HomeMy WebLinkAbout633 GEORGIANA ST - Building (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 17-00001782 Date 12/07/17
Application pin number . . . 443568
Property Address . . . . . . 633 GEORGIANA ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3570-0000-
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
BRIDENBAUGH GLENNDIA W BLACK DIAMOND ELECTRICAL CONTR
334 W ANDERSON RD 502.BLACK DIAMOND RD
SEQUIM WA 983828046 PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 12/07/17 Valuation ti 0
Expiration Date . . 6/05/18
Qty Unit Charge Per Extension
1.Q0 63.0000 ECH EL-R- BRANCH CIR WO/ SERFEED63.00
-----------------------------------------------------------------------------
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
I INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DATE:
PERMrr'WILL F-vn E $IX (6) MONTHS FROM LAST INSPECMN
RESULTS:
REPORT STATE SALES TAX
on your excise tax form
to the City of Port .Angeles
(Location Code 4542)
vr
INSPECTOR:
Signature of owner or Electrical Contractor X Date:
V
J
Com.
N
TTY OF PORT ANGELES PEI1NIIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: 12 -'/-17
Al & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: &33 &ea 2.G( R-•-, �
Building Square Footage:
Description of above
vc.Ti�i 1
Owner Information Contractor I orm tion
Name: R A I -AC -AJ 3 r {-4 Name: di
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone: 48'3 —1!347—Fax: Phone: Fax:
License # / Exp License # / Exp. �(4"ICf� 09—V D Z
Item
Unit Charge
Qty Total (Qtv Multiplied 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
'l;
Branch Circuit W/O Service Feeder
$ 63.00
$�
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4 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
$ �--
$_ & 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 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 296-468, The City of Port
Angeles Municipal Cg*, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owngf,/eljtrical contractor or electrical administrator:
Dated: 17- l /
❑ Cash X
Check
❑ Credit Card #
02106/2012