HomeMy WebLinkAbout1214 W 9TH ST - Building (2)ELECTRICAL PERMIT
CHY OF PORT ANGELES
364-417-4735
Application Number . . . . . 16-00000624 Date 5/0.3/16
Application pin number 680192
Property Address- . . . . . 1214 W 9TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -0310 -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
DOROTHY GORALSKI ET VIR BLACK DIAMOND ELECTRICAL CONTR
1214 W 9TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983635618 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00 Plan Check Fee fl0
Issue Date .-. 5/03/16 Valuation . . . . 0
Expiration Date 10/30/16
Qty Otit Charge Per Extension
1.00 5.0000 ECH --EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
---------------------------------------------------'-----------------------
Fee summary Charged Paid Credited Due
------------- ------
Permit Fee Total 68.00 68,00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
INSPFZTION TYPE DATE: RESULTS:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMPP WILL EXPIRE SIX (6) MONTHS FROM LAST INSPWrM
Signature of owner or Electrical Contractor X
GAEXCHANGIs UILDING
i
INSPECTOR.
Date:
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 oftrical�'6}�tractor or electrical administrator: ❑ cash t�Check
e -1-77P �� ❑ Credit Card #`
X 0 Dated: Z ^ ( y 0110112012
1
CITY OF PORT ANGELES PERMIT APPLICATION"
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: �^ 2 t t:
><,1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete
Electrical Plan Review Information Sheet
Job Address: 1'L. I `1
W 14 114
Building Square Footage:
Description of above
Owner Inforrpation
Contractor Infl, at'
Name: N.7v y
Name: !_
Mailing Address: ) 2 Int W 19 '
Mailing Address:
City: State: Zip:
City: State: Zip:
Phone: S'SL-'7ILA Fax:
Phone:
License # / Exp.
License # / Exp. �_��
� .0 d7 Y 2
Item
Unit Charge Qty Total (Qtv Multiplied by Unit Chanel
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 WI Service Feeder
$ 5.00 r
$
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 201400 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
$1 %00
$4
$ n 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 oftrical�'6}�tractor or electrical administrator: ❑ cash t�Check
e -1-77P �� ❑ Credit Card #`
X 0 Dated: Z ^ ( y 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00000624 Date
5/03/16
Application pin number . . . 680192
Property Address . . . . . . 1214 W 9TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -0310 -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
- ----------------------- ------------------------
DOROTHY GORALSKI ET VIR BLACK DIAMOND ELECTRICAL CONTR
1214 W 9TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983635618 PORT ANGELES
WA 98363
(360) 565-1035
— ---------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee 68.00 Plan Check Fee
.00
Issue Date . . . 5/03/16 valuation . . . .
0
Expiration Date . . 10/30/16
Qty Ufit Charge Per
Extension
1.00 5.0000 ECH '-EL-ECH ADDNT BRANCH CIRCUIT
5.00
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED
63.00
------------------------------
Fee summary Charged Paid Credited
------------------------------
Due
---------------------------
Permit Fee Total 68.00 68.00 .00
.00
Plan Check Total .00 .00 .00
.00
Grand Total 68.00 68.00 .00
.00
INSPECTION TYPE DATE:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G\EXCHANGEWILDING
RESULTS:
r
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
Date: