HomeMy WebLinkAbout1010 W 11th St - Building RECEIVED
CITY OF PORT ANGELES PERMIT APPLICATION � � ����
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 RECTRICAL d
Ph: (3q-17-19 60)417-47335 Fax: (360)417-4711 INSPECTIONS �► lt�,�
Date: 1 &2 Single Family Dwelling V"
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: )0 10 t&.a.
Building Square Footage:
Descrlption of above
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Owner Information C or formation
Name:__ 11>6W +e>(^y7_1-{-c14 D r,
Mailing Address: icato r.✓ 1_l'r* _ Mailing Address:
City: "�+� State: 'v A. Zip: City, State: Zip:
Phone: Fax: Phone: Fax
License#I Exp. License#t Exp.� LA<—r_ _C
Item Unit Charge y Total(4tv Multiplied by Unit Charge)
ServicelFeeder 200 Amp. $920,00 $
ServicelFeeder 201-400 Amp. $146.00 $
ServicelFeeder 401-600 Amp $205,00 $
ServicelFeeder 601-1000 Amp. $262.00 $
ServicelFeeder over 1000 Amp $373.00 $
Branch Circuit WI Service Feeder $ 5.00
Branch Circuit W!0 Service Feeder $ 63.00 $�
Each Additional Branch Circuit $ 5,00 $
Branch Circuits 1-4 $ 75.00 $
Tamp,Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feader201-400 Amp. $110.00 $
Temp.ServicelFeedor401-600 Amp. $149.00 $
Temp,ServicelFeeder 601-1000 Amp, $16&00 $
Portal to Portal Hourly $ 96.00 $
Sigrral 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 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.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 installat)onr alteration in compliance with the electrical laws, N.E,C,, RCW,Chapter 19.28,WAC, Chapter 296-4613,The City of Port
Angeles Municipal ode a Utility Specifications and PAMC 14.05,050 regarding Electrical Permit A plications.
Signature of r, tri al contractor or electrical administrator: 1-1 Cash Check
Q% /1 ❑ Credit Card 4
X Dated:{ ��r��/ 01101/2012
55yz
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 �o
Application Number . , , . , 13-00001063 Date 9/18/13
Application pin number , . , 507126
Property Address , . . . . . 1010 W 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5310-0000- REPORT SA LES TAX
Application type description ELECTRICAL ONLY on your excise fax form
Property Name to the City of Port Angeles
Pro ert Use
Property Zoning , . . , , . . COMMERCIAL NETGHBORHOOD
(Location Code 0502)
Application valuation 0
Application de9c
ductless heat pump
Owner Contractor
KAZLAUSKAS, JOHN P & CYNTHIA BLACK DIAMOND ELECTRICAL CONTR
1010 W 11TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983637209 PORT ANGELES WA 98363
y (360) 565-1035-
° _------- -_. _-.____ .------------ ------------------
Permit , . . . , , ELECTRICAL ALTER RESIDENTIAL
Additional desc . , W,..+
Permit Fee . . . 63.90 Puri Check Fee 00
Issue Date 9/18/13 Valuation . . . . 0
Expiration Date 3/17/14
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 :0o
Plan Check Total 00 ,00 00 00
Grand Total 63,00 63,00 00 00
INSPECTION TYPE DATE., RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH,IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGMBUILDING