HomeMy WebLinkAbout1135 W 17th Street - BuildingELECTRICAL PERMIT
MY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001644 Date 11/02/16
Application pin number . . . 638216
Property Address . . . . 1135 W 17TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -4 -405070000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Ductless heat pump
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Owner Contractor
------------------------ ------------------------
JESTER SHEILA R BLACK DIAMOND ELECTRICAL CONTR
1135 W 17TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983637041 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 11/02/16 valuation . . . . 0
Expiration Date . . 5/01/17
Qty Unit Charge Per Extension
1.00 63.0000 ECH --EL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COMULNTS:
I DATE: RESULTS:
1
IF
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANGEWILDING
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR
Date:
�. ?0Rr
CITY OF PORT ANGELES PERTMIT APPLICATION a ►��„►�
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-47/355 Fax: (360) 417-4711
Date: �� %��! 6 -P�l & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete ElectL�cpl Plan Review Information Sheet
Job Address:/�� /✓ /%
Building Square Footage:
Description of above
Owner Information
Contractor Info
Name: 7ZSTu_
Name:
Mailing Address:
Mailing Address:
City: State: Zip:
City: State: Zip:
Phone: %0 Fax:
Phone: .��
License # / Exp.
�F�v
License # I Exp.�SLtf'�
Item
Unit Charge
QtV Total (Qtv Multiplied by Unit Charqe►
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
$ ( X
Each Additional Branch Circuit
$ 5.00
$ / \
Branch Circuits 14 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
$�—
$ 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 installa ion ra ' in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Munici o an ili Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature owner el r" al ntractor or electrical administrator: ❑ Cash lld�eck
11-1-14 ElCreditC((((ard#
X Dated: 4 02106/2012
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