HomeMy WebLinkAbout816 W 9TH ST - Building (2) i
ELECTRUCAL PERMIT ,
CITY OF FORT ANGELES ,A
60-417-4735 -
Application Number . . . 18-00001575 Date 10/05/18
Application pin number . . 462900 REPORT STATE SALES TMX
Property Address . . . . . . 816 W 9TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9915-0.P00- on your excise tax form
Application type description ELECTRICAL ONLY-,.., to the City of Pat Angeles j
Subdivision`Name . . . . . (LOcadol1 Code 0502)
Property Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Owner work repairs
Owner Contractor
PATRICK Z WOOD BLACK DIAMOND ELECTRICAL CONTR
_ 816 W 9TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA '983635724 PORT ANGELES WA 98363
(360) 565-1035
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . 63.00 Plan Check Fee 00
Issue Date 10/05/18 Valuation . . . . 0
,Expiration Date 4/03/19
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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL !007
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY _ ID
ELECTRICAL PERMIT APPLICATI C
Public Works and Utilities Department
CCT ; CID
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us electricalpermits@cityofpa.usELEC,TRWA Ll�
Project Address: ( b
Project Description: Cde-lr,-./Er,_ SSG`r-,-fi eW 'b t Forum •" LST7
-ZZSingle-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: `Z 1��-IL Email:
Mailing Address: Phone: 360 7'7-7
ELECTRICAL CONTRACTOR • ' ' •
Name: DIS- License:
Mailing Address: Expiration Date:
Email: Phone: 362-q41-311-7
PROJECT DETAILS
Item Unit Charge 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 $
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 $ �
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 ow of he above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compli h ectrical laws, N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
466,The City of
Port Angeles Muni pal Code, and Utili if' and PAMC 14.05.050 regarding Electrical Permit Applications.
/O -q-) I
Date Print Name Si nature( Owner E] Electrical Contractor/Administrator)
[Electrical Permit Applications may be s fitted to City II or per ' s@cityofpa.us or faxed to 360.417.4711]