HomeMy WebLinkAbout1105 E Park Avenue - BuildingREPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECrOR.
DrrCH
SERVICE
ROUGH -IN /zW
-z JIL
FINAL F " ,
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGMBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number . . . . .
16-00001196 Date 0/11/16
Application pin number . . .
163968
Property Address . .. . . . .
1105 E PARK AVE
ASSESSOR PARCEL NUMBER:
06 -30 -11 -5 -1 -0610 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
RESIDENTIAL MEDIUM DENSTY
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
----------------------------------------------------------------------------
Ductless heat pump
Owner
Contractor
------------------------
LANNOYE MONTY W
------------------------
BLACK DIAMOND ELECTRICAL CONTR
1105 E PARK AVE
502 BLACK DIAMOND RD
PORT ANGELES WA 983622740
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 . . . . 8/11/16
Valuation . . . . 0
Expiration Date . . 2/07/17
Qty Unit Charge Per
Extension
1.00 63.0000 BCH "EL -R- BRANCH CIR WO/ SER FRED 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
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECrOR.
DrrCH
SERVICE
ROUGH -IN /zW
-z JIL
FINAL F " ,
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGMBUILDING
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 owner a Tical contractor or electrical administrator: ❑ cash check
4 ❑ Credit Card #
x Dated: + ` 0210612012
✓�62 ys
,1 1�ft
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CITY OF PORT ANGELES PERMIT
APPLICATION
V
Building Division/Electrical Inspections
_
ti
321 East Fifth Street — Port Angeles Washington,
98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date:
1 & 2 Single Family Dwelling
* Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet
i
Job Address: l
Building Square Footage:
Description of above
i
Owner Information
Contractor I
Name: LA,Nuo'jE
tio
Name:
Mailing Address: 1 l OK- 0— ?hr—
Mailing Address:
City: State: Zip:
City:
State: Zip:
Phone: Y!r.2 - $ t oQ Fax:
Phone:
Fax:
License # 1 Exp.
License # 1 Exp. J9_Ag:1s,f�C ,?9 Lf 0 1 -
Item
Item
Unit Charae
Qty
Total Rlty Multiplied by Unit Charae)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp.
$146.00
S
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 W10 Service Feeder
$ 63.00
$
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
$
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
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 owner a Tical contractor or electrical administrator: ❑ cash check
4 ❑ Credit Card #
x Dated: + ` 0210612012
✓�62 ys