HomeMy WebLinkAbout1525 W 16TH ST - BuildingINSPECTION TYPE
ELECTRICAL PERMIT
RESULTS: INSPECTOR:
DITCH
CITY OF PORT ANGELES
SERVICE
360-417-4735
FINAL
• A
t_62
Application Number . . . . . 18-000012Date 8/13/18
Application pin number . . . 059384
Property Address . . . . . . 1525 W 16TH ST
I� Q
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3585-0000-
Q/] our excise tax form
;Application type description ELECTRICAL ONLY
y
Subdivision Name . . . . . .
to the City of Port Angeles
Property Use . . . . . .
(Location Code QW2)
Property Zoning RS7 RESDNTL SINGLE FAMILY
-
Application valuation . . . . 0
--------------
-------------------------------------------------------------
Application desc
-
" --"--------------------------------------------------------------------------
Ductless heat pump
Owner Contractor
------------------------ ------------------------
MARINA A STEWART BLACK DIAMOND ELECTRICAL CONTR
-
4105 S BEAN RD 502 BLACK DIAMOND RD
PORT ANGELES WA 983636817 PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date 8/13/18 Valuation 0
Expiration Date 2/09/19
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Pee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 .00 .00
Plan deck Total-.". 00 .00 .00 Oa .
--ata1 ,' 63`00- 63.00 -QQ- QQ
_.. -. ..
INSPECTION TYPE
DATE:
RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
CONDAENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner"or Electrical .Contractor X Date:
Project Address:
Project Description:
1 - 2 SINGLE-FAMILY ,
3
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street. Port Angeles, N A 98362
360.417.4735 www.cityofpa.us I electricalpermitsCacityofpa.us
D u f LC,
El Single -Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone: 360 $-y.!' 7XS-2-
Name: Yb C
License: ,�C,+�Zl4EGd�Yoz
Mailing Address:
Expiration Date:
Email:
Phone:
PROJECT
Item
Unit Charne 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
��--
$ _
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 com n wi the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
466, City of Port AScr}g,les nicipal Code, and
ecif' tions and PAMC 14.05.050
regarding Electrical Permit Applications.
The
Date Print Name
SignatureOwner [:]Electrical Contractor/ Administrator)
[Electrical Permit Applications may be sub itted to
City Hall or epKits@cityofpa.us
or faxed to 360.417.4711 ]
✓ M�
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00001262 Date 8/20/18
Application pin number . . . 059384
Property Address . . . . . . 1525 W 16TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3585-0000- Oh our excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name . . . . . . to the City Of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
---
Ductlessheatpump
--- - -- -----------------------------
Owner -� Co
------ --------
MARINA A STEWART BLACK DIAMOND ELECTRICAL CONTR
4105 S BEAN RD 502 BLACK DIAMOND RD
PORT ANGELES WA 983636817 PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 8/13/18 Valuation 0
Expiration Date 2/09/19
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
Elan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE '
ROUGH -IN$
FINAL
-
COMMENTS:
PERMTr WILL EXPIRE SIC; (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X "`; :::_;
...> .,
Date:
4