HomeMy WebLinkAbout716 W 4th Street - Building ELECTRICAL PERMIT
CITY OFRT ANGELES
360-417-4735
Application Number . . . . . 17-00000945 Date 7/11/17
Application pin number . . 978515
Property Address 716 W 4TH ST . REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-9905-0000-
Application type description ELECTRICAL ONLY on your excise tax form
tUbdivieion Name to the City of Port Angeles
Pro ert Use
V'roperty Zoning (Location Code 0502)
Application valuation . . . 0
Application desc
Ductless heat pump
Owner Contractor
HAWTHORNE JACK BLACK DIAMOND ELECTRICAL CONTR
PO BOX 13 502 BLACK DIAMOND RD
PORT ANGELES WA 983620003 PORT ANGELES WA 98363
(360) 565-1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 7/11/17 Valuation. . . . . 0
Expiration Date . . 1/07/18
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
7/2011/7 .r
FINAL 6
117
COMMENTS: e,
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
fie.P€iRr 1,,,
CITY OF PORT ANGELES PERMIT APPLICATION 1/` lat,.os►- '-N)
Building Division/Electrical Inspections .`':
321 East Fifth Street— Port Angeles Washington,98362 ; `" ``�"
Ph: (360)417-4735 Fax: (360)417-471111411111V -Z.
Date: 7-/o — /7 Ki &2 Single Family Dwelling .,
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: `71(o Of Y7Tf
Building Square Footage:
Description of above
Doc €_ f
Owner InfgrmationC Contractor nfQrmtion
Name: OU-cA ") .t— �"l�i-7),.) Name: ��
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone: q 7'1—2,/L2 Fax: Phone:
License#1 Exp. License#1 Exp. -----"f'tin__
Item Unit Charge 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 $ / �'
$ 6 3 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 Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,e1 ctrical contractor or electrical administrator: El �I Cash , Check
0 Credit Card##
x t// Dated: 0210612012
40010 r
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