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
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Application desc
Ductless heat pump
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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
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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
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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: