HomeMy WebLinkAbout2903 W 18TH ST - Building (2) ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number . . . . . 17-00000041 Date 1/13/17
Application pin number . . . 306527
Property Address . . . . . . 2903 W 18TH ST
ASSESSOR PARCEL NUMBER: 06-30-99-0-0-9630-0000- REPORT STATE SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . .
Property Use I. . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
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Application desc
Ductless heat pump
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Owner Contractor
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Rochelle Smith Blankenship BLACK DIA14OND ELECTRICAL CONTR
2903 W 18TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 1/13/17 valuation . . . . 0
Expiration Date 7/12/17
Oty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO1 SER FEED 63.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 63.00 63.00 .00 .00
Plan check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTIONTYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPUZE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or tlectrical Contractor X Date:
CITY OF PORT ANGELES PERMIT APPLICATION xECEIVEP
�AN
Building Division/Electrical Inspections I
321 East Fifth Street— Port Angeles Washington,98362 �LLCAICA, IL
Ph: (360)417-4735 Fax: (360)417-4711
Date: &2 Single Family Dwelling
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:— 7-to 73 t-, /,f rv--
Building Square Footage:
Description of above
Owner Information Contractor Information
Name:- Name: 4e
Mailing Address.- Mailing Address:
City: State: Zip: City: State: Zip:
Phone: A/1',0 00 ax: Phone: -Fax:
License#/Exp. License#/Exp.
Item Unit Charge Qtv 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 Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $(
Branch Circuits 14 Only $ 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 $
$L__Z�Total
Owner as defined by RCW.1 9.28.261:(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 electdcal installation or alteration in compliance with the electrical laws,N.E.C., RCK 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 o e , trical contractor or electrical administrator: 0 Cash 7�_Gheck
x Dated: [I CreditCard# 0210612012