HomeMy WebLinkAbout203 W 14th Street - BuildingA
INSPECTION TYPE DATE: RESULTS: INSPECTOR,
DITCH
SERVICE
ROUGH -IN
FINAL
CON04ENTS;
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature -ofowner or Electrical Contractor X Date:
ELECTPJCMRMrr
cn FORT GELES
T
360-417-4735 '
.Application Number . . . . .
17-00000062 Date 1/20/17
.Application pin number . . .
498658
Property Address . . . . . .
203 W 14TH ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -3 -8896 -0000 -
Application type description
ELECTRICAL ONLY
on your excise tax form
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
------------------------
ELWOOD RICHARD W
------------------------
BLACK DIAMOND ELECTRICAL CONTR
203 W 14TH ST
502 BLACK DIAMOND RD
PORT ANGELES WA 983627723
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 . . . . 1/20/17
valuation . . . . 0
Expiration Date . . 7/19/17
Qty Unit Charge- Per
Extension
1.00 63.0000 ECH EL -R -'BRANCH CI, rO/ SER FEED 63.00
---------------------------------------------
Fee summary Charged
----------
-- -------------------------
Paid redited Due
---------- ---------- ----------
-----------------
Permit Fee Total 63.00
63.00 OQ" .00
Plan Check Total .00
.00 .00 .00
Grand Total 63.00
63.00 .00 .00
A
INSPECTION TYPE DATE: RESULTS: INSPECTOR,
DITCH
SERVICE
ROUGH -IN
FINAL
CON04ENTS;
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature -ofowner or Electrical Contractor X Date:
tI%
CITY OF PORT ANGELES PERMIT APPLICATION IfECEIVEn
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 4174711
t�J(", i
Date: �— l� ` � % _ 1 & 2 Single Family Dwelling )NSP (C,, a
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above
Owner inf�400-0
Contractor Information
Name: _
Name: _,.._%�D►G
Mailing Address:
Mailing Address:
City: State: Zip:
City:
State: Zip:
Phone: ,?Of -11A Fax:
Phone:
Fax:
License # / Exp.
License # l Exp.--ff1i4C)r—Ce4-4"1_._
Item
Unit Charge
QtV
Total (Qty MultiDlied by Unit Charae)
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/0 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
$
$ G J 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 296-466, The City of Port
Angeles Municipal G de, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature/of7o , electrical contractor or electrical administrator: ❑ Cash ,check
❑ Credit Card #
Dated: / —Au- /7
02106/2012
l /--T;0! � -- �y 10