HomeMy WebLinkAbout916 W 12th Street - Building ELECTRICAL PERMIT
. CITY OF.PORT ANGELESOr-
- 360-417-4735 5
.„.. ._
Application Number 17-00001389 Date 9/29/17 r
Apatcation pin. number . . 855145
Preflirty Address 916 W 12TH ST REPORT STATE SALES TAX
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ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7115-0000- t
Application type description ELECTRICAL ONLY on your excise tax form "
Std ivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
AppliCation valuation . . .. 0,
I
Application desc
Ductless heat -pump •
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Owner Contractor
TERRANE AND RENA-C PARISH BLACK DIAMOND ELECTRICAL CONTR
916 W 12TH ST 502 BLACK DIAMOND RD
PORT AN(OK,ES WA 98363 PORT ANGELES WA 98363
(720) 495-3982 (360) 565-1035
Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional' .
_ _ Permit Fee . . . . 63.00 Plan.Check Fee . . .00 .
• - Issue Date, .. . . 9/29/17 Valuation . . 0
Expiration-= ate . . 3/28/18
Qty Unit Charge Per Extension
1.00 63.0000 BCH 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
•
•
INSPECIAON TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGR4N..... .
,�ll� 7 vAi--7'
FINAL -'V::
2
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COMMENTS:
PERMIT WILL EXPIRE^. G(6)MONTHS: OM LAST INSPECTION
Signature of owner or Electrical ContractoI. f Date:
fit?ciR r t,tr,
CITY OF PORT ANGELES PERMIT APPLICATION """, sj`
Building Division/Electrical Inspections '1 �, —
321 East Fifth Street— Port Angeles Washington,98362 ;1 -1
Ph: (360)417-4735 Fax: (360)417-4711Wr Od
Date: 7- 2e —17 Ki &2 Single Family Dwelling .--LP
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: eJ/L w /2 r)t
Building Square Footage:
Description of above
- .
Owner Informatioq,, Contractor Info ation
Name: )✓Ar12JS14- Name: �p
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone:72a tits-392ZFax: Phone: Fax:
License#/Exp. License#/Exp.R/AF L!Mq 02-
Item
2Item 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 $ 63.00c $�
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 Cod- and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of s ner f al contractor or electrical administrator: ❑ cash check
li / 0 Credit Card
x . g Dated: / r 22134-` /702106/2012
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