HomeMy WebLinkAbout940 W 5TH ST - Building (2) EL -cAL PGitm 1
MY OF PORT ANGELES
3,60417-4735 .�
Application Number , 17-00001767 Date 12/01/17
Application pin number . . 652909
Property Address . . . . . 940 W STH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0740-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name- . . to the City of Port Angeles
Property use . . . . (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
Garage
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Owner Contractor
ANITA L LECCESE BLACK DIAMOND ELECTRICAL CONTR
940 WEST STH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 565-1035
Permit . . . . ELECTRICAL, ALTER RESIDENTIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date 12/01/17 Valuation 0
Expiration Date 5/30/1.8
Qty Unit Charge Per Extension
BASE FEE. 75.00
- Fee summary Charged Paid Credited Due
----------------- ---------- ---------- --------- ----. . ---- p'
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 ,00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS: '
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEG'1`m
Signature of owner or Electrical Contractor X Date:
-J�e-
CITY OF PORT ANGELES PERimn APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street— Port Angeles Washington,98362 ,; l
Ph: (360)417-4735 Fax: (360)417-4711
Date: — "7 - 17 1 &2 Single Family Dwelling �r
V
*Plan Review May Be Required, Pleasg Complete Electrical Plan Review Information Sheet
Job Address: q 44 d 44, !�-774-
Building Square Footage:
Description of above
4f C 614-IL A-10A-K
Owner Information Contractor lnfgrmation
Name: L 12 CLF j C� Name:
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone: Fax: Phone: Fax:
License#/Exp. License#I Exp.
Item Unit Charge Qat 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 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-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 $
$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 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of own ,electrical contractor or electrical administrator: 11 (
Cash , 111 Check
/ ❑ Creditcard#
x Dated: 7 7 0210612012
201-3