HomeMy WebLinkAbout235 W 12TH ST - Building (2) ]BLECTOCAL PERMrF
ary oF P40RT AmEus
360-4174735
Application Number 17-00000881 Date 6/28/17
Application pin number . . . 490507
Property Address . . . . . . 235 W 12TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4563-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning .I . . . . . . RS7 RRSDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Ductless heat pump
------------------------------------------------ ---------------------------
Owner Contractor
------------------------ ------------------------
RENNIE, PETER A BLACK DIAMOND ELECTRICAL CONTR
319 W 14TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-1035
---------------------------------------------------- -----------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 6/28/17 valuation . . . . 0
Expiration Date 12/2S/17
Oty Unit Charge Per Extension
1.00 63,0000 ECH EL-R- BRANCH CIR WO/ SER PEED 63.00
----------------------------------------------------------------------------
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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COh*4ENTS-
PERMIT WML EXPIRE SIX(6)MONTHS FROM LAST mspwrm
Signature of owner or Electrical Contractor X Date:
CITY OF PORT ANGELES PERNIIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street— Port Angeles Washington,98362
Ph: (360)4174735 Fax: (360)4174711
Date:— -24-17 -4�,1 &2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 23SE 1161 12-M
Building Square Footage:
Description of above
Owner Inforqation Contractor Information
Name:— &C&10 I Name:— stir
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone:-t.4�2-jLqy Fax: Phone: Fax:
License#/Exp. License#I Exp.
Item Unit Change Total(Qtv Multiplied by Unit Change)
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 1-4 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-I &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 $
$ Total
Owner as defined by RCK 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., 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.
Signat rical contractor or electrical administrator: El Cash *heck
0 CreditCard#
x UH Dated: 0210612012