HomeMy WebLinkAbout1030 N/A Georgiana Street - Building ELECTRICAL PERMIT . i
CITY OF PORT ANGELES
360-417-4735 C)
Application Number 17-00000405 Date 3/30/17
Application pin number . . 269385
Property Address 1030 GEORGIANA ST REPORT STATE SALES TAX I
ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0305-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning COMMERCIAL OFFICE
Application valuation . . . 0
Application desc
Ductless heat pump
Owner Contractor
ELDERS JERRY BLACK DIAMOND ELECTRICAL CONTR
1030 GEORGIANA ST 502 BLACK DIAMOND RD
PORT 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 . . . 3/30/17 Valuation . . . . 0
Expiration Date . 9/26/17
Qty Unit Charge Per Extension '
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee 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:
DITCH
SERVICE
ROUGH-IN i Al) :A7i =4�
FINAL �} )i - _
COMMENTS: •
*D
PERMIT WILL EXPIRE SIX(6)MONTHS PROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
ov?URr 1,{y.
CITY OF PORT ANGELES PERMIT APPLICATIONY 41.1►
Building Division/Electrical Inspections . ,�
321 East Fifth Street- Port Angeles Washington,98362 '"-`-_ ``
Ph: (360)417-4735 Fax: (360)417-4711 '°41111111P'"
Date: .3' Z "17 ✓c1 &2 Single Family Dwelling - 4.
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: /o 2 a Cl2'-c-40 --•-A-
Building Square Footage:
Description of above
-ID C:-----14-__S '
Owner Inforn' °n Contractor InfQa ion
Name: Lbf S Name: E,te k_
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone: Sa 4-2.20 L Fax: Phone: Fax:
License#/Exp. License#1 Exp. 4. Kir—Tr?(71.01.-
Item
/.0'LItem Unit Charge Qtv Total(Qtv Multiplied by 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 $ --
$ 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 Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owny-lec ical contractor or electrical administrator: 0 Cash beck
0 Credit Card#
x P j Dated: 3-Z 1 /7 02/0612012
dr VI C-11 73