HomeMy WebLinkAbout815 S Peabody St - Building
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Job wired by Jt Electrical Contractor 0 Owner
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urcha~ mailin~-iddress , :>
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City ,fJ'v.
T~one ~::~
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State ZIP
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City
Phone numbe~to schedule i'7eC2:)u::;. 9- "/
Owner as defined by RCW19.28.261:(J) 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.
After reading the above statement, I hereby certifY that] am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation 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 Code, and
Utility Specifications.
Signatu
x
Date:
Electrical LoadAddition$_and_or~bJrl!l:.til!ns
D NO LOAD CHANGES
D Baseboard KW
D Furnace KW
D Heat Pump Ton LAR
D Fan-Wall KW
ELECTRICAL WORK PERMIT APPLICATION
1'1~ation description
~mmercial D Residential
~
\
D New D Altered/Addition
/ ~~7-
-
L
~
a
o Cash ~heck #
o Credit Card Visa
Card #
Mastercard
Discover
Expiration Date
of card
Inspection fee
$
Service Information
Voltage
PhaseD1D3
Service Size:
Feeder Size:
D Overhead Service
D Temp Service
D Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT /" SERVICE
tl/'lJ/fJ8 ~edBY Date Approved By Dale Approved By
Dale
FINAL DITCH FEEDER
)JJ1Jlre "'TMl
'-.. . Date Approved By ./ Date Approved By "- Dare Approved By/
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
Application Number
Application pin nmmber . , ,
Property Address . . . . . .
ASSESSOR PARCEL NUMBER:
Applications type description
Subdivision Name
Property Use
Property Zoning . . . . . . .
Application valuation . . . .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
15- 00001475 Date 11/23/15
46907'5
815 S PEABODY ST
06-30-00-0-2- 7142 -OD00-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Owner
t
Contractor
RESULTS:
CIPRIANO JR VINCENT
M
BLACK DIAMOND ELECTRICAL CONTR
B15 S PEABODY ST
REPORT SALES TAX
502 BLACK DIAMOND
RD
PORT ANGELES
WA 983627905
PORT ANGELES
WA 98363
SERVICE
(360) 565 -1035
Permit . . . . .
. ELECTRICAL, ALTER
RESIDENTIAL
Additional desc
DUCTLESS HEATPUMP
Permit Fee
63.00
Plan CLeck Fee
,00
Issue Date
11/23/15
Valuation
0
Expiration Date
5/21/16
Qty Unit Charge
Per
Extension
BASE
FEE
63,00
----------------------------------------------------------------------------
Fee Summary
Charged
Paid Credited
Due
---- ------- - - - - --
permit Fee Total
---- - - - - -- ----
63.00
- - - - -- ---- - - - - -- ----
63.00 .00
- - - - --
D0
Plan Check Total
.OD
DO 00
0.0
Grand Total
63,00
63.00 .00
.00
INSPECTION TYPE
t
DATE:
RESULTS:
INSPECTOR:
DITCH
REPORT SALES TAX
on your excise tax form
to the City of Part Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
O
—
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
pi7Rr.j:�G
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 11`1 ' -®fir
eN
1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: ??��
Building Square Footage:
Description of above c r1_a -S S �'}
Owner Information
Name: IArNO
Contractor Inf,ati
Name:
Mailing Address:
Mailing Address:
City: State: Zip:
Phone: 750 - 2-11 %- Fax:
City: State; Zip:
Phone: Fax:
License # ! Exp,
License # I Exp. V!ngq:�,F G IN yA L _._._
Item
Unit Charge
oty Total (Qjy Multiplied by Unit Charge}
Service/Feeder 200 Amp.
$ 120.00
$
Service/Feeder 201 -400 Amp.
$ 146,00
$
Service/Feeder 401 -600 Amp
$ 205.00
$
ServicelFeeder 601 -1000 Amp.
$ 262,00
$
Service/Feeder over 1000 Amp,
$ 373.00
$
Branch Circuit WI Service Feeder
$ 5.00
Branch Circuit WIO Service Feeder
$ 63.00
ems/ $$�°
Each Additional Branch Circuit
$ 5,00
Branch Circuits 1 -4
$ 75.00
$
Temp. Service/ Feeder 200 Amp,
$ 93.00
$
Temp. ServicelFeeder 201 -400 Amp,
$ 110.00
$
Temp. ServicelFeeder 401.600 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
$ 64,00
$
Manufactured Home Connection
$120.00
$
Renewable Electricai 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 Ft. 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,1M8.261: (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,,
RCW, Chapter 19.28, WAC, Chapter 296 -4613, The City of Port
Angeles Municipal Cod and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications,
Signature of er, ec cal contractor or electrical administrator:
❑ Cash Check
❑ Credit Card #
x Dated: 01/0112012
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