HomeMy WebLinkAbout1011 E 5TH ST - Building (2)INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
`J
ELECTRICAL PERMIT
SERVICE
i
CITY OF PORT ANGELES
FINAL
3b4-4.17-4735
�
Application Number . .
17-00000322 Date 3/15/17
1,
Application pin number . . .
796122
Property Address . . .
1011 E STH ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER:
06-30-99-0-1-7720-0000-
Application type description
ELECTRICAL ONLY
On our excise tax form
y
Subdivision Name . . . . .
to the City Of Port Angeles
Property Use . . . . . .
Property Zoning
RS7 RESDNTL SINGLE FAMILY
(Location Code 0502)
Application valuation . . . .
0
- -----------------------------------------------------
AFplication desc
Ductless heat pump
Owner
------------------------
Contractor
h
M WEIDER
-----
BLACK DIAMOND ELECTRICAL CONTR
1106 E 8TH ST
502 BLACK DIAMOND RD
PORT ANGELES WA 96362
PORT ANGELES WA 98363
( 36) 912-3819
(360) S65-1035
Permit . . . . . . ELECTRICAL
-- -----------------------------
ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 63.00
Plan Check Fee .00
Issue Date . . . . 3/15/17
Valuation . . . . - 0
A
Expiration Date 9/11/17
Qty Unit Charge Per
Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SSR FEED 63.00
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
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
1,
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
r
0% VOR
�-
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: - — 1 & 2 Single Family Dwelling it•.� ,;,;
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: foil E 51�
Building Square Footage:
Description of above
Owner Information
Name: W E I D iGIL
Mailing Address:
City: State: Zip:
Phone�7 %2-3g'/g Fax:
License # / Exp.
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feed
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4 Only
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp, Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Portal Hourly
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charge
$120.00
$146.00
$ 205.00
$ 262.00
$ 373.00
$ 5.00
$ 63.00
$ 5.00
$ 75.00
$ 93.00
$110.00
$149.00
$168.00
$ 96.00
$ 64.00
$120.00
$102.00
$ 56.00
Contractor InformVi
Name:
d
Mailing Address:
City:
State: Zip:
Phone:
License # 1 Exp.
Qty
Total (Qty Multiplied by Unit Charge)
$ 7
$120.00 $
$ 40.00 $
$ 74.00 $
$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 Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner el rjcal contractor or electrical administrator: ❑ Cash tAheck
❑ Credit Card #
0210612012