HomeMy WebLinkAbout1717 W 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
17 - 00001216 Date A/29/l'1
828608
1717 W 6TH ST
0 6 - I0 - 00 - 0 - 1-42?0 - 0000 -
ELECTRICAL ONI-Y
RS? RESDNTIJ SINGI'E FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
I!
uoAppLication Nudber .
Applicalion pin number
Properly Address
ASSESSOR PARCEIJ NU}'BER:
ApplicaEion tlDe descriptj.on
sulrdivisio. Name
Proper!y Ose
Proper!y zonilg
Applicacionvaluation .
Application deac
Ductless hea! pump
Cofltractor
EASH, ROBERT S
PORT ANGEI,ES
(350) 45?-2058
BI,ACK DIAMOND ELECTRICAI CONTR
SO2 BI,ACK DIAMOND RD
PORT ANGELES WA 98353
(350 ) 555-1035
wA 98352
Permil
Addi!ional desc
Permi! Fee
Issue DaEe
Expiration Date
53.00
8/29/t t
2/25/L8
ELEC?RICAI, ALTER RESIDENT]A']
Plan Check Eee
valuation
Pet
ECt.I
Qty unir charge
1.00 63.0000 EL R- BRANCH C]R WO/ SER FEED
00
0
Ex!ension
63 .00
Charged Paid Crediled Due
Permi.t Eee Total
Pla. Check Total
Grand ToEal
53.00
.00
63 .00
63.00
.00
63.00
00
00
00
00
00
00
.J
DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.N
FINAT
COMMENTS:I
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
I
TNSPECTION TYPE
I
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4795
NOT APPROVED
DITCH tr
o
tr
ROUGH IN/COVEB
SEBVICE
FINAL
n
fr
tr
D .....tr
C*. {rc-r 4)t.?/ t,tCOBRECTIONS NEEDED:
b 3\
NOTIFY INSPECTOR WHEN CORRECTIOilS
ARE COMPLETED WTHII{ 15 DAYS
*OO NOTREMOVE-
]NSP
CONTRACTOR8 t*tl< P,*neadt EflADDBESSs
7a ,Fa,,- pL S-"-cnt2i
t(lEt
CITY OT'PONT A"TCTTTS PIRMIT APPLICATION
Building Division {Electrical Inspections
321 East Fifth Street - Port Atrgeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date
il
I J
-L
N
F-7t - t1 X t &Z Sinote familv Dwellino
. Plan Review l\ilay Be Required, Please Complete
Job Address: 11 11 \a/Plan Review lnformation Sheet
Building Square Footage
oescnption of above
Contractor I
Narne:
tu1a llng Address
3:1",;w-raET"?Y:
After reading
the electrical
Angeles lvlun
Signature of
-
Zip Crty:State. Zio'
ax
$_
Llcense # / Exp
Item
Service/Feeder 200 Amp.
ServicdFeeder 201 400 Amp.
ServicdFeeder 401 $00 Arnp
ServicdFeeder 601 I 000 Amp.
ServicdFeeder over 1 000 Amp.
Branch Circuit W Service Feed
Branch Circuit W0 Service Feeder
Each Additional Branch Circuit
Branch Circuits 14 only
Temp. Service/ Feeder 200 Amp.
Temp, SeryicdFeeder 201400 Amp.
Temp. Service/Feeder 401,600 Amp.
Temp. ServicdFeeder 601J000 Amp .
Portal to Portal Houriy
Signal Circuitl Limited Energy - 1 & 2 Famity Dwetling
lvan ufactured Home Connection
Renewable Electrical Energy - sKVA System or Less
Thermostat
Note: $5.00 for each addiiional T-Stat
UCTIOII ONLY
First 1 300 Square Ft.
Each Additional 500 Square Ft. or Po on of
Each 0utb!ilding or Detached Garage
Each Swimming Pocl or Hot Tub l=;
named property or a licensed eleckical contractor. I am making
RCW. Chapter 19.28, WAC. Chapter 296-468, The City of port
Electricai Permit Apptications.
tr casr lAqteci
Ph
License # / Exp
@Unit Charoe
$ 120.00
$ 146.00
$ 205.00
$ 262.00
$ 373.00$ 5.00
$ 63.00$ 5.00
$ 7s.00
$ 93.00
$ 110.00
$ 149.00
$ 168.00
$ 96.00
$ 64.00
$ 120.00
$ 102.00
$ 56.00
$
$
$
$
$
s
$
$
$
$
$
$
$
$
s
$
.$
$ 120.00
$ 40.00
$ 74.00
$ 110.00
s
Owner as defned by RCW.I9.28.261: (1) Ownel will occupy he structure for two years after his electrical permat is finalized. (2) Owner is required
to hire an electrical contractor if above said prope(y is for sale, rent or lease. Permit expires after six mon[ts of last inspection.
lhe above statement, I hereby certify that I am the owner of the above
installation or alteration in compliance with the electrical laws, N.E.C.,
icipal Cod and Utility Specifications and PAMC 14.05.050 regarding
I contractor or electrical administrator:
- tr Credit Card +
Dated: 3-29-l-0210612112
/"r 3
/*/ f )t
X
lrIUEffi
v-
Owner lnformationrame F $ (.l-
l\,1a,Ing Address
Total {Qtv MultiDlied bv Unit Charoet