HomeMy WebLinkAbout214 Whidby AveApplication Number
Application pio number
ProperEy Address
ASSESSOR PARCEL NUMBER:
ApplicaEion tl.pe description
subdiviEion Name
Property use
ProPerty Zoninq
Application valuation
ELECTRICAL PERMII
CITY OF PORT ANGELES
360-417-4735
17 00 0 003 21 Date 3/!5/L1
722227
214 W1IIDBY AVE
05-30-10-s-0-0930 0000
EI,ECTRICAI, ONI,Y
RS7 RESDNTL SINGLE FAI'{ILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
I
I
$l
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ApplicaEion desc
Ducl les s heat pump
Oq,ner Contractor
Ann R Kennedy
214 WHIDBY AVE
PORT ANGELES
BLACK DIA,]V]OND ELECTR]CAL CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 98363(350) s5s 103s
wA 983 625 54 2
Permit
Additionaf desc
Permlt l'ee
Issue Dat.e
Expiration Date
63 .00
1/t5 /L7e/Lr/r7
EI,ECTRICAL ALTER RESIDENTTAI,
Qtsy unit Charge
1. 00 53 . 0000
Plan Check Fee
Valuation
.00
0
ECH EL R BRANCH CIR WOl SER FEED
ExEension
63 .00
Charged Paid Creditsed Due
Permit. Eee Total
Plan Check Total
Grand Total
63.00
.00
63.00
6i.00
.00
53.00
.00
.00
.00
00
00
00
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:g\t_zl+1fi
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I.A.ST INSPECTTON
Signature ofowner or Electdcal Contractor X Date:
DATE:
t\ iRI I
3-/f- tz Xt a z singte ramily Dwelling
J
\
\n
N
Date
. Plan Re
Job Address
view May Be Requrred, Please Com
21,1
plete Electrical Plan Review lnforrnation Sheett^)4tDBv tl-
Euilding SquareFootage
Description of above
owner lnformation Contractor lnfo
Name:Name tcr rur.t €5
[,4ailino Address N4ailing Address
City Slate
pnone, XoilLbiLru.
-zp:
utry Slate zo
Licease # / Exp
Phone
License #/ Exp.
@Item Total (Qtv Multiol bv Unit Charoe)
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 40'1 -600 Amp
Service/Feeder 6011 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. Seryice/ Fe€der 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Portal Houdy
Signal CircuiU Limited Energy - 1 & 2 Family Dwelling
lllan ufactu red Home Connection
Renewable Electdcal Energy - sKVA System or Less
Thermostat
Noter $5.00 for each additional T-S1at
I{EW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Addilional 500 Square Ft. or Portion of
Each Outbuilding or oetached Garage
Each Swimming Pooi or Hot Tub
Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this elecirical 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 ofthe above named property or a licensed electrical contractor. I am making
the electrical insiallation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of port
Angeles lvlunicipal Code, and Utility Specifications and PAI/C 14.05.050 regarding Electrical Permit Apptications.
cal contractor or electrical administrator:tr cast @cleci
E Credit Card#
02]0612012
Unit Charqe
$ 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
$ 120.00
$ 40.00
$ 74.00
$ 110.00
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$
$
s
$
/
Signature of ow
ated 3-tf,-t 1
o F.L
RECEII'EtCrrv or PoRT ANGf,LES PER-N{rr AppLrcATroN
Building Dirision/Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 4r7 -4735 Fax: (360) 417-4711
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