HomeMy WebLinkAbout1535 W 5TH ST - Building (2) ELECTRICAL PERMIT
CITY OF PORT ANGELES
3610-417-4735
Application Number . . 17-00000147 Date 2/10/17
Application pin number . . . 852128
Property Address 1535 w STH ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-11-2635-0000-
Application type description ELECTRICAL ONLY on your excise tax form
'SubdivisionName . . . . . . to the Cit of Port Angeles
Property Use Y 9
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . - 0
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Application desc
Ductless heat pump
Owner Contractor
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William and Janet Atkinson BLACK DIAMOND ELECTRICAL CONTR
1702 w 4th street 502 BLACK DIAMOND RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 457-1215 (360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 2/10/17 Valuation . . 0
Expiration Date 8/09/17
Qty Unit Charge Per Extension
1,00 63.0000 BCH EL-R- BRANCH CIR WO/ SER FRED 63.00
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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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
' ,�► r
CITY OF PORT ANGELES PERMIT APPLICATION r►- �
Building Division/Electrical Inspections _
321 East Fifth Street— Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711 ELICTWk —Ij
Date: _/ �1 &2 Single Family Dwelling
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above
Owner Information Contractor Information
Name: iA-T- /Aj.ro .J Name: 72LA1 K tAt ®►��
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone:- YT
T-l21 S Fax: Phone: Fax:
License#I Exp. License#I Exp.
Item Unit Charge Total(Qty 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 WI Service Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00
Each Additional Branch Circuit $ 5.00 EX��'
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 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 296-4613,The City of Port
Angeles Municipal Code,and ity Spe ' ations and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature o er,elect I co a r or electrical administrator: ❑ Cash Check
� /> ElCredit Card#
x Dated:2- !//�/ 02/06/2012
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