HomeMy WebLinkAbout509 S Francis St - Building CITY OF PORT ANGELES PERIMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—P.O. Sox 11501 Port Angeles Washington, 98362 MAR 7 2014
Ph: (360)417-4735 Fax: (360)417-47111TftiCAL
Date: 3- 17- I L 1 &2 Single Family Dwelling mSPECTIONS
*Plan Review May Be Required, Please Com Iete Electrical Plan Review Information Sheet
Job Address: F/tA-A_oGIS
Building Square Footage:
Description of above
Owner Information Contractor Information
Name: P—R-ti+oif Name:, IrA E_ —
Mailing Address: Mailing Address:
City: State: Zip: City: Slate; Zip
Phone: e/6 2 Fax: Phone: Fax:
License#!Exp. License#1 Exp. .94AC r—EC, VrIf 0 —
Item Unit Charge City Total(Qty Multiplied by Unit Change)
Service/Feeder.200 Amp, $120,00 $
Service/Feeder 201400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $
Service/Feeder 601-1000 Amp, $262.00 $
Service/Feeder over 1000 Amp, $373.00 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W10 Service Feeder $ 63.00 $ �
Each Additional Branch Circuit $ 50 $
Branch Circuits 1-4 $ 75,00 $
Temp.Service/Feeder 200 Amp, $ 93,00 $
Temp.Service/Feeder 201.400 Amp. $110.00 $
Temp,Service/Feeder 401-604 Amp, $149.00 $
Temp,Service/Feeder 601-1000 Amp, $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit/Limited Energy-1 &2 Family Dwelling $ 64.04 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-SKVA System or Less $102.C4 $
Thermostat $ 56,00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft or Porticn 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 safe,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,,RCW.Chapter 19.28,WAC.Chapter 296-46B,The City of Port
Angeles Municipal Cod and U 'ity Specifications and PAMC 14.05.050 regarding Electrical PerWC plications.
Signature of r, ctr' a contractor or electrical administrator: Cl Cash heck
[� Credit Card#
X Dated; �—/7—,� 0116112012 ����
Z 00
ELECTRICAL PERMIT Fv
CITY OF PORT ANGELES
360-417-4735
Application Number , , , , , 14-00000314 Date 3/17/14
Application pin number 217026
Property Addrese , , . . , . 509 S FRANCIS ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-9440-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . , . , . . to the City of Port Angeles
Property Use
Property Zoning . , . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
Application desc
Ductless heat pump
---------------°_------------ ._. ._-_----------------------------------------
owner Contractor
RANDY L AND CHRISTINE L BOOZE BLACK DIAMOND ELECTRICAL CONTR
509 S FRANCIS ST 502 DLACK D? AMOND RD
PORT ANGELES WA 983626430 PORT ANGELES WA 98363
--- 461-4423 - --- --- - - ---- (360) 56.5`1035
Permit , , . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 63.00 Plan Check Fee 00
Issue Date 3/17/14 valuation , , . . 0
Expiration Date 9/13/14
Qty Unit Charge Per Extension ` ()
1.00 63.0000 ECH EL-R- BRANCH CIR W01 SER FEED 63.00 �}
Fee summary Charged Paid Credited Due
----------------- ---------- -------- ---------- ---------- `
Permit Fee Total 63100 63,00 .00 .00
Plan Check Total ,00 ,00 .00 00
Grand Total 63.00 63,00 .00 00
7.
. V
DA ? i`o t
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN )so 11
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G;IEXCHANGEIHUILDING
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
M
READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
_/t/u1j;~~77t7h (/uw -dP[Jod_z:J
~~-4A./
<
Jn~tal'ed By:
Owner/Business:
;
Owner/Business Address:
~ 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
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
.
PERMIT NO 1'/ q lJ
DATE ((,-.sO-'7'3
Phone:
Sq, Ft.
o OVERHEAD SERVICE
l5t UNDERGROUND SERVICE
'\tOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE /~ tJ AMPS
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.
1f"~ROugh-in/cover O.K.
o O.K. to connect service
/vJ~Final O.K.
Slle Address:
I
Installer:
New Meters
Permit/Receipt No.
Date:
(,-:.10-93
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the eiectrical inspector in writing on either the Wiring Report
or on the Building P m'. PHONE 457-0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OlYMPJC PRINTERS INC
Llo .00
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall