HomeMy WebLinkAbout2108 W 15th Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735,
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Application pin number 776810
Property Address . . . . . . 2108 W 15TH ST REpQ" $1�L TAX
PARCEL NUMBER: 06-30-00-9-2-0020-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . .
Property Use . to the City of Port Angeles
Property Zoning . . . . . . . RESIDENTIAL TRAILER PARK (Location Code 05o2)
Application valuation . . . . 0
Owner Contractor
TIMOTHY R BOLDING BLACK DIAMOND ELECTRICAL CONTR
2108 W ISTH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983635104 PORT ANGELES WA 98363
(360) 670-5058 (360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 9/14/16 valuation 0
Expiration Date . . 3/13/17
Qty Unit Charge Per Extension
i.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
-------- -------------------------------------------------------------------
Fee summaryCharged 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
DATE: RESULTS: INSPECTOR
SERVICE
ROUGH -IN
FINAL
1 T. -I
COMMENTS:
I
PERMrr WILL EXPIRE SIX (6) MOMHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G;IEXCHANGMUILDiNG
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: 0/—a —/'�
X 1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 2i D X h/ i .r'nV
Building Square Footage:
Description of above
Owner Informat' n
Name: 0 --D ilk
Mailing Address:
City: State: Zip:
Phone:670 $ Gb YFax:
License # I Exp.
Item
Service/Feeder 200 Amp,
Service/Feeder 201400 Amp.
Service/Feeder 401-600 Amp
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feed
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4 Only
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Portal Hourly
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
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 Utiyj Specifications and PAMC 14.05.050 regarding Electrical Permit plications.
Signature of o , el rica ontractor or electrical administrator: 11Cash Check
1 / 11 Credit Card #
X Dated: �—/ 02106/2012
Contractor Infor�nytion
Name: ,� h
Mailing Address:
City: Sta�te::�
Zip:
License # I Exp. L
L `/ Y n—
Unit ChargeQyt
Total (Qtv Multialied by Unit Charae)
$120.00
$
$146.00
$
$ 205.00
$
$ 262.00
$
$ 373.00
$
$ 5.00
$
$ 63.00
$
$ 5.00
$
$ 75.00
$
$ 93.00
$
$110.00
$
$149.00
$
$168.00
$
$ 96.00
$
$ 64.00
$
$120.00
$
$102.00
$
$ 56.00
$
$120.00
$
$ 40.00
$
$ 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, 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 Utiyj Specifications and PAMC 14.05.050 regarding Electrical Permit plications.
Signature of o , el rica ontractor or electrical administrator: 11Cash Check
1 / 11 Credit Card #
X Dated: �—/ 02106/2012