HomeMy WebLinkAbout235 W 12th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
17-00000881 Date 5/28/!1
490541
235 W 12TH ST
06-30 00 0 3 -4553 0000
ELECTRICAL ON],Y
RS? RESDNTL SINGLE FAI,IILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
d
&
Application Number
ApplicaLion pin number
Property Address
ASSESSOR PARCEL NUMBER J
Application tlTe descriptsion
subdivision Name
Property use
ProperEy Zoning
ApplicaLion valuation
Application desc
Ductle s s heat pump
RENNIE, PETER A
3l- 9 W l4TIt ST
PORT ANGEI]ES
BLACK D]A}IOND EIECTRICAL CONTR
502 BI.ACK DIN{O\'D RD
PORT ANGEI,ES WA 983 53(360) s65-103s
wA 983 52
Permit
Additional desc
Permit Fee
I ssue Date
Expiration Date
53.00
6/28/!'t
12 /25 / t7
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
00
0
Qty uniL Charge
1.00 53.0000 ECH EI] R BRA]ICH CIR WO/ SER FEED 63 - 00
Charged Paid Credi Led Due
Permit Fee Total
Plan Check Total
Grand Total
63 .00
.00
63 .00
63 .00
.00
63.00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS 2_
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Conkactor X Date
tl?
Crrv or Ponr A.rlcnrrs PsRlIIr AppLrcATroN
Building Division{Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 417-4735Fax: (360) 4174711
oarc: 6'24-17 D(. I & 2 Single Family Dwelling
. Plan Review lvlay Be Required, Please Complele Electrical plan Review lnformation Sheet
II
i
(
cs
W
Job Addressl 2"< w l2-121
Building Square Footage
Description of above
Owner lnfo
Name:iJten Contractor lnformation
Narne
Nlailing Address Itlailinq Address
City State. Zio City State
Fax:
-zip
Phane Lr2-LLql Fax
License # / Exp
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1400 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 Addilional Branch Circuit
Branch Circuits 14 0nly
Temp. Service/ Feeder 200 Amp.
Temp. ServicdFeeder 20'1-400 Amp.
Temp. Service/Feeder 401$00 Amp.
Temp. Service/Feeder 601 1000 Anp .
Portal to Portal Hourly
Signal Circuiv Limited Energy - 1 & 2 Family Dwetting
l\/lanufaclu red Home Connection
Renewable Electrical Energy - sKVA System or Less
Thermoslat
Noter $5.00 for each additional T-Stat
riEw coNsTRucTtoil or{LY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Signature of own
Phone
License # / Exp.
@ Total (Qtv MultiDlied bv lJnit Charoe)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
$
$
$
s
$
)
$
$
$
$
$
$
$
$
$
$
$ 120 00
$ 40.00
$ 74.00
$ 110.00
I contraclor or electrical administrator:
$
S
5
$Total
Owner as defined by RCW.'19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is f,nalized. (2) Owner is required
to hire an electrical contractor if above said prope(y is for sale, rent or lease. Permit expires after six montlts of last inspection.
After reading the above statement, I hereby certiry hat I am the owner of the above named property or a licensed electical contractor. I am making
the eleckical installation or alteration in mmpliance witlr be electrical laws, N.E.C., RCW. Chapter i 9.28, WAC. Chapter 296468, The City of pori
Angeles Munjcipal Code, and UUlity Specifications and PAMC 14.05.050 regarding Etectrical Permit Applications.
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