractor
------------------------
SELINDA BARKHUIS
------------------------
BLACK DIAMOND ELECTRICAL CONTR
ATTORNEY AT LAW
502 BLACK DIAMOND RD
PO BOX 3194
PORT ANGELES
WA 98363
PORT ANGELES
WA 98362
(360) 565-1035
(3.60) 775-5658
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Permit . . . . .
. ELECTRICAL ALTER RESIDENTIAL
Additional desc .
.
Permit Fee . . .
. 63.00
Plan Check Fee
.00
Issue Date . . .
. 9/30/16
valuation . . . .
0
Expiration Date
3/29/17
Qty Unit Charge
Per
Extension
1.00 63.0000
ECH EL -R-
BRANCH CIR WO/ SER FEED
. . 63.00
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Fee summary
Charged
Paid Credited
Due
-----------------
Permit Fee Total
---------- ----------
63.00
---------- ----------
63.00 .00
.00
Plan Check Total
.00
.00 .00
.GO
Grand Total
63.00
63.00 .00
.00
W..o A4ft1 r,v
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
CONDAENTS:
DATE: RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANGEWILDING
2
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
I INSPECTOR:
Date:
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: �Z �7 ' � 1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 115- w 5'T4
Building Square Footage:
Description of above
Owner Information
Contractor I m ion
Name: 8A MV "oI S
Name:
Mailing Address:
Mailing Address:
City: State: Zip:
City:
State: Zip:
Phone: 71S'-5457 Fax:
Phone:
Fax:
License # / Exp.
License # I Exp.
Item
Unit Charge
Total (Qty Multiplied by Unit Charae)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201400 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 Feed
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 14 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
$
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, WAG. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature n r, electrical contractor or electrical administrator: ❑ Cash -4heck
ElCredit Card #
x _ Dated: el —/6 0210612012
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