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HomeMy WebLinkAbout1505 W 16TH ST B - BuildingELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000269 Date 2/28/18 Application pin number . . . 640766 Property Address . . . . . . 1505 W 16TH ST B ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -4 -3595 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Ductless heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ DONALD J BAILEY AND JUDITH L B ------------------------ BLACK DIAMOND ELECTRICAL CONTR 1505 W 16TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 983636817 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 68.00 Plan Check Fee .00 Issue Date . . . . 2/28/18 Valuation . . . . 0 Expiration Date . . 8/27/18 Qty Unit Charge Per Extension 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 1.00 63.0000 BCH EL -R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged ----------------- ---------- Paid 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 DITCH SERVICE ROUGH -IN FINAL COMMENTS: DATE: zl-29h zIIFO19 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X RESULTS: REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Locadaon Code 0502) INSPECTOR: Date: Project Address: Project Description 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION 3 Public Works and Utilities esDepartment 321 E. 5th Street, Port Angeles, WA 98362 N D f+En^ c 360.417.4735 1 www.cityofpa.us I electricalpermits@cityo us (V '2/ tea— JTALlc /5-0- 5—[ Z - a,041,( 7- �>OC71,17_SJ Single -Family Residential ❑ Duplex /ARU Building Square footage: Name: %A(adr ('1 Mailing Address: , Name: R bL Mailing Address: Email: Item Unit Char 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 ...., Millidonirt'..wiliow0ip $4 .. '100 J* 'Puf# Each swjn� 000 " M.00. Email: Phone: 4 r7— 20.7 C License: ?LACKft-99VD1- Expiration Date: Phone: 3Gm Y61— 34._7 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 ele 'cal laws, N. E.C., RCW. Chapter 19.28, WAC. Chapter 296- 466, The City of Port Angeles Municipal 117 all Code, and Utility Specifi]re MC 14.05.050 regarding Electrical Permit Applications. Date Print Name Owner ectrical Contractor/ Administrator) [Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL } COMMENTS: } 1 IVIE s PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: ELECTRICAL PERMIT CITY OF PORT ANGELES • 360-417-4735 Application Number . . . . . 18-000-00269 Date 2/28/18 Application pin number . . . 640766 , Property Address 1505 W 16TH ST B REPORT" STATE SALES TAX ASSESSOR PARCEL NUMBEPz 06-aO-00-0-4-3595-00001- ' tax form Application type description ELECTRICAL ONLY on your excise Subdivision Name . . . . . . to the City Port Angeles Property Use . . . . . . -of (Location Code 0502) Property .Zoning RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc Ductless heat pump Owner Contractor DONALD a BAILEY. AND,JUDITH L S BLACK DIAMOND ELECTRICAL QONTR 1505 W 16TH ST 502 BLACK DIAMOND RD PORT ANGELES WA, 983636817 PORT ANGELES WA 98363 (360) 568-1035 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . 68.00 Plan Check Fee .00 Issue Date 2/28/18 Valuation . . 01 Expiration Date . 8/27%18 Qty Unit Charge Per - Extension 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 1100 63.0000 ECH RL -R- BRANCH CIR WO/ SER FRED 63.00 Fee summary Charged Paid Credited Due p Permit Fee Total 68,00 68.00 .00 .00 Plan Check Total .00 00 .00 .00 Grand Total 68.00 68,00 .00 .40 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL } COMMENTS: } 1 IVIE s PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: