HomeMy WebLinkAbout1018 GLENWOOD ST - Building (2)DITCH
SERVICE
ROUGH -IN
FINAL
DATE: • RESULTS:
mj_ Z �g
PERMIT WILL]6:i R E SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
INSPECTOR:
J
ELEMCAL PERMIT
I
CITY OP PORT ANGELES
�-
36(i-�1 7-4735
Application Number
17-00000105 Date 1/30/17
Application pin number . .
696920
Property Address . . . . . .
1018 GLENWOOD ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER:
06 -30 -08 -5 -8 -1811 -0000 -
Application type description
ELECTRICAL ONLY
on your excise tax form
Subdivision Name . . . . .
to the City of Port Angeles
Property Use . . . . . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Location Code 0502
Application valuation . . . .
0
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Application dear
Ductless heat pump
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Owner
Contractor
Aimee Curtis
BLACK DIAMOND ELECTRICAL CONTR
1018 Glenwood Street.
502 BLACK DIAMOND RD
OLYMPIA WA 98512
PORT ANGELES WA 98363
(360) 460-5565
(360) 565-1035
Permit ELECTRICAL
- ---------------------
ALTER RESIDENTIAL
Additional desc .
Permit Fee 63.00
Plan Check Fee .00
Issue Date . . 1/30/17
valuation . . . . 0
Expiration Date 7/29/17
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
Plan Check Total .00
.00 .00 .00
Grand Total 63.00
63.00 .00 .00
DITCH
SERVICE
ROUGH -IN
FINAL
DATE: • RESULTS:
mj_ Z �g
PERMIT WILL]6:i R E SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
INSPECTOR:
ON, sOitr
L
CITY OF PORT ANGELES PERMIT APPLICATION ' `' '''� ,..`�,,►, S
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: �' 6 1 & 2 Single Family Dwelling Vrp¢
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: lot 8 W 6ZENw00A
Building Square Footage:
Description of above UGTi�s
Owner Information
Name: (" v e.T1 S
Mailing Address:
City: State: Zip:
Phone: —Fax:
Fax:
License # / Exp.
Item
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
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
Contractor Informa"
Name: 66
Mailing Address:
City: State: Zip:
Phone: 1�c Ole
License # I Exp.
Q_yt Total (Qty Multiplied by Unit Charge)
$ 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 296-46B, The City of Port
Angeles Municipal od , and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatur ere ctrical contractor or electrical administrator: ❑ Cash Check
ElCredit Card #
X ___ Dated: � 02106/2012
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