HomeMy WebLinkAbout1303 O St - Building� err
CITY OF PORE' ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections �
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98352
Ph: (360) 417 -4735 Fax: (350) 417 - 4711►
Date:. 3— g — 13 —1 & 2 Single Family Dwelling 1
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 3 "0 S-P`
Building Square Footage;
Description of above
Owner Information 1 Contractor Information
Name: Ro N Rr� o CCDr-r O'crV Name; 13 DO
Mailing Address; __13o_S Mailing Address _ 9b 7 BMX 7> f+4�9 P P
City; State; Zip; City; State: Zip:
Phone: Fax: Phone: Fax;
License # 1 Exp. License # I Exp, $ L c t -c 2
Item Unit Charge (�, ty Total (Qty Multiplied by-Unit Char e
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201 -400 Amp. $ 146.00 $
ServicelFeeder 401 -600 Amp $ 205,00 $
Service/Feeder 601 -1000 Amp. $ 262,00 $
Service/Feeder over 1000 Amp, $ 373.00 $
Branch Circuit W1 Service Feeder $ 5,00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 14 $ 75,00 �_ $
Temp, Service/ Feeder 200 Amp, $ 93.00 $
Temp. Service/Feeder 201 -400 Amp. $110.00 $
Temp, ServicolFeeder 401 -600 Amp. $ 149.00 $
Temp, ServicelFeoder601 -1000 Amp. $ 168,00 $
Portal to Portal Hourly $ 96400 $
Sfgnal Circuitl 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. CO 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 $
$ 7� 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 installaticn 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 Applications.
Signature of own le trical contractor or electrical administrator: ❑ Cash XC heck
C] Credit Card #
X Dated: 3-3-13 01/0112012
o�90F7r.%9. ELECTRICAL INSPECTION
cis ®¢�rFir
WIRING REPORT
G��F °waRKS Z,
DATr=: ,y
PERMIT
INSPECTOR '
O N'
CONTRACTOR
'v TR
ADDRESS
PW 7
APPROVED NOT APPROVED
0 .............. ......DITCH .................... 0
0 ................ ROUGH IN /COVER ............... D
0 ............... .....SERVICE...................
0 ............. ........FINAL..................
ORRECTIONS NEEDED: 17-20�
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 13- 00000232 Date 3/08/13
Application pin number , , , 641200
Property Address . . . . . . 1303 0 ST
ASSESSOR PARCEL NUMBER; 06-30-01-S-9- 0100 -0000-
Applic.ation type description ELECTRICAL ONLY
Subdivision Name . . . . . ,
Property Use
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
1 -4 circuits kitchen remodel
Owner
Contractor
RESULTS:
MINOR LYNDA L
DITCH
BLACK DIAMOND ELECTRICAL CONTR
1303 SO 0 ST
502 BLACK. DIAMOND
RD
PORT ANGELES
WA 98363
PORT ANGELES
WA 99363
ROUGH -IN'
(360) 565 -1035
- - -----------------------------
Permit . , , , ,
------------------------------
. ELECTRICAL ALTER RESIDENTIAL
Additional desc
1 -4 CIRCUITS
COMMENTS:
Permit Fee
75.00
Plan Check Fee
'00
Issue Date . . .
. 3/08/13
Valuation . .
. . 0
Expiration Date ,
, 9/04/13
Qty Unit Charge
Per
Extension
BASE
FEE
75.00
Fee ,summary
Charged
Paid Credited
Due
Permit Fee Total
75.00
75.00 .00
.00
Plan Cheap Total
.00
.00 .00
.00
Grand Total.
75.00
75.04 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
i
l�
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN'
FINAL
_t7*2
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION' ' %
Signature of owner or Electrical Contractor X Date:
Q: EXCHANGEIBUILI?NG