HomeMy WebLinkAbout1119 S Vine Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 17-00000392 Date 3/29/17
Application pin number . . . 511904
Property Address . . . . . . 1119 S VINE ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -3950 -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
------------------------ ------------------------
Monroe Stringham BLACK DIAMOND ELECTRICAL CONTR
1119 S vine Street 502 BLACK DIAMOND RD
PORT ANGELES WA 983637224 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 . . 3/29/17 Valuation . . . . 0
Expiration Date . 9/25/17
Qty Unit Charge Per Extension
1.00 63.0000 ECE EL -R- BRANCH CIR WOJ SER FEED 63.00
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Fee summary Charged Paid Credited Due
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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
ICOMMENTS:
DATE: RESULTS:
r
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
M
r
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:
L
CITY OF PORT ANGELES PERTVIIT APPLICATION
Building Division/Electrical Inspections;, ,'
321. East Fifth Street — Port Angeles Washington, 98362 1
Ph: (360) 4174735 Fax: (360) 417-4711 ? ;�
.z
Date: 3 -2-7-17 X& 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1A."r
Building Square Footage:
Description of above 13
Owner Information
Name:
Mailing Address:
City: State: Zip:
Phone: 7 7S"-- 77.02— Fax:
License # / 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
VORr
$120.00 $
$ 40.00 $
$ 74.00 $
$110.00 `
$ 3 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 Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owpet ctrical contractor or electrical administrator: ElCash Check
�, ❑ CredltCard#
x Z
( dated: 7'l7 0210612012
Contractor Inforrg;���q, �,
Name:
Mailing Address:
City:
State: Zip:
Phone:
�-�-Fix:
License # 1 Exp.—i—
Unit Charqe
Qtv
Total fQty Multiplied by Unit Charge}
$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 `
$ 3 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 Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owpet ctrical contractor or electrical administrator: ElCash Check
�, ❑ CredltCard#
x Z
( dated: 7'l7 0210612012