HomeMy WebLinkAbout1213 W 16th StRS7 RESDNTL SINGLE FAMIIY
0
REPORT STATE SAI.ES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
Application pin number
Property Address
ASSESSOR PARCEI, NUMBER:
Appfication t!,pe description
subdivision Name
Property zoning
ApplicaEion valuation
19- OOO0O80O Date 7 /26/1-9
7 544 00
1213 W 16Ts ST
05-3 0- 00 - 0-4 -3288 - 0000-
E],ECT3,ICAI. ONLY
Applicatsio desc
Service change
Contractor
C2.J ENTERPRiSES LLC
1006 SPRUCE ST
PORT ANGELES
BI,ACK DIAMOND ELECTRICAL CON-I'R
502 BI,ACK DIA}IOND RD
PORT ANGEIES WA 983 53
(360) 555-1035
Permit
Additional desc
PermaE !ee
Iasue Date
Expiration Datse
200 .00
s/30/1-9
t2/23/1-9
ELECTRICAL AITER RESIDENTIAL
Plan Check Eee
valuaE ion
00
0
Qty uBit charge Per
16.00 5.0000 EcH EL-BBANCH crRcurT W/EEEDER
1.00 120.0000 EcH Et-o-200 sRv FEEDER
Extension
80.00
120.00
Charged Paid Creditsed Due
Permit Fee ToEal
Plan Check ToEal
Grand 1'oEa1
200.00
. o0
200 - 00
200
200
00
00
00
00
00
00
00
00
00
PERMIT WILL EX?IRE SLX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE T lzu )fi dD w
ROUGH.IN 4 qq)fi @ -Br
FINAL Z"lti"lic>E-@
COMMENTS:
Signature of owner or Electrical Contractor X Date
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'1-4735
wa 98363
RESULTS:
APPROVED
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ELECTRICAL INSPECTION
WIRING REPORT
417-47&5
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... ROUGH |N/COVER.......
.......SERV|CE
FINAL . .
NOT APPROVED
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)CORRECTIONS NEEDED ALbr(- q-J.E- -3
DATE INSPECTOF
CONTFACIOB
AODFESS
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN I5 DAYS
_ DO NOT REMOVE_
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ELECTRICA L PERMITAPPLICATION
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Project Address:
P Description Pe$J )Att- + t+* WJf
Name
le-Family Residential E Duplex / ARU Building Square footage
-l Aro^,AieOE,tC;^J Email
Nilailing Address Phone: )6D ' { 77 - 3Z? I
OIINER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
lvlailing Address
Emait:
License:
Expiratio
Phone:
n Date:
?6 d-+b/ -)f>
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
ServiceiFeeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit w/ Service Feeder
Branch Circuit WO Service Feeder
Each Addilional Branch Circuit
Branch Circuits '1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp
Temp. Service/Feeder 401€00 Amp.
Temp Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuiulamited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each addit,onal)
Farst 1300 Square Feei
Each Additional 500 square Ieet '
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charoe
$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
$120.00
$40.00
$74.00
$110.00
ADP
lbctzt*179
9rov""
Ouantitv IS!a! (Qua Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL /"-o
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years afterthis eleclrical permit is finalized. (2) Owner ts
requi.ed to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby c€rtify that I am the owner of the above named prope(y or a licensed electrical contractor. I
am making the electrical
468, The City of PortAn
installation or alteration in complian ce with electrical laws, N.E C., RCW Chapter 19 28, WAC. Chapter296-
Municipal Code, and and PAMC 14.05.050 regarding Electrical Permit Applications.
{
Date Print Name Signatu Owner ! Electrical Contractor / Administrator)
@
IElectrical Permit Applications may be subm to City Hall or epermits@cityofpa.us or faxed to 360.417 .471j1
ELr-2 sF
7-
1 - 2 SINGLE-FAMILY
FI
Name:T
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..#5*n"/tE\"
%x76"6-
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPBOVED
DITCH D
DROUGH IN/COVER
SERVICE
APPROVED
D
D
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)CoRRECTTONS NEEDEO: 5 u@?r.rl- l^,1b<'$' Yrn]
tnN 2-gt-.11t-e - 7-70 - c-lq2^ LrBst-Ts oT2-
Ar^rr- ?!-A'fE-- 6aQot frz, 9ttz.v, e-E
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NOTIFY INSPECTOR WHEN CORBECTIONS
ARE COMPLETED U'ITHIN 15 DAYS
_ DO NOT REMOVE-
DATE:
t )zo /tt n -ab NSP:CTOh'
'Y*z
OWNEE
$r*<-t< Dt **.eA b -, z <--
CONTBACTOA
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ADOSESS
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