HomeMy WebLinkAbout1202 W 12TH ST - Buildingw:CTRI+OAi.'
OF PORT ANGELES
w 360-4174735
Application Number . . . . . 17-00001843 Date _'12/26/.17
Application pin number . . . 604964
Property Address . . . . . . 1202 W. 12TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06 -3000 -0 -3 -680a -0000 -
Application type description ELECTRICAL ONLY on your@ Ise tax form
Subdivision Name . . . . .. . t0 the City Of Pbd Ange%S
Property Use . . . . . . . . /
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY 1� o don Ct>adE3
Application valuation . . . . 0
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Application desc
Service change
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Owner
Contractor
RICKENBACHER, JOHN
BLACK DIAMOND ELECTRICAL CONTR
403 S LINCOLN ST STE
4
502 BLACK DIAMOND RD
PORT ANGELES
WA 98362
PORT ANGELES
WA 98363
(360) 565-1035
Permit . . . . . .
ELECTRICAL.ALTER RESIDENTIAL
Additional desc .
Permit Fee
120.00
Plan Check Fee
.00
Issue Date . . . .
12/26/17
Valuation
0
Expiration Date
6/24/18
Oty Unit Charge
Per
Extension_.
j 1.00 120.0000
ECH Ez` 0 200 SRV FEEDER
220.00 -.
.,
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-----------------------------
--------
Fee summary Charged
----------------------- ---
Paidi Credited
---------- --------
Due
Permit Fee Total
----------
120.00
120.00 .00
.00
Plan Check Total
.00
.00 .00
0.0
j Grand Total
120.00
120.00 .00
.00
INSPECTION TYPE DATE: RESULTS:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMff W1LL R3 WE Soc (6) MONTHS FROM LAST NSPECTION
Signature of oww or Electrical Contractor X
p
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electirical Inspections a
321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 417-4711
Date: 1'0?eZ% - / % —1-& 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: /7 n a ��TLL
Building Square Footage: #17^Z
Description of above
Owner lnfojZnation
Name: 1 GK.6___4 4AgXAtC_/_
Contractor Irl&rmation
Name: WC
Mailing Address:
Mailing Addres
City: State: Zip:
City: Zip::
Phone: - t043% -Fax:
R ax:
Phone: t4-40*ti: � T t.
/ Ex
License # /Exp
License # I Exp.
Item
Unit Chame
Qty Total ( Mu tiolied by Unit Charael
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 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, 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 296-466, The City of Port
Angeles Municipal Code, a Util' Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of ow e c ica ntractor or electrical administrator:
X ( Dated. /
L -Z(-/
tIV6�-14