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HomeMy WebLinkAbout1118 F St - BuildingCITY OF PORT ANGELES PERtMIT APPLICATION Building DivisionMectrical Inspections 321 East Fifth Street -- P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 12 _ 3�' /`C k- 1 & 2 Single Family Dwelling DEC 8 FUCTIN INSPECTIONS k Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: S A-- Building Square Footage Oescriptier of above Owner Information Contractor Inf ation Name: P4 ✓ Ltd Name: Mailing Address; Mailing Address: City: State: Zip: City: State: Zip: Phone: Fax: Phone: Fax: License # I Exp, License # t Exp, J y._ Item Unit Charge otty Total (Qty Multiplied by Unit Charge) ServicelFeeder 200 Amp. $120.00 $ ServicelFeeder 201-40D 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 W� 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,C0 $ Temp. Service/Feeder 201 -400 Amp, $110,00 $ Temp Service/Feeder 401 -600 Amp. $149.00 $ Temp. SerVicelFeeder 601 -1000 Amp . $ 168,00 $ 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 -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 $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 far 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, KIEL„ RCW, Chapter 19.28, WAC, Chapter 296 -466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Perm' Applications, Signature of ow er ec Ica] contractor or electrical administrator: Lj Cast, Check /� � ��/� El Card t✓ X -Dated: / tlil0112012 V_0� 3 20 � X; 7 [J ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . , , , . 14- 00001460 Date 12/08/14 Application pin number 528840 INSPECTOR: Property Address 1118 F ST ASSESSOR PARCEL NUMBER; 06-30-00-0-3- 5693 -0000- SERVICE Application type description ELECTRICAL ONLY Subdivision Name , . . . . , ROUGH -IN Property Use Property Zoning , , . , , . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 COMMENTS: Application desc - - - - ---- - - - - -- Ductless heat pump Owner Contractor TRAVIS G DIC'KMAN SLACK DIAMOND ELECTRICAL CONTR 1118 F ST 502 BLACK DIAMOND RD PORT ANGELES WA 98363 PORT ANGELES WA 96363 X360) 460 -0668 (360) 565 -1035 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional clew , . Permit Fee . . , . 6:3.00 Plan Check Fee .00 Issue Date . . . . 12/06/14 valuation , . , , 0 Expiration Date . . 6/06/15 Qty Unit Charge Per Extension 1.00 63,0000 ECi EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 63.00 63.04 .00 .00 Plan Check Total .00 00 .00 00 Grand Total 63.00 63,00 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 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MON'T'HS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAIEXCHANGEIBUILDING