HomeMy WebLinkAbout714 Evans Ave - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 16-00000589 Date 4/26/16
Application pin number 594957
Property Address . . . . . . 714 EVANS AVE
ASSESSOR PARCEL NUMBER: 06-30-01-7-4- 0020 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation . . . . 0
Application desc
Ductless heat pump
Owner Contractor
ROBERT W AND VERNA J EDWARDS BLACK DIAMOND ELECTRICAL CONTR
714 S EVANS AVE 502 BLACK DIAMOND RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 457-0951 (360) 565-1035
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 63.00 Plan Check Fee '00
Issue Date 4/26/16 Valuation . . . . 0
Expiration Date y, 10/23/16
Qty Ait Charge Per Extension
1.00 63.0000 ECH "EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid I Credited Due
Permit Fee Total 63.00 63.00 100 .00
Plan Check Total .00 .00 �00
Grand Total 63.00 63,00 00 00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X_
G:\EXCHANGE\BUILDING
Date:,
I
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CITY OF PORT ANGELES PERIMIT APPLICATION
Building Division/Electrical Inspections `
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (36(0) 417 -/4735 Fax: (360) 417 -4711
0)
Date. / 26 - �� 1 & 2 Single Family Dwelling
" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
sDescription of above
Owner Information
Name: �_ w
Mailing Address: r -4
City:. State: —Zip:
Phone. 2 - rr Fax; ..
License # / Exry
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp
Service /Feeder 601 -1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 -1000 Amp .
Portal to Portal Hourly
Signal Circuit/ Limited Energy - 1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Dnit Charms
$120.00
$146.00
$ 205.00
$ 262.00
$ 373.00
$ 5.00
$ 63.00
$ 5.00
$ 75.00
$ 93.00
$ 110.00
$149.00
$168.00
$ 96.00
$ 64.00
$120.00
$102.00
$ 56.00
Contractor Information
Name:
n
Mailing Address: _ .....
City:.......................................
. State: Zip:
Phone:
License #1 Exp. -- k—o,,gAFa;e
Q�t
Total -(Qty fit016plied by Unit Charge)
$$
$
$
$
$
$
$
$120.00
$ 40.00 $
$ 74.00
$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 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 -46B, The City of Port
Angeles Municipal e ,aa ility Specifications and PAMC 14,05.050 regarding Electrical Permit iplications.
Signature ownl o is contractor or electrical administrator: 11 Cash Check
f' ❑ Credit Card # _,......
k Dated „._.... ✓ `?...... .. 0110112012
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