HomeMy WebLinkAbout1106 Hazel Street - Building •. k
ELECTRICAL PERMIT .:zi‘.
CITY OF.PORT ANGELES 0' _ 4
3604114735
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Application Number' 17-00000848 Date 6/28/17
Application pin number . . 112400
Property Address 1106 HAZEL ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-08-5-8-1101-0000- '
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
Application desc .
Ductless heat pump
Owner Contractor
Tammy Dziadek BLACK DIAMOND ELECTRICAL CONTR
1106 HAZEL ST ' 502 BLACK DIAMOND RD
PORT ANGELES WA 983632302 PORT ANGELES WA 98363
(360) 417-9484 (360) 565-1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 63.00 Plan Check Pee . . .00
Issue Date . . . 6/28/17 Valuation . . . . 0
Expiration Date . 12/25/17
Qty Unit Charge Per Extension
1.00 63.0000 BCH EL-R- BRANCH CIR WO/ SEE FEED 63.00
Pee 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:
DITCH -
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COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION il s.,..a,i •` V .;-` VS
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 " ' s....+1 Ch-
Ph: (360)417-4735 Fax: (360)417-4711
Date: b -Z0 - /7 K1 ,2 Single Family Dwelling
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: Hog w• 1-1-AZ..
Building Square Footage:
Description of above
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Owner Information Contractor Infos re pry.
Name: OZ l A DC k Name: ���J//��
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone: '117 4qq Fax: Phone:
License#I Exp. License#/Exp. ' A" , • 1
Item Unit Charge (3ty 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 Feeder $ 5.00 $ —
Branch Circuit W/O Service Feeder $ 63.00 -— $ //
Each Additional Branch Circuit $ 5.00 $ i'
Branch Circuits 1-4 $ 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 alts r.tio 'r compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-46B,The City of Port
Angeles Municipal Code,anal tili .ecifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of r GT',el-• cal • tractor or electrical administrator: 0 Cash check
I 0 Credit Card#
X aidg ` Dated: 4 --J^ .1 01101/2012
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