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HomeMy WebLinkAbout1030 HOMESTEAD AVE - BuildingELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . 16-00000376 Date Application pin number , C193768 Property Address . . . .. . 1030 HOMESTEAD AVE ASSESSOR PARCEL NUMBER: Oi 30-14-3-2-0010 0000 - Application type descriptior E-'CTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning UNKNOWN Application valuation . . . . 0 Owner Contractor ------------------------ -------------- ----- - SIEMENS JOHN L BLACK DIAMOND ELECTRIC:,',- COI+Tr- 1030 HOMESTEAD ST 502 BLACK DIAMOND RD PORT ANGELES WA 98362273. PORT ANGELES�.T ..;, 98363 (360) 565-1035 ------------------- ---------- ---------------------------- Permit . . . . . . ELECTRICAL ATTER RESIDENTIAL Additional desc 1-4 CIR+1 BD' Permit Fee 68.00 Plan Check Fee un Issue Date . . . . 3/18/16 Valuation . . . . Expiration Date 9/14/16 Qty Unit Charge Per BASE FEE -------------- ---------------- -- -- -- ------------------------ Fee summary Charged Pj.id Credited D ----------------- -- ------- ---- ----- ---------- ------- Permit Fee Total 68.00 68 00 .00 Oi Plan Check Total .00 .00 .00 vu Grand Total 68.00 58.00 Go INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS: DAT E: RESULTS PERMIT WILL EXPIRE SIX (6) MONTHS FRONT LAST INSPEC NON Signature of owner or Electrical Contractor X REPORT S TA TE SALES TAX on your excise tax form to the City of Pott Angeles (Location Code 0502) INSPECTOR: Date: t ELECTRICAL PERMIT CITY OF PORT ANGELES ' - 360-417-47.35 Application Number . . 16-00000376 Date 3/18/16 Application pin number . . . 893768 Property Address . . . . . . 1030 HOMESTEAD AVE AX REPORT STATE SSE. T ASSESSOR PARCEL NUMBER: 06-30-14-3-2-0010-0000- Application type description ELECTRICAL ONLY 1 on your excise tax form Subdivision Name . . . . . . t4 the City Of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN (Location Code 4502) Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SIEMENS JOHN L BLACK DIAMOND ELECTRICAL_ CONTR 1030 HOMESTEAD ST 502 BLACK DIAMOND RD PORT ANGELES WA 983622731 PORT ANGELES WA 98363 (360) 565-1035 --------------------------_-------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIR+1 BDE Permit Fee . . . . 68.00 Plan Check Fee .00 Issue Date . . . . 3/18/16 Valuation . . . . 0 Expiration Date 9/14/16 Qty Unit Charge Per Extension BASE FEE 68.00 ---------------------------------------------------------------------------- Fee summary Charged Pails Credited Due ---------------------------------------- ----------------- Permit Fee Total 68.00 68.00- .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.00 68.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH f SERVICE I ROUGH -IN FINAL COMMENTS- PERMIT WILL. EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or. Electrical Contractor X Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: 3-157- r 4 1 & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: /03o 44a n esr£" AVC Building Square Footage: Description of above R E17t2 RJR -11) 4 A .1P Owner Information Name:— Ste Mailing Address: 1016 41+1-6 syc" "'L City: ;W State: Zip: Phone: Fax: License # / Exp. Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal Circuit/ Limited Energy - 1 & 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy - 5KVA System or Less Thermostat Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 6� 0�.. Poer+t,,7flrr 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 alterat'X in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, U ' Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of ow , el c ontractor or electrical administrator: ❑ cash f'�' Af Check I/� F-1Credit/Card#� X Dated// r/ `i 0110112012 `� LLbea-V` f oo, -T-A K -c -s- I -o hiG ! -n,,k- ?"0 6.E1- ?fl 'r14C 7>.1EVL- Contractor Information Name: 'K Dk- Mailing Address: City: State: Zip: Phone: Fax: License # / Exp. LA0;;k4VVn— Unit Charqe QtV Total (Qtv Multiolied by Unit Charae) $120.00 $ $146.00 $ $ 205.00 $ $ 262.00 $ $ 373.00 $ $ 5.00 $ $ 63.00 $ $ 5.00 $ $ 75.00 $ $ 93.00 $ $110.00 $ $149.00 $ $168.00 $ $ 96.00 $ $ 64.00 $ $120.00 $ $102.00 $ $ 56.00 $ $120.00 $ $ 40.00 $ $ 74.00 $ $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 alterat'X in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, U ' Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of ow , el c ontractor or electrical administrator: ❑ cash f'�' Af Check I/� F-1Credit/Card#� X Dated// r/ `i 0110112012 `� LLbea-V` f oo, -T-A K -c -s- I -o hiG ! -n,,k- ?"0 6.E1- ?fl 'r14C 7>.1EVL-