HomeMy WebLinkAbout1155 Craig Ave - Building CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGF. LES. WA 98362
ELECTRICAL PERMIT ISSUED: 6/06/2002 ~I::I.{MIT NO 715,91
OWNER/APPLICANT PROPERTY LOCATION
JANUSZ ZAREMBA 1155 CRAIG AVE
1155CRAIG Lot: 30&31&W8'OF32
Port Angeles, WA 98362 Block: 1 [] Long Legal
360/457-1611 Subdivision: ILLINOIS ADDNT.
T: S: Parcel No: 063014540165000
CONTRACTOR ARCHITECT
OLYMPIC ELECTRIC N/A
4230 TUMWATER
PORT ANGELES, WA 98362 , 98360-0000
360/457-5303 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: RESIDENTIAL Construction Type:
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 120,240
[] Heat Pump 0 KW [] TempService Phase: [] 1
[] Fan Wall 0 KW Service Size:
Feeder Size: 0
PROJECT NOTES
INSTALL HEAT PUMP WITH FURNACE 2.5 TON, 73 LRA
RECEIPT#9151
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: HEAT PUMP $45.50
TOTAL FEE: $45.50
AMOUNT PAID: $45.50
BALANCE DUE $0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4 ! 7-4735 FOR ELECTRICAL I~SPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO VER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED pLANS AT JOB SITE
INSPECTION TYPE [ DATE [ Yg~ACCEPTED[ NO COMMENTS
DITCH
ROUGH-IN / COVER ~//~ ('v ~-- ?/J~
SERVICE
FINAL I f.,/~,/o ~1 4~" I
GENERAL COMMENTS:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . . .
15- 00001091 Date
8/28/15
Application pin number , . .
387365
DITCH
Property Address . . . . . .
1155 CRAIG AVE
ASSESSOR PARCEL NUMBER:
06-30-14-5-4- 0165- -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name , . . . , ,
Property Use
FINAL
Property Zoning , . , .
R99 RESDNTL SINGLE FAMILY
Application valuation . . , .
0
Application desc
Ductless heat pump
Owner
Contractor
JANUSZ ZAREMBA
BLACK DIAMOND ELECTRICAL
CQNTR
1155 E CRAIG AVE
502 BLACK DIAMOND RD
PORT ANGELES WA 98362
PORT ANGELES
WA 98363
{360) 457 -1611
(360) 565 -1035
Permit . . . . ELECTRICAL.ALTER
RESIDENTIAL
Additional desc ,
Permit Fee 63,00
Plan Check Fee
00
Issue Date 6/28/15
Valuation
0
Expiration Date 2/24/16
Qty Unit Charge Per
Extension
1.00 63,0000 UCH 'EL -R-
BRANCH CIR WO/ SER FEED
63.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 63.00
63.00 .00
.00
Plan Check Total 0o
.00 ,00
.00
Grancl Total 63,00
63,00 .00
,00
i
r a
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SEX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor
G.:IEXCHANGE\BUILDING
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RECENED
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections AUG 2 cs 201
,5
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 rUCTRICAL
Date: �" 2"1 -- l57 1 I9''PECTIONS
1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete E=lectrical Plan Review Information Sheet
Job Address: I rSS rC(
Bul6rg Square Footage:
Description of above
to cr t-'L� g
Owner Information 7—A- AXIv,9A Contractor Information
Name: IWAS660 Name: 9b 67
Mailing Address: ti 0.5 E. GHQ �C Mailing Address:
City: State: Zip: City: State; Zip
Phene.. S'7- f ( Fax: Phcne Fax:
License # I Exp. License # i Exp, G
Item Unit Charge t r Total fQty Multiplied by Unit Charge)
ServicelFeoder 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 $
SorvicelFeeder over 1000 Amp, $ 373.00 $
Branch Circuit W1 Service Feeder $ 5.00
$��
Branch Circuit WIO Service Feeder $ 63.00
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1 -4 $ 75.00 $
Temp, Servicel Feeder 200 Amp, $ 93.00 $
Temp. Service /Feeder 209 -400 Amp. $110,00 $_
Temp. SenricolFeeder401 -600 Amp. $149.00 $
Temp. Service /Feeder 601 -1000 Amp . $168.00 $
Portal to Portal Hourly $ 96.00 $ LL
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 Hat Tub $110,00 $ f�
$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 -468, The City of Port
Angeles Municipal Co nd Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications,
Signature of o el I contractor or electrical administrator: ❑ Cash heck
Q Credit Card tk
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x Dated: l J 4110112012
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