HomeMy WebLinkAbout709 S Pine StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Application Number
Application pilr nudber
ProperEy Address
ASSESSOR PAiCEL NUMBER:
Application ty-pe description
subdivision Name -
Property Use
Property zoIling
ApplicaEion valuation
17 - 00 0003 91 Dale 3/29/1-'l
370292
709 S PINE ST
06 -3 0 - 00 - 0 - 2 - 3 s45 - 00 0 0 -
ELECTRICAI, ONLY
0
REPORT STATE S,ALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application desc
Panel replacement
Owner Contsractor
BRYAN AND ANNA M SWANBERG
?09 S PINE ST
PORT ANGEI,ES WA 9836 2
BI.ACK DIAMOND EIIECTRICAIJ CONTR
502 BI,ACK DIAI4OND RD
PORT ANGEI,ES WA 983 63
(350) 555-1035
PermiE
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTR]CAL ALTER RESIDENTIAL
120 .00
3/29/17
9/25/17
Plan Check Fee
valuation
00
I
Qty Unit Charge Per
1.00 120.0000 EcE EL-O-20O SRV FEEDER
Extension
120.00
Charged Paid Credited Due
Permit Fee Totaf
Plan Check Total
Grand Tocal
120.00
.00
120. 00
00
00
00
.00
.00
.00
t20
!20
00
00
00
INSPECTION T\?E DATE:RESLTLTS:INSPECTOR:
DITCH
SERVICE zln,lxt "K w
ROUGH-IN
FINAL
PERMIT WILL EXPIRE SIx (6) MONTHS FROM T.AST INSPECIION
Signa ture of owner or Electrical Contractor X Date:
COMMENTS:
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6%V.r"
ELECTRICAL INSPECTION
WIRING REPORT
4174735
DITCH
ROUGH IN/COVER D
SERVICE D
APPROVED
0
o
tr
D FINAL
COHNECTIONS NEEDED:
<_
NOTIFY INSPECTOR WHEN CORREGTIONS
ARE GOMPLETED WITHIN 15 DAYS
- OO NOT REMOVE-
OATE:
CONTRACTOE
ADDFESS
NOT APPROVED
L L
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9
Crry op POnr A.rrctr,rS Prnrlrrr ApPLICATION
Building Division /Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 417-4735 Frx: (360) 417-4711
RECEIVED
MAR 2 ,t 2017
aate ?=27-/7 .(, n, unn,. ,amity lhrettins ,i!tr"]#ftilt
- Plan Review May Be Required, Please ete Electrical Plan Review Information Sheet
.lob Address
Building Square Footage:
Descnption of above
Owner I
Name
ntk)nfornatiobA Contraclor lnf ormationNane. ZiL
l,4aiiing Address:
ciry:Stale: _ Zip:
Phone ax:
License # / Exp
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401-600 Amp
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuil W Service Feed
Branch Circuit WO Service Feeder
Each Additional Branch Circuil
Branch Circuits 14 oaly
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401$00 Amp.
Temp. Service/Feeder 601-1000 Amp
Ponal lo Portal Hourly
Signal Circuiu Limited Energy - 1 & 2 Family Dwelling
llanufactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thennostat
Note: $5.00 for each additional T-Stat
iIEW CONSTRUCTIOI{ ONLY:
First 1300 Square Fl.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or oetached Garage
Each Swimming Pooi or HotTub
l,4ailing Address:
City:Statq _ Zp: _
Phone
License # / Exp.
@
ax:
r_
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
1 Unit C
$
$
$
$
5
$
$
$
s
s
s
$
s
s
$ 120 00
s 40.00
$ 74.00
$ 110.00
s
$_$_
S
$Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrjcal 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 prope(y or a licensed eleckical contructor. I am making
the eleckical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port
Angeles l\4unicipal Code, and Utility Specitications and PAl,'lC '14.05.050 regarding Eleckical Permit Applications.
sig nature of owner, e cal contractor or electrical administrator:tr cash 76\check
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