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Home My WebLink About723 W 15TH ST - BuildingELECTRICAL PERMIT CITY OF PORT ANGELES 360417-4735 Application Number . . . . . 18-00000714 Date 5/10/18 Application pin number . . . 417846 Property Address . . . . . . 723 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-1690-0000-- Application 6-30-00-0-4-1690-0000=Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Ductless heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GLAS BOB C BLACK DIAMOND ELECTRICAL CONTR 723 W 15TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 983637533 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . 5/10/18 Valuation . . . . 0 Expiration Date 11/06/18 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 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS: DATE: RESULTS: PERMIT WILL EXPIRE SIX (6) MONPHS`FROM LAST INSPECTION Signature of owner or Electrical Contractor X REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code OW2) 1 d INSPECTOR: Date: 1 — 2 SINGLE—FAMILY` a ELECTRICAL PERMIT APPLICATIC V Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 j www.cityofpa.us electricalpermitsC-cityofpa.us f ` Project Address: Project Description: ❑ Single -Family Residential '72-3 W !S DuL�.C' ❑ Duplex /ARU Building Square footage: CD 3 Name: %sL.AS Email: Mailing Address: 72.3 w S Phone: _f,.o Ys 7— 8Yd8 ELECTRICAL CONTRACTOR INFORMATION Name: AL License: �'� �� 79 V0 '- Mailing Address: Expiration Date.- ate:Email: Email: Phone: PROJECT DETAILS Item Unit Charae Quantity Total (Quantity x 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 Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ _ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $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 DU. $64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool / Hot Tub $110.00 $ TOTAL $ 63 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 FlSignature@e er of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in cothe electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, TpeFiitty of Port Angel Muni ipal Code, and Utilitons and PAMC 14.05.050 regarding Electrical Permit Applications. 6AM r , Date ' Print Name Owner ❑ Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitt to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] ELECTRICAL PERMIT CITY OF PORT ANGELES 360417-4735 Application Number . . . . . 18-00000714 Date 5/10/18 Application pin number . . . 417846 Property Address . . . . . . 723 W 15TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -4 -1690 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc Ductless heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ GLAS BOB C ------------------------ BLACK DIAMOND ELECTRICAL CONTR 723 W 15TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 983637533 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . 5/10/18 valuation . . . . 0 Expiration Date 11/06/18 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 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS: DATE: RESULTS: o;M PERMIT WILL EXPIRE SIX (6) MONTHS' FROM LAST INSPECTION Signature of owner or Electrical Contractor X REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0582) 1 j Project Address: Project Description: 1 - 2 SINGLE-FAMILY ¢` ELECTRICAL PERMIT APPLICATI ,, 3 Public Works and utilities Department 321 E. 5th Street, Port Angeles, XNA 98362 .._ 360.417.4735 1 www.cityofpa.us ' electrical permits cucityolpa.us'ry -72-3 W � ❑ Single -Family Residential ❑ Duplex /ARU Building Square footage.- Name: ootage: Name: %sl. AS Mailing Address: 72-3 W / S Name: Mailing Address: Email: Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 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 DU. Manufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) First 1300 Square Feet Each Additional 500 square feet" Each Outbuilding / Detached Garage Each Swimming Pool / Hot Tub Email: Phone: fo YS 7— SYd1 License: 79 V-0 i— Expiration Date: Phone: Unit Charae Quantily Total (Quantity x 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 $ 63 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 am making the electrical installation or alteration in complia 46B, T eFiitty of Port Angel Muni ipal Code, and Utilit 0A J, Fier of the above named property or a licensed electrical contractor. I the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter296- :ions and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name`Signature Owner ❑ Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitt: to City Hall or electrical perm its@cityofpa.us or faxed to 360.417.4711]