HomeMy WebLinkAbout1528 W 4th Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number . . . . .
17-00000343 Date 3/21/17
Application pin number , . .
112402
Property Address . . . . . .
1528 W 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -1.2615 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
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Application desc
Ductless heat pump
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Owner
Contractor
------------------------
FREDERICK L AND REBECCA C WAY
------------------------
BLACK DIAMOND ELECTRICAL CONTR
1528 W 4TH ST
502 BLACK DIAMOND RD
PORT ANGELES WA 98363
PORT ANGELES
WA 98363
(360) 477-3519
(360) 565-1035
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Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 63.00
Plan Check Fee
.00
Issue Date . . . . 3/21/17
Valuation . . . .
0
Expiration Date . . 9/17/17
Qty Unit Charge Per
Extension
1.00 63.0000 BCH 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
.00
Grand Total 63.00
63.00 .00
,00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
CON04ENTS:
DATE: RESULTS:
-V2z �11,7 Ckv
.3
PERMIT WILL E"ME SIX (6) MONTHS FROM LAST INSPECTION
C7
REPORT STATE 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:
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: 3 - 2 0 -17
_X1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 15 2 $ w Y1711L
Building Square Footage:
Description of above
�l
Owner Information
Contractor Information
Name: e/LF'b L,.,A N
Name: 2rp'r—
Mailing Address:
Mailing Address:
City: State: Zip:
City: State: Zip:
Phone: 17731-1 '1 Fax:
Phone: Fax:
License # / Exp.
License # i Exp. LAna4'c R4 f14 2
Item
Unit Charge
QtV Total (Qty Multiplied by Unit Charge)
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 Feed
$ 5.00
$
Branch Circuit W/O 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
$ j
f�
$ 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 296-468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of onfr, electrical contractor or electrical administrator: 0 Cash o Check
7 )41 Credit Card #
X Dated: _,,.) �0 — ' 7 02106/2012
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