HomeMy WebLinkAbout518 S Liberty StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
18-00000141 Dare 2/02/tB
521954
518 S I]]BERTY ST
06- 30- 11- 5-4 - 0070 - 0000-
EI,ECTRICAIJ ONLY
RS7 RESDNTL SINGLE FA}IIIY
0
REPORT STATE SAI-ES TAX
on your excise tax form
b the Crty of Port Angeles
(Location Code 0502)
rpI$
Application Number
ApplicaEj,on pin nuhber
Property Address
ASSESSOR PARCEIT NUMBER:
Application tl.pe descriplion
Subdivision Name
Properly Use
Property Zonlng
Application valuaEion
Application desc
Furnace and heat pump
JoAxNE /MERwr.N PETTYJoHN TTE
518 S I,]BERTY ST
PORT ANGELES WA 983 626 65 O
BLACK DIAMOND EI.ECTRICAI, CONTR
502 BI,ACK DIAMOND RD
PORT ANGEIES WA 983 63
(350) s5s 1035
Addllional desc
Issue Date
68.00
2/02/t8
I / o1/ 1-8
ELECTRICA! ALTER RESIDENTIAI
Expiration Date
QEy Unit Charge
1.00
1.00
5.0000
63.0000
Per
ECH
ECH
EL ECH ADDNT BRLIICH CIRCUIT
EL R- B&AticLl crR r"to1 sER EEED
00
0
Extension
5.00
53 .00
Charged Paid Credited Due
Permit Eee Totsal
Plan Check Total
Grand ToEal
58. 00
.00
58.00
68. 00
.00
68. 00
00
00
00
.00
.00
.00
INSPECTION TYPE DATE:RESI]LTS INSPECTOR:
DITCH
ROUGH-IN
FINAL
COMMENTS fr-Y-
PERMIT W]LL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signa ture of owner or Electrical Contractor X Date
Plan Check Fee
valuation
SER\'ICE
?{xr
do
I
.LCrrv on Ponr ANGELES PERMTT AppLrcATroN
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Box ll50 / Port Angeles Washington, 98362
Ph: Q60l 417-4735 Fax: (360) 417-4711
Date /-Zt-rl 1 & 2 Single Family Dwelling
Delcription of above
Owner lnformationNarre: ?trTt?5bt|e.,Contractor I
Name:
Mailing Address
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp
SeNice/Feeder 401 $00 Amp
Seruice/Feeder 601 -1 000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuil W SeNice Feeder
Branch Circuil WO Service Feeder
Each Additionai Branch Crrcuit
Branch Circuits 14
Temp. Service/ Feeder 200 Amp.
Temp. ServiceFeeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. ServiceFeeder 601-1000 Amp .
Po(al to Portal Hourly
Signal CircuiULimited Energy- 1 &2 Family Dwelling
l\,lanufactured Home Conneclion
Renewable Electical Energy - 5l(VA System or Less
Thermostat
Note: $5.00 for each additional T-Slat
NEW CONSTRIJCTIOiI ONLY:
ivlailing Addressi
L,cense # / Exp _
ctv State:_Zip: _
s
License # /
Total (Qtv Multiplied bv unit Charqe)Unit Charqe
$ 120.00
$ 146.00
$ 205.00
$ 262 00
$ 373.00$ 5.00
$ 63.00$ 500
$ 75.00
$ 93.00
$ 110.00
$ 149.00
$ 168.00
$ 96.00$ .00
$ 120.00
$ 102.00
$ 56.00
$ 120.00
$ 40.00
$ 74.00
$ 110 00
s
s
$
$
c
$
s
s
s
s
s
Fircl 1300 Square Ft.
Each Additional500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Poolor Hot Tub \ff.*o,
owner as defined by RCW.19.28.261: (1) owtter will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical conkactor 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 olvner ofthe above named property or a licensed electrical contractor. I am making
the eleckical 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 Municipal Code, and Utility Specifications and PAi/C '14.05.050 regarding Electrical Permit Applications.
Signalure of owner, electrical contractor or electrical administrator
$
s
$
/-2q-/F
(nl6L(
* Plan Review lVay Be Required, Please Complete Electrical Plan Review lnformation Sheet
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city:
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State:-zip:
Phone: {17- <7.1, Fax:-
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APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DITCH tr
ROUGH IN/COVER
SERVICE
a
tr
tr
D FINAL
tr
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
_ DO NOT REMOVE-
DATE B-)INSP
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CONTFACTOR
ADDEESS
PROVE
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