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HomeMy WebLinkAbout1015 W 15th St - BuildingCITY OF PORT ANGELES PERMIT APPLICATION Buildino, Division/Electrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: / -4O —z� K, & 2 Single Family Dwelling JAN 3 0 2094 Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: I O W 1 15- 774, Building Square Footage: Description of above /to Xf V 4 Owner Information Name: - owl 1-9—ST-C Mailing Address: )ot.E' W 7 !E City: State: Zip: Phone: Fax: License # 1 Exp. Item Unit Charge Service /Feeder 200 Amp, $120.00 ServicelFeeder 201 -400 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 WI Service Feeder $ 5.00 Branch Circuit WIO Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 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 -600 Amp, $149.00 Temp. Service /Feeder 60 1 -1000 Amp . $168.00 Portal to Portaf Hourly $ 96.00 Signal Circuill 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 -Scat $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $ 120,00 Each Additional 500 Square FL or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $ 11000 ELECTRICAL INSPECTIONS Contractor Infor ation Name: ip aE Mailing Address: City: State: Zip: Phone: Fax: License # 1 Exp. Qty Total (Qtv Multiplied by Unit Charge) $ $ $ i $�-- $ $ $ $ $ $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 installation or alteration in compliance with the electrical laws, N,E,C„ RCW, Chapter 19.28, WAC, Chapter 296 -468, The City of Port Angeles Municipal Co d , an Uti ' y Specifications and PANIC 14.05.050 regarding Electrical Permit Applications. Signatur�,efi "ner, ec tc ontractor or electrical administrator; © Cash � check rJ`/ © Credit L1a/rd 4 0110112012 d' U ?a nr ELECTRICAL INSPECTION X- WIRING REPORT 0 ;pQnKS 0�01 417-4735 m M PERIT# ECTOR -1 -o i (DG INSP � -vltzll/ ADDnESS APPROVED (�-�OT APPR( ❑ .................... DITCH ....... ❑ ❑ ................ ROUGH IN/COVER..... ........ 0 0 ......... .......... SERVICE ................... ❑ ❑ .................... . FINAL .................... ❑ CORRECTIONS NEEDED: gT2-?A1 Q. �7 ty4o VZ- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC (360) 452-1381 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . , . , 14- 00000106 Date 1/30/14 Application pin number . . . 987418 DITCH Property Address . . 1015 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4- 1380 -00D0- AppJication type description ELECTRICAL ONLY Subdivision Name . , , . . , 4 Property Use FINAL Property Zoning , , . , , . , RS7 RESDNTL .SINGLE FAMILY Application valuation . . , , 0 Application desc Garage door and fireplace outlets - -- r------------------------------------------- -- °__--- _---------- _- _ °__ -_ Owner Contractor WILSON,. DEREK & SARAH BLACK DIAMOND ELECTRICAL CONTR 1015 W 15TH ST S02 BLACK DIAMOND RD PORT ANGELES WA 983637231 PORT ANGELES PIA 98363 (360) 565 -1035 Permit , . . , . . ELECTRICAL ALTER RESIDENTIAL Additional. desc , , Permit Fee 69.00 Plan Check Fee ,00 Issue Date 1/30/14 Valuation , . , . 0 Expiration pate 7/25/14 Qty Unit Charge Per Extension 1.00 5,0000 ECH EL- BRANCH CTRCUTT W /FEEDER 5.00 1.00 63,0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63100 Fee summary Charged Paid Credited Due Permit Fee Total 68.00 68.00 .00 QQ Plan ChecJc Total .00 .00 00 .00 Grand Total 68.00 68,00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 4 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEC'T'ION Signature of owner or Electrical Contractor X Date: G:IEXCHANGM3UILDING l C7` 51