HomeMy WebLinkAbout212 W 11th St - Building RECEIVE'
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections MAR 4 2014
321 East Fifth Street--P.O. Box 11501 Port Angeles Washington,98362 F9. �R�C �
Ph: (360) 417-4735 Fax: (360)417-4711 INSPECTIONS ELECT ELECTRICAL
3
Date: 3— _ 1 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
L �
Owner Information Contractor inkrination
Name: Wks. A6107r— Name;
Mailing Address: Mailing Address:
City: State: Zip: City, State, Zip:
Phone: Fax: Phone: Fax
License#1 Exp. License#1 Exp.
Item Unit Charge Q Total Q Multiplied by Linit Char e
Service/Feeder 200 Amp, $120.00 $
Service/Feeder 201.400 Amp. $146.00 $
ServicelFeeder 401.600 Amp $205.04 $
Service/Feeder 601.1000 Amp, $262.00
ServicelFeeder over 1000 Amp, $373.00 $
Branch Circuit W1 Service Feeder $ 5.00 $
Branch Circuit W10 Service Feeder $ 63,00 $
Each Additional Branch Circuit $ 5.00 — $
Branch Circuits 1.4 $ 75.00 $
Temp.Service!Feeder 20C Amp. $ 93.00 $
Temp.Service/Feeder 201-400 Amp, $110.04 $
Temp.Service/Feeder 401.600 Amp. $149.04 $
Temp.Service/Feeder 601-1000 Amp, $168.00 $
Portal to Portal Hourty $ 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,C0 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 $
$ otal
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 fd.r,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 1928,WAC,Chapter 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PANIC 14.05,050 regarding Electrical Permit Applications,
Signature of ner,a ctric contractor or electrical administrator: ❑ Cash check
r Cl Credit Card N
X Dated: �� ` 10r6 8
l
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . , . . 14-00000253 Date 3/05/14
Application pin number , , , 337012
Property Address . , . . . . 212 w 11TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER; DG-30-00-0-3-4510-0000- our excise fax form
Application type de on description ELECTRICAL ONLY y
Subdivision Name . . . , . , to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning , . , . , , . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . , D
------------------------------------------Application desc
Ductless heat pump
Owner Contractor
HAROLD J ABBOTT BLACK DIAMOND ELECTRICAL CONTR ^ ,
212 W 11T4 ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98352 PORT ANGELES WA 98363
(350) 452-8651 (360) 565-1035
----------------
Permit ,
-- - ,-- I . ELECTRICAL ALTER RESIDENTIAL
Additional desc , , 00
Permit Fee 125.,00 Plan Check Fee 0
Issue Date 3/05/14 Valuation
Expiration Date . . 9/01/14
Qty unit Charge Per Extension
1.00 5.0000 3CH EL-BRANCH CIRCUIT W/FEEDER 5.00
1,00 120.0000 ECH EL-0-204 SRV FEEDER 120.00
___ --_---------------- ------
_ Fee summary'f 5
Char ed Paid Credited Due
_ --____----
Permit Fee Total 125.00 125.00 .00 .00
plan Check Total ,00 .00 00 ,00
Gzand Total 125,00 125,00
,00 .0D
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE T
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(b)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:TXCHANGRBUILDING