HomeMy WebLinkAbout723 S Chambers Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360.4174735
Application Number . . . . . 17-00000342 Date 3/21/17
Application pin number . . . 039188
Property Address . . . . . . 723 S CHAMBERS ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2155-0000- on our excise fax form
Application type description ELECTRICAL ONLY y
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
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Application desc
Ductless heat pump
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Owner Contractor
------------------------ ------------------------
BOWLBY GAIL ANNE BLACK DIAMOND ELECTRICAL CONTR
723 S CHAMBERS ST 502 BLACK DIAMOND RD .
PORT ANGELES WA 983626428 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 . . . . 3/21/17 valuation 0
Expiration Date . 9/17/17
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
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Pee summary Charged Paid Credited Due
----------- ---------- ----- ----- ---------- ----------
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 DATE: RESULTS: INSPECTOR:
DUCH
SERVICE
ROUGH -IN ?
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
0�?ORF
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: .3-20 -1-7 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: -72-3 elw-A�J
Building Square Footage:
Description of above
Owner Information
Name: 'BOW) 1Z
Contractor InfogItion
Narne:.
Mailing Address:
Mailing Address:
City: - State: Zip:
City: State: - Zip:
Phone: ybo [1(F 3 -Fax:
Phone: Fax:
License # I Exp.
License # t Exp.
Item
Unit Charae
QtV Total (Qtv Multiplied by Unit Charae)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201400 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 W1 Service Feed
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4 Only
$ 76.00
$
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
$ 400
$
Each Swimming Pool or Hot Tub
$110.00
$$ S
t9 Total
Owner as defined by RCW.1 ' 9.28,261: (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., RCK 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.
Signature
contractor or electrical administrator:
Dated:
171 Cash 11 Check
1� Credit Card #
0210612012
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