HomeMy WebLinkAbout1822 E 4th St - Building RECEIVED ?ORr
CITY OF PORT ANGELES PERMIT APPLICATION [JUN 5 2013
Building Division/Electrical Inspections �
ELECTRICAL
321 East fifth ,Street—F.O.Box 1150/fort Angeles Washington, 98362 L
Ph: (360)417-4735 Fax: (360)417-4711 Al INSPECTIONS
Date: Z' $1 A &2 Single Family Dwelling
* Plan Review May Be Re uired, Plea CorvIet Electrical Plan Review Information Sheet
Job Address; 'Z r 7
Building Square Footage:_
Description of above
Owner Infor ation Contractor InIf m tion
Name: v i' A" c .-I—x*J Name: JJ��
Mailing Address: !t x z r q _ Mailing Address: S`V Z-- Gra e'K- �_.�-o«..-00
City: State: zip: City: State: Zip:
Phone: Fax: Phone: Fax:
License#1 Exp, License#1 Exp. A-tiles Cgf 9
Item Unit Charge Tot_al(City Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 209-400 Amp. $146,00 $
Service/Feeder 401-600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
ServicelFeeder over 1000 Amp $373.00 $
Branch Circuit Wl Service Feeder $ 5,00 $
Branch Circuit W/O Service Feeder $ 63.00 $ 3
Each Additional Branch Circuit $ 5,00 $
Branch Circuits 1-4 $ 75.00 $
Temp,SWcel Feeder 200 Amp, $ 93.00 $
Temp.Service/Feeder 2C1-400 Amp, $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp,Service/Feeder 601-1000 Amp. $168M $
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 Ft,or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74,00 $
Each Swimming Pool or Hot Tub $110.00 $
Total
Owner Owner as defined by RCW,19.28.261;(1)Owner wilt occupy the structure for two years after this electrical permit is finalized,(2)Own or 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 Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit plications.
Signature of own el ical contractor or electrical administrator: El C& chock
111 Credit Card p
x Dated:, °/ 014112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 d
Application Number 13-00000606 Date 6/06/13
Application pin number , , , 792496 1
Property Address , , , . , 1822 E 4TH ST /{ (Vh
ASSESSOR PARCEL NUMBIR: 06-30-11-5-3-0102-0000 REPORT SALES TA X
Application type description ELECTRICAL ONLY on your excise tax Norm
Subdivision Name . , , . , .
Property Use . , . . , . . . to the City of Port Angeles
Property Zoning , . , , , . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . , . 0
Application deso
I circuit ductless heat pump
Owner Contractor
DOTSON RONALD L BLACK DIAMOND ELECTRICAL CONTR
1822 E 4TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983624916 PORT ANGELES WA 98363
(360) 565-1035
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Permit , . . . ELECTRICAL ALTER RESIDENTIAL __-fill'-- �
Additional desc
Permit Fee 63,00 Flan Check Fee 00
Issue Date 6/06/13 Valuation , , . . 0
Expiration Date 12/03/13
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CTR 1^101 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 6300 00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN I3
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANG0BUILDING