HomeMy WebLinkAbout1121 B ST - Building1 INSPECTION TYPE DATE: RESULTS:
DITCH
SERVICErlie
ROUGH -IN
i. FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
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'INSPECTOR
Date:
Q®
ELECTRICAL PERMIT
" CITY OF PORT ANGELES
»;`
350-417-4735
Application Number . . . . . 18-00001125 Date 7/29/18
Application pin number . . . 189625
Property Address . . . . . . - 1121 B ST
REPOW STA' SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5150-0000-
on @XCIS@ 1C fIltYJ7
y
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
t0 the Cy Of Port"A.,za t.®S
Property Use . . . . . . . .
COC1e 602)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
(Locafion
Application valuation . . . . 0
-----=----------------------------------------------------------------------
Application desc
Service change
------------------------------------------------------------------------ — --
Owner Contractor
ROMBERG CINDY LOU BLACK DIAMOND ELECTRICAL CONTR
574 OLD OLYMPIC HWY 502 BLACK DIAMOND RD
PORT ANGELES WA 983629516 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date . . . , 7%20/18 Valuation 9
Expiration Date . . 1,/16/19
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL -0-200 SRV FEEDER 120,00
-----------------------------------------------------------------------_-----
Pee summary Charged Paid Credited Due
---------- ---------- ---------- ----------
-----------------
Permit Fee Total 120.00 120.00 .00 •00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
1 INSPECTION TYPE DATE: RESULTS:
DITCH
SERVICErlie
ROUGH -IN
i. FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
. n_.... „cep- - -, - .. ��..�. .. ate. mow.__-.- :r...aic✓n an�`K'm'Y� -- ' � --y _ __'_. --
'INSPECTOR
Date:
Project Address:
Prgoct Description:
1 - 2 SINGLE-FAMILY K
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department '
321 E. 5th Street. Port Angeles, WA 98362 00�
360.417.4735 www.cityofpa.us ; electricalpermits@cityofpa.us !NSF' ,'e0Ka
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NF�•� �' E.�vt cf�
Single -Family Residential ❑ Duplex / ARU Building Square footage:
Name:
Mailing Address:
ort l l320%)-F-� Df
Phone: ofgjp Ak%pp q 7 % -1/ 20
Name: 5 V '
License:
Mailing Address:
Expiration Date:
Email:
Phone: 76,0
PROJECT
DETAILS
Item
Unit Charaq Quantily
Total (Quat ty�c,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
$
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 DU.
$64.00
$
Manufactured Home Connection
$120.00
$
Renewable Elec. Energy: 5KVA System or less
$102.00
$
Thermostat (Note: $5 for each additional)
$56.00
$
First 1300 Square Feet
$120.00
$
Each Additional 500 square feet'
$40.00
$
Each Outbuilding / Detached Garage
$74.00
$
Each Swimming Pool / Hot Tub
$110.00
$�.
TOTAL
$ / G v
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 ow r of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with ectrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
466, The City of Port Angel Muni al Code, and Utility
7-/D,.
cifi sand PAMC 14.05.050
regarding Electrical Permit Applications.
L
Date `Print Name
gnature Owner ❑ Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted City
Hall or electrical perm its@cityofpa.us or faxed to 360.417.4711]