HomeMy WebLinkAbout726 GEORGIANA ST - Building (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 17-00001834 Date 12/13/17
Application pin number . . 284008
Property Address . . . . . . 726 GEORGIANA ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3920 -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
Owner Contractor
GARY AND APRIL HEILMAN
OWNER
726 GEORGIANA ST
a
PORT ANGELES WA 983623510
( 36) 452-4278
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL+
Additional desc . .
Permit Fee . . . . 63.00
Plan Check Fee
00
Issue Date . . . . 12/13/17
Valuation . . . .
0
Expiration Date . . 6/11/18
Qty Unit Charge Per
Extension
1,00 63.0000 ECH EL -R-
BRANCH CIR WO/ SER FEED
_ 63.00
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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
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL 1. %
COMIwIEI~i`i'S:
PERM,WH . EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X -Date:
a
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL 1. %
COMIwIEI~i`i'S:
PERM,WH . 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: 12-111 7 _ 1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electric I Plan Review Information Sheet
Job Address: -7Z-6 G -CC- %4 .,, A � 2 r �9 lY> c ;!�1. tet. 3 62 -
Building
2 -
Building Square Footage:
Description of above T4
Owner Information
Contractor Information
Name: a art `(
Name:
Mailin Addr z�" Gnu 4ra��,r
Mailing Address:
City State:( --4 Zip: '?*>'�-
z
City: State: Zip:
Phone: WZ - yz-7,Y Fax:
Phone: Fax:
License # 1 Exp.
License # 1 Exp.
Item
Unit Charqe
QQ Total (Qtv 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 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 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
$
$ 63,-- 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 Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
X' CLu7 Dated:
lL�r� 7