HomeMy WebLinkAbout1215 Caroline Street - Building 114
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 16-00001824 Date 12/09/16 •
Application pin number . . 516800 lam]
Property Address 1215 CAROLINE ST l _
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0650-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax foam
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
II
Owner Contractor
BREITBACH KENNETH P BLACK DIAMOND ELECTRICAL CONTR
1215 CAROLINE ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983624205 PORT ANGELES WA 98363
(360) 565-1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc DHP
Permit Fee . . . 63.00 Plan Check Fee . . .00 •
Issue Date . . . 12/09/16 Valuation . . . . 0
Expiration Date . 6/07/17
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 42.-L7 /e, 1'iV J
FINAL 44.!4$;:::>
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGEIBUILDING
0 p()Rr qN X
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CITY OF PORT ANGELES PERMIT APPLICATION �_ tom— 1
Building Division/Electrical Inspections r
321 East Fifth Street— Port Angeles Washington,98362Iniiiall11111111111 N.
Ph: (360)417-4735 Fax: (360)417-4711 NlaIIII1P"`
Date: /2 — 7--/4 ki &2 Single Family Dwelling
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 12l S CA/Low/4E
Building Square Footage:
Description of above pu GT S-1.
Owner Information Contractor Information
Name: 8 Pilcrl-FsAtm- Name: .-T
Mailing Address: I 7-S" LA•vet�.w, Mailing Address:
City: State: Zip: City: State: Zip:
Phone:4/S249'29 Fax: Phone: �,_,q�F c:
License#1 Exp. License#/Exp. .D(fiv
Item Unit Charge Qty Total(Qty 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 $—
$ , d 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 ide,an. Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature o • : ,elec ical contractor or electrical administrator: 0 Cash Check
❑ Credit Card#
x V.Aft Dated: /2"' 7'•/' 0210612012