HomeMy WebLinkAbout1110 W 4th St - BuildingELECTRICAL ]PE FF
CITY OF POWF ANGELES
360-417-4735
Application Number
1.6 00000977 Date
6/30/16
Application pin number
558411
SERVICE
Property Address
1110 W 4TH .1.39'
ASSESSOR PARCEL NUMBER:
06-30-00-0 1 1200 0000
Application type descriptioTi
ELECTRICAL, ONLY
Subdivision Name
Property Use
Property Zoning
RS7 RESDNTL SINGLE FAMILY
Application valuation . . .
0
Appl.ica.t..J.ori desr,,,
Ductless beat pump
Owne:r
Contractor
BARBARA AND tiJERRY HEII.,
BLACK DIAMOND ELECTRICAL
CONTR
PO BOX 2294
502 BLACK DIAMOND RD
PDR.'][' ANGELES WA 98362
PORT ANGELES
WA 98363
(360) 565-1035
Permit ELECTRICAL
ALTER RESIDENTIAL
.Additional. desc
Permit Fee 63 00
Plan Check Fee
00
Issue Date 6/30/16
Valuation
Expiration Date 12/27/16
Qty Unit Charge Per
H C n o I
1.00 63,0000 ECH EL
R BRANCH CIR WO/ SER FEED
63,00
Fee sunmai,.y Charged
Paid Credited
Due
Permit Fe(..a Tota , .1., 63.00
63.00 00
0 0
Plaa 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)
INSPECTION TYPE
DITCH
--- - ------ .....
DATE:
RESULTS:
INSPECTOR:
SERVICE
ROUGH IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS. FROM LAST INSPECTION
Signature of owner or Electrical Contractor X---... — - - — ------- Date:
G:\EXCHANGE\BUILDfNG
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: —.N` 2'2 L
1 & 2 Single Family Dwelling
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rryr°-
Plan Review May Be Required, Please 1 Co pl to iletrtCal Plan Review Information Sheet
Job Address:w
BuildingSquare Footage: --—IT..�XuuWW
Description of above y _ n ... ...... .
Name: _-.. l " (L
Mailing Address M& W
City:.—..... .......... ..........-...__......--., State: Zip:
Phone: _Fax:
License # I Exp.
Item
Unit! Charge
Service/Feeder 200 Amp.
$120.00
Service/Feeder 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 W/ Service Feed
$ 5.00
Branch Circuit W/O Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4 Only
$ 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 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-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
Contractor InfogaboR
Mailing Address: ____....... _.
City: .w........... State: Zip:.._..........._._...._._..........
Phone':_Fax:
License # I Exp. WW
Q -t ( Total (Qtv Multi lied by Unit Charge)
$
$
$... µTotal
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 Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications,
Signatureof a trical contractor or electrical administrator: ❑ Cash tl Check
❑ Credit Card #
x Dated .., .... ...�m� _ 0210612012