HomeMy WebLinkAbout1320 E 1st StApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUUBER.
Application type descripLion
sDbdiwision Name
Property IJse
Property Zoninq
Application vafuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
17 - 00 00 0199 Date 2/23/L'7
964800
1320 E 1ST Sr
06 - 3 0 - 0 0 - 1- 0 - 1012 - 0 000 -
EI,ECTRICAL ONI,Y
COMMERCIAL ARTERTAI,
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
J
t
-$-s
Application desc
Kitcheo, Diisp, Micro circuits
Owner
CCR Propoer!ies LLC
175 Blue Sky Drive
SEQUIM
BLACK DIAT'IOND ELECTRICAL CONTR
502 BI,ACK DIMOND RD
PORT ANGEI]ES WA 983 63
(350) s55 1035
wA 983 82
Permit
Addilional desc
PermiE Fee
Is6ue Date
Expiration Date
EI,ECTRICAI, AITER RESIDENTIA],
1-4 CIRCUITS
75.00 Plall Check Fee
2/23/t1 Valuation
00
0
Qty Unit Charge Per
BASE FEE
Extsension
?5_00
Eee summary Charged Paid c]:edited Due
Permlt lee I'oEa-t
Plan Check Total
Grand Total
75. 00
.00
75. 00
00
00
00
75.00
.00
?5.00
00
00
00
t
INSPECTION T\?E DATE:RESULTS INSPECTOR:
DITCIT
SERVICE
ROUGH.IN
FINAL
COMMENTS:z-
PERMTT WILL EXPIRE SIX (6) MONTHS FROM I"A.ST INSPECTIOIT
Signah[e of o\rnet or Electrical Contractor X Date :
qoRl
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DITCH
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)COHRECTIONS NEEDED:.>x Zov E-fZ- k LJ
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ilOTIFY INSPECTOR WHEil CORRECTIOIiIS
ARE COMPLETED WITHTI{ 15 DAYS
-OO NOT REMOVE-
1-rl 1a
tNs
CONTRACTOBu0{X t*
ADDBESS
NOT APPROVED
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735 / oFz
DITCHo
tr
tr
tr
tr
D
tr
CORRECTIONS NEEDFD:[**a
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NOTIFY INSPECTOR YYHEltl CORRECTTOT{S
ARE COMPLETED WTHIN 15 DAYS
_ OO NOT REMOVE-
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coNraAcro,
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ADDFESS
NOTAPPROVED
....... ROUGH INICOVER
. . . SERVICE
... . FINAL
.'#5Ku-"/'EY
%H6"
ELECTRICAL INSPECTION
WIRING REPORT
417-4735 Z- aF ,
NOT APPROVED
DITCH tr
tr
tr
,/L
APPROVED
tr
tr
tr
D
CORRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITH]N 15 DAYS
- OO NOT REMOVE -
DAT INSP
CONTBACTOB
sfADOFESS
.......BOUGH|N/COVEH
. , . SEFUICE
.... FINAL
o*yF- I
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Crry or Ponr ANcnr,ns Prnnrrr Arpr,rc.l.rrox
Building Division/Electrical Inspections
321 East Fifth Street - Port Argeles Washington, 98362
Phz Q60) 417-4135 Fax: (360) 417-4711
oate: 2-27-l & a z singb ramily Dwelling
- Plan Review l\,4ay Be Required, Please Complete Electrical Plan Review lnformation Sheet
-J
\
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Job Address
Building Square Footage
Description of above
owner lnformati on
PBoPNamec_
It/aili
City:
A.rywt-t -.ttt
Contractor I
Name:
gse,,
Stater_ Zip
Phone:6o AX
L cense # / Exp
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1400 Amp.
Service/Feeder 40'1 S00 Amp
Service/Feeder 6011 000 Amp.
Service/Feeder over 1000 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. Seryice/Feeder 201400 Amp.
Temp. SeryiceiFeeder 401-600 Amp.
Temp. Seryice/Feeder 601-1000 Amp .
Portal to Portal Hourly
Signal CircuiV Limited Energy - 1 & 2 Family Dwelling
l\y'anlfactured Home Connection
Renewable Electrical Energy - sKVA System or Less
Thermostat
Noler $5.00 for each additional T-Stat
I{EW CONSTRUCTIOT{ ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Podion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
City:State
Fax:
Zip: _
Ph
License # / Exp
@Unit Charqe
$ 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
$
$
s
$
$
$
$
$
$
$
$
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an eleckical contractor if above said prope(y is for sale. rent or lease. Permit expires after 6ix 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 contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of port
Angeles Municipa ode, and Utility Specifications and PAI/C '14.05.050 regarding Electrical Permit Applications
sig ctical contractor or electrical administrator:{.n""*
$ 120.00
$ 40.00
$ 74.00
$ 110.00
$$ r?
--_$ y' J total
E cash
E CreditCard #
X 02t0612012
1fr l"rz
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nature of o
2_Lz-t7
RECEIlfEr
u1-y
[4ailing Address:_
Total (Qtv Multiplied bv unit charqe)