HomeMy WebLinkAbout1633 E 5th Street - Building lotk„...
7--\' ELECTVC'. AL PERMIT , -...4.1. .., a
CITY Ort!ORT ANGELES ',4,- ...- iAt',... -- •
36(417-4735
Application Number 17-00000006 .1, Date 1/04/17
Application pin number . . 446004 -,
Property Address 1633 E 5TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-99-0-1-8320-0000-
Application type description ELECTRICAL ONLY , on your excise tax form
Subdivision Name --A':. to*Efeity of PortAnsples
Property Use . . . . . . .
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY ' (Location Code tilli2) '-..,' 1
Application valuation . . . , 0
Application desc
- Ductless heat pump
1
1
Owner Contractor
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KAY YOSHIDA AND ROY YOSHIDA BLACK DIAMOND ELECTRICAL CONTR . -11Vii
1633-__E 5TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983624809 PORT ANGELES WA 98363
(360) 565-1035
Permit . . , . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00 .,
Issue Date . . . . 1/04/17 Valuation . . . . 0
Expiration Date . . 7/03/17
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
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
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120,
SERVICE
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FINAL
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PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
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Signattugs of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION �►- t
RECEnBuilding Division/Electrical Inspections -14/ii
321 East Fifth Street— Port Angeles Washington,98362 . 0
Ph: (360)417-4735 Fax: (360) 417-4711a � LfC/Rk=�#
Date:
/— Y '`
/7 i&2 Single Family Dwelling Si a Tol
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: I b 3 3 E. S-171
Building Square Footage:
Description of above j uc. ` j
Owner Information Contractor Inform on
Name: ye)1 rt!7 Name:
Mailing Address: 14, 31 C S Mailing Address:
City: State: Zip: City: State: Zip:
Phone: Fax: Phone: Fax:
License#1 Exp. License#1 Exp. / 't C
Item Unit Charge Total 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 $ A., .
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 Co. and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, f ct�.I contractor or electrical administrator: ❑ Cash heck
x '/ dl ) D Credit Card#
Dated: / 3- /7 02/06/2012
06 372