HomeMy WebLinkAbout536 W 16TH ST - BuildingINSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGED -Ili
FINAL %
PM MU WiLLEXP SIC (6) MONTHS FROM LAST WPFCTiON -
Signature of owner, or Electrical Contractor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
350-417-4735
Application Number . . . . .
17-00001785 Date 12/21/17
Application pin number . . .
617560
Property Address . . . . . .
536 W 16TH ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER:
06-30-99-0-4-4610-0000-
Q/j OUr_excise tax for/r!"
Application type description
ELECTRICAL ONLY
y
Subdivision Name . . . . . .
to the City of Port AngeleS
Property Use . . . . . . .
(Locs?t'on Code 0502)
Property Zoning
RS7 RB5DNTL SINGLE FAMILY
"
Application valuation . . . .
0
T
Application desc.
-
"
Temp power
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Owner
Contractor
------------------------
JEFF AND JESSICA BERRY
------------------------
BLACK DIAMOND ELECTRICAL CONTR
1542 DAN KELLY RD
502 BLACK DIAMOND RD
PORT ANGELES WA 98363
PORT ANGELES WA 98363
(360) 461-6246
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
TEMPORARY -SERVICE
Additional desc .
Permit Fee . . . . 93.00
Plan Check Fee .00
Issue Date . . . . 12/21/17
Valuation . . . . 0
Expiration Date 6/19/18
Qty . Unit Charge Per
Extension
1.00 93.0000 BCH EL -TEMP
SRV 0-200 SRV FDR 93.00
------------------------------------------------------------------------
Fee summary Charged
-----------------
Paid Credited Due
----------
Permit Fee Total 93.00
------------------------------
93.00 .00 .00
g
Plan Check Total 00
.00 .00 .00
Grand Total 93.00
93.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGED -Ili
FINAL %
PM MU WiLLEXP SIC (6) MONTHS FROM LAST WPFCTiON -
Signature of owner, or Electrical Contractor X Date:
CITE' OF PORT ANGELES PERiNuT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: 12- b) %/ 7
/ 'f
v4 & 2 Single Fancily Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: S . 3cl.55' 4, -- -, i s h
Building Square Footage:
Description of above T -c 1;
J
Owner Information
Contractor Information
Name: T ( i"� ,� ." ,`
Name: r ,-
Mailing Address:
Mailing Address:
City: J, ,)-- State: w /f Zip: 'ter
7 6 "r
City: State: Zip:
Phone: _se 0 'Ki f c <1C Fax:
Phone: Fax:
License # / Exp.
License # I Exp.
Item
Unit Charge
Qty Total (Qty multiplied by Unit Charge)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201400 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 14 Only
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$_ 93.00
$
Temp. Service/Feeder 201-400 Amp.
$ 910.00
$
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
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, l hereby certify that 1 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 296-4613, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
-'c Dated:
❑ Credit Card #
;7
0210612012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 17-00001785 Date 12/21/17
Application pin number . . . 617560
Property Address . . . . . . 536 W 16TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -99 -0 -4 -4610 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
--------------------------------------------------------------------------^-
Application desc
Temp power
----------------------------------------------------------------------------
Owner
Contractor
------------------------
JEFF AND JESSICA'BERRY
------------------------
BLACK DIAMOND ELECTRICAL CONTR
1542 DAN KELLY RD
502 BLACK DIAMOND RD
PORT ANGELES WA 98363_
PORT ANGELES
WA 98363-
(360) 461-6246
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc . .
Permit Fee . . . . 93.00
'Plan Check Fee
.00
Issue Date . . . . 12/21/17
Valuation . . . .
0
Expiration Date 6/19/18
Qty Unit Charge Per
Extension
1.00 93.0000 BCH EL -TEMP SRV 0-200 SRV FDR
93.00
----------------------------------------------------------------------------
Fee summary Charged
----------------- ---------- ---------- ----------
Paid Credited
----------
Due
Permit Fee Total 93.00
----------
93.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 93.00
93.00 .00
.00
INSPECTION TYPE DATE: RESULTS:
DITCH
SERVICE
ROUGH -IN
FINAL
MW V1 R L EXPUM SIX _(6) MONTHS FROM LAST iNSPWnQN
Signature of owner or Electrical Contractor X
J
REPORT STATE, SALES TAX
on your excise tax form
to the City of Port Angeles
('Location Code 0502)
F
INSPECTOR:
Date: