HomeMy WebLinkAbout3904 NYGREN PL - Building (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
Application Number . . . . . 18-00000593 Date 4/20/18
Application pin number . . . 479946
Property Address . . . . . . 3904 NYGREN PL
ASSESSOR PARCEL NUMBER: 06 -30 -15 -6 -3 -0120 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Ductless heat pump
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Owner Contractor
SCHNEIDER FAMILY TRUST BLACK DIAMOND ELECTRICAL CONTR
112 SEA VIEW DR 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360)- 406-0371 (360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 4/20/18 Valuation . . . . 0
Expiration Date . . 10/17/18
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 excfse tax form
to the I City of Port Angeles
('Location Cod& 0502)
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Project Address:
Pr9ject Description
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATIONh.= 3
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 9$362
360.417.4735 www.cityofpa.us ; electricalpermits@cityofpa.us
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Single -Family Residential ❑ Duplex / ARU Building Square footage:
Name: 5 e- 7v 6 D %JL
Email:
Mailing Address: 39 014 )0 `1 G-sL .
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Phone:
ELECTRICAL•
•'
INFORMATION
Name: G
License:
Mailing Address:
Expiration Date:
Email:
Phone: 34o - KG(— 29 Ti
PROJECTDETAILS
Item
Unit Charae
Quantity Total (Quantity x 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
$ /t
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
$
First 1300 Square Feet
$120.00
$
Each Additional 500 square feet'
$40.00
$
Each Outbuilding / Detached Garage
$74.00
$
Each Swimming Pool / Hot Tub
$110.00
$ e
TOTAL $ �O
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 the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance wi a ectrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
466, The City of Port Angeles Municipal Code, and Utility ecif' do s and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name y� gnature Owner ❑ Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted City all or electric (permits@cityofpa.us or faxed to 360.417.4711]