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HomeMy WebLinkAbout1224 W 7th St - BuildingAfter 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, REC., RCW. Chapter 19,28, WAC, Chapter 296 -46B, The City of Port Angeles Municipal Cade, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature f o er, electrical contractor or electrical administrator; ❑ cash [ C% et ectc © Credit ard# X Dated; r � .d 0110112012 V� -) SO W CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections wo t 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 9836 - ILI Ph: (360) 417 -4735 Fax: (360) 417 -4711 DEC 5 2013 Date. 7, 13 1 & 2 Single Family Dwelling ELECTRICAL INSPECTIONS * Pian Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: DO Building Square Footage: Description of above IpA-►*��L (&2L-A46-,C— 4- ".0 AuG72X -S d Owner Information Con tractorJAformatio n 7 Name: / rw4-y► -.r ,AjPWWc -. 1 Name: Mailing Address: Mailing Address: City: State: Zip: Phone: 8 Fax: City: State: Phone: Fax: Zip: License # 1 Exp. License # I Exp, G Item Unit Charge Ot Total (Qty Multiplied by Unit Charge_) Service/Feeder 200 Amp. $120,00 $ Service/Feeder 201.400 Amp. $ 146,00 $ Service/Feeder 401.600 Amp $ 2050 $ Service/Feeder 601 -1000 Amp. $ 262.00 $ Service/Feeder over 1000 Amp, $ 373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O 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. ServicelFeeder 401 -600 Amp, $ 149.00 $ Temp. Service/Feeder 601.1000 Amp . $ 16$,00 $ 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 $ $�Totaf 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, REC., RCW. Chapter 19,28, WAC, Chapter 296 -46B, The City of Port Angeles Municipal Cade, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature f o er, electrical contractor or electrical administrator; ❑ cash [ C% et ectc © Credit ard# X Dated; r � .d 0110112012 V� -) SO ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , . , , . 13- 00001400 Date 12/06/13 Application pin number , . . 023400 INSPECTOR: Property Address , . . , . . 1224 W 17TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4- 5231 -0000- SERVICE Application type description ELECTRICAL, ONLY Subdivision Name . . , . . . ROUGH -IN Property Use Property Zoning . , . . . . , RS7 RESD.NTL SINGLE FAMILY / Application valuation . . , . 0 COMMENTS: Application deso lip service and ductless heat pump ---------------------------------------------------------------------- - - - - -- Owner Contractor NORTHERN TODD R /TAMRA L BLACK DIAMOND ELECTRICAL CONTR 1224 W 17TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360} 565 -1035 Permit , , ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . , , , 125.00 Plan Check Fee .00 Issue Date . , , . 12/05/13 valuation , . . . 0 Expiration pate , , 6/Q3/14 Qty Unit Charge Per Extension 1100 5.D000 ECH EL- BRANCH CIRCUIT W /FEEDER 5.00 1100 120.0000 ECH E1-0 -200 SRV FEEDER 120.00 Fee summary Charged Paid Credited - Due -- - -- ------ ----- - - - --- ---- - - - - -- Permit Fee Total 125.00 ---- - - - - -- ---- - - - -- ---- 125,00 00 - .00 Plan Check Total .00 ,00 .00 ,00 Grand Total 125,40 125100 .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 A- "jo _ 13 FINAL / COMMENTS: lip PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: O EXCHANGMUILDING r— N wd..3