HomeMy WebLinkAbout215 W 5th Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360=417-4735
Application Number . . . . . 17-00000181 Date 2/21/17
Application pin number . . . 249743
Property Address . . . . . . 215 W STH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -8760 -6000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
------------------ ---------------------------------------------------------
Application desc
Ductless heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PARENT DOUG/SUZETTE BLACK DIAMOND ELECTRICAL CONTR
215 WEST STH STREET 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 452-2198 (360) 565-1035
=---------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check tee .00
Issue Date . . . . 2/21/17 Valuation . . . . 0
Expiration Date . . 8/20/17
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 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 STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN � f i7
FINAL X17
COMMENTS: f
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
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) 417-4711
Date: 2-21(— 1-7
K 1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above
Owner Infor�+ ation
Contractor information
Name: L AA.4) T-
Name: 7 i)C-
Mailing Address:
Mailing Address:
City: State: Zip:
City:
State: Zip:
Phone: q 7'7'0 t 7 Fax:
Phone:
Fax:
License # / Exp.
License # I Exp.
—z�9-�L%o t'
Item
Unit Charge tlty
Total (Qty Muftiolied 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
$ �C
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
$
$ tp 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., RCK 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 wn ele trical contractor or electrical administrator: ❑ Cash A Check
❑ Credit Card #
x Dated: Z Z t 02106/2012
W ��3