HomeMy WebLinkAbout1011 W 12th Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
Application Number . . . . . 17-00000240 Date 3/03/17
Application pin number . . . 811120
Property Address . . . . . . 1011 W 12TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -5380 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property zoning . . . . . . .
Application valuation 0
------------------------ -------------------------------------------------
Application desc
Furnace and Tstat
---------------------------- -----------------------------------------------
Owner Contractor
------------------------ ------------------------
OLSEN SHEILA BLACK DIAMOND ELECTRICAL CONTR
1011 W 12TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983637263 PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 119.00 Plan Check Fee .00
Issue Date . . . . 3/03117 Valuation . . . . 0
Expiration Date . . 8/30/17
Qty Unit Charge
Per
Extension
1100 63.0000
BCH RL -R-
BRANCH CIR WO/ SER FRED
63.00
1.00 56.0000
ECH EL-LVT-THERMOSTAT,
56,00
-------------------------------------------------- C --------------------------
Fee summary Charged Paid Ciledited
Due
---------------------
Permit Fee,Total
----------
h9.00
---------- ----------
119.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
119.00
119.00 .00
.00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DATE, RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
A
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
Signature of owner or Electrical Contractor X Date:
Do (
rQ&LD
ti J)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: 3-1-17
1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: toil W
12.,ru
Building Square Footage:
Description of above
Owner Information
ation
Contr�Pf
Name: 19L-Sf'Vj
Name:Mailing
Address:
Mailing Address:
City: State: Zip:
City: State: Zip:
Phone: 1%rl— r91V 7 Fax:
License # / Exp.
Phone: -Fax;.
License # Exp.-Of{&ZXdtf V2�z
Item
Unit Charae
Qty Total tv 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 .
$ 16&00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$ 120.GO
$
Renewable Electrical Energy - 5KVA System or Less
$ 1022
$
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
$ 742
$
Each Swimming Pool or Hot Tub
$110.00
$
$ Total OC)
Owner as defined by RCK 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., 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 of o7r, ele tractor or electrical
administrator:
El Cash El Check
)7
171 CreditCard#
X
Dated:
0210612012
Do (
rQ&LD