HomeMy WebLinkAbout124 APPLE LN - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES W
360-417--4735
Application Number . . . . . 17-00000341 Date 3/21/17
Application pin number , . . 965974
Property Address , . . . . 124 APPLE LN REPORT STATE SALES TAX
ASSESSOR PARCEL.NUMBER: 06-30-15-2-2-0075-0000- on your eXC►Se tax form
Application type description ELECTRICAL ONLY y
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . Location Code 0502
Property Zoning ( )
Application valuation 0
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Application desc
Ductless heat pump
Owner Contractor
------------------------ -- -----------
WERNER AND JUDY MEIER BLACK DIAMOND ELECTRICAL CONTR
124 APPLE IN 502 BLACK DIAMOND RD
PORT ANGELES WA 983626903 PORT ANGELES WA 98363
(503) 830.2903 (360) 565-103.5
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Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 63.00 Plan Check Fee .00
Issue Date 3/21/17 valuation 0
Expiration Date 9/17/17
Qty Unit Charge Per Extension
1.00 63.0000 BCH EL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee summaryCharged 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: rZ 1
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
CITY OF PORT ANGELES PERTVIIT APPLICATION = ��►-
Building Division/Electrical Inspections
321 East Fifth Street— Port Angeles Washington, 98362
Ph: (360)417-4735 Fax: (360)417-4711
Date: 2� - 11 &2 Single Family Dwelling
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: r I t q A l Pic W
Building Square Footage:
Description of above
Owner Information Contractorrrpation
Name: �L^ «r►/Z Name: rr
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone:, b3- jfl-2t&JFax: Phone: Fax:
License#/Exp. License#/Exp. Z
Item Unit Charge QtV Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201400 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 $
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 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, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of o r, ctrical contractor or electrical administrator: ❑ Cash ❑ Check
3 - 2,0 -1 -7
( 0 Credit Card#
x Dated: v \ 02/0612012