HomeMy WebLinkAbout1535 W 5th StApplicatj.on Number .
Application pin Dun$er
Property Address
ASSESSOR PARCEIT NT,IVIBER:
ApplicacioD t!?e description
Subdivision Name .
Property use
Propert.y Zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
17 - 0000 014 7 DaEe 2/7O/l'7
a52t2a
153 5 W 5TIl ST
05-30 -00-0 -L- 2535-0000-
EIECTRICAI] ONIIY
RS? RESDNTL S]NGLE FAMILY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
J
J
Application desc
DricEless heat pump
ContracEor
William and alanet Atkinson
1702 w 4th street
PORT ANGELES WA 98363
(360) 457-12t 5
BLAC( DIAMOND ELECTRICAL CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 98353
(350) S65 - 103 s
Permit
Additional desc
Pernit Fee
Tssue Date
Erpi raE ion Dat e
53.00
2/to/t7
B/ 09 /Lj
EI,ECT&ICAL ALTER RESIDEN?IAL
Plan Check Fee
valuation
00
0
Qty UniE charge Per
1.00 63.0000 EcH EL-R- BRANCH crR wol sER F,EED
Extension
53.00
Charged Credited Due
Permil Fee Total
Plan Check Total
Crand Total
53 .00
.00
53 .00
63 .00
.00
53.00
00
00
00
00
00
00
DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:lfr
PERMIT WILL EXPIR.E SD( (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
INSPECTION TYPE
Pt)RT
Crrv or PoRT ANGELES Prnivrrr Appr-rce.rrox
Building DivisionrElectrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
oate/-?-/7 && 2 Single Family Dwelling
- Plan Review l\,4ay Be Required,Please Comolete Electrical Plan Review lnformation Sheet) f?-f ' a) {'fr
RECEIYED J
(
.-tJFEt
Job Address
L
---
rt,
Building Square Foolage:
Descriplion of above
Owner
Name
lnformationkT-74P!6)
tulailing Address
Cily.State: Zio
Phone
License # / Exp._
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401 $00 Amp
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feed
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14 only
Temp. Servicei Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. SeNice/Feeder 401600 Amp.
Temp. Service/Feeder 6011000 Amp .
Portal to Portal Hourly
Signal Circuiv Limited Energy - 1 & 2 Family Dwelling
Manutactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5,00 for each additional T-Slat
I,IEW CONSTRUCTIOT{ OiILY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Podon of
Each outbuilding or Detached Garage
Each S,,imming Pool or Hot Tub
Contractor lnformation
Name.
l\,lailing Address
Licensefl/Exp._
Unit Charoe
$ 120.00
$ 146.00
$ 205,00
$ 262,00
$ 373.00$ s.00
$ 63,00$ s.00
$ 75.00
$ 93.00
$ 110.00
$ 149.00
$ 168.00
$ 96.00
$ 64.00
$ 120,00
$ 102.00
$ 56,00
au
tr casn X\cmcr
Total (Qtv Multiplied bv Unit Charoe)
s
$
$
$
s
s
$
$
s
$ 120.00
$ 40.00
$ 74.00
$ 110.00
$
$
$
$
$
$
$
s
Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years afler this electrical permit is finalized. (2) Owner is required
to hire an electical 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 contactor. I am mak tng
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Ch apter 19.28, WAC. Chapter 296-468, The City of port
Angeles l\,4
Signature
unicipal Code, and and PAMC 14.05.050 regarding Electricat Permit Applications.ty
E CreditCad *_
el or electrical administrator
7
t/ry//
!r!
cfty:
-
state
-
zD: _Phone: Fax:_
q
02106120't2