HomeMy WebLinkAbout2024 W 6th St - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. ~7J-fr
/CJ//~ /93
/ /
DATE
Installed By:
/J t::- 77i
o READY FOR
INSPECTION
license Number:
WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
B NEW CONSTRUCTION
Q<l. REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
~UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE /tJo AMPS
Details/Description:
add hi ..I1/t4f
lOt? IJlllflf~L
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
1&"L !Z1 Rough-in/cover OX
o O.K. to connect service
1.0 Il!l Final O.K.
Installer:
,r'1J
h
Site Address:
New Meters Date' . t
~ /0 /'i'/f'3
Notify Port Angeles CI y Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Per "t. PHONE 457-0411, EXT. 224.
.
NO OCCUPANcy OR USE ESTABLISHED UNDER THIS PERMIT
$
l!(J,(Jr)
Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . , , . .
15- 00001240 Date 10/02/15
Application pin number , . ,
944120
Property Address , . , .
2024 W 6TH ST
ASSESSOR PARCEL NUMBER:
06-30-01-6-6-OD10-00DO-
Application type description
ELECTRICAL' ONLY
Subdivision Name , , . , .
Property Use . . . , . .
Property Zoning . . . . . . .
RS? RESL.dTL SINGLE FAMSLY
Application valuation
0
Applicataon deso
---------------------.____._----
Ductless heat pump
Owner
Contractor
MARSHALL L AND JULIE HASKINS
BLACK DIAMOND ELECTRICAL CONTR
2024 W 6TH ST
502 BLACK DIAMOND RD
PORT ANGELES WA 983631612'
-.. PORT ANGELES
WA 98363
(509) 885 -2656
(36C 565 -1035
Permi.t , , , , . . ELECTRICAL
-
ALTER RESIDENTIAL
-- --- - - - - --
Additional desc , .
Permit Fee . . . . 63.04
Plan Check Fee
OD
Issue Date , . , . 10/02/15
Valuation
0
Expiration Date . . 3/30/16
Qty Unit Charge Per
Extension
1100 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED
63.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 63,00
63,00 .00
.00
Plan Check Total .00
00 .00
.00
Grand Total 63,00
63,00 .00
.00
t
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN" I�
SINAI,
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical. Contractor X Date:
GAEXCHANGEIBUILDING
p rya r
CITY OF FORT ANGELES PERMIT APPLICATION ���� � �� i�►�.►
Building Division/Electrical Inspections I�
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date; I & 2 Single Family Dwelling INSPECTION
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 2 a 7. 1- J �, nr
Building Square Footage;
Description of above
U
Owner Inforrinatiorl Contractor Information
Name; 4: IN Name;
Mailing Address; W G 77f Mailing Address;
City, State; zip; City; State; Zip;
Phone; 616,148S_26 Fax; Phone: Fax;
License # 1 Exp. License # 1 Exp,
Item Unit Charce City Total MY Multiplied by Unit Charge)
Service /Feeder 200 Amp. $120,00 $
Service /Feeder 201.400 Amp. $146.00 $
Service/Feeder 401 -600 Amp $ 205,00 $
ServloelFeeder 601 -1000 Amp, $ 262.00 $
Service /Feeder over 1000 Amp, $ 373,00 $
Branch Circuit Wl Service Feeder $ 5,00 $
Branch Circuit W10 Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 14 $ 75.00 $
Temp, Service/ Feeder 200 Amp, $ 93,00 $
Temp. Service /Feeder 201 AOO Amp $110,00 $
Temp, Service /Feeder 401 -6CO Amp. $149.00 $
Temp. Service /Feeder 501 -1000 Amp , $168,00 $
Portal to Portal Hourly $ 96,00 $
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120,00 $
Renewable Electrical Energy • 5KVA System or Less $102,00 $
Thermostat $ 56.00 $
Note; $5,00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft $120,00 $
Each Additional 500 Square FL or Portion of $ 40,00 $
Each outbuilding or Detached Garage $ 74.00 $_�
Each Swimming Pool or Hot Tub $110,00 $
$Total
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 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 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., RCVV. Chapter 19.28, WAC, Chapter 296 -466, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications,
Signatur?7�' ]cal contractor or electrical administrator: El Cash % Check
❑ Credit Card #
x Dated; /b — r/ `'-
01l0112012
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