HomeMy WebLinkAbout103 LOPEZ AVM - Building aly
Application Number 19-00600667 nate s/08/19
ATE
Application pin number, 323149' REPW STSAM 7AX
Property Address 103 LOPEZ AVS art your .i ci�'m►
ASSESSOR PARCEL' R NOW. 06-30-i �2
0-5-0t -6060-
Application type description ELECTRICAL ONLYto
Subdivision Name '^'I _ .
Property Use .
Property Zoning . . . RS7 R89DWM SINGLE .FAMILY
Application valuation 0
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Application desc
Furnace and heat pump
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Owner Contractor
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14ICHA8L & MONICA LUCAS BLACK DIAMOND ELECTRICAL CONTR
iO3 LOPBZ AVB 502-BLACk DIAMOND RD
PORT ANGELES - FIA 983.622535 PORT ANDS WA '98363 :
(360) 565-1386 (360) SSS-1035
Permit EhE TRICAL ALTER-RESIVER IAL .
Additional desc .
Permit Fee 68.00= Plan Check Fee .00
Issue Date 5/08/19 Valuation 0
Expiration Date 1IJ04/19
Qty Unit charge Per Extension
1.00 5.0460 E€33 XL-RCH AEIDNT B C i CIRCUIT, 5.00
i.a0 63�,0000 B� ":Bz;-R- BRANCH CI:lV*0/ SBR F$ffiD 63.-00
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Fee
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Pee summary i C$ah Paid edited Due
Permit Fee Total $YY. 68.00 . .00 .00
Plan Check Total .40` 00 00 00
Grand Total 68.06 68..00 .00 .00
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362 �►
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: L6)10-r-1 Z_
Project Description: "-�E D 0 i �y. i4 P
92(-__Szingle-Family Residential ❑ Duplex/ARU Building Square footage.-
OWNER INF
ootage:• •' •
Name: L I Email:
Mailing Address: Phone: .76 G
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email Phone: U yE�"SSS-7
PROJECT DETAILS
Item Unit Charge Quantity 19W(Quinti y x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201400 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. $1168.00
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) x: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 o er o he above
named property or a licensed electrical contractor. I
am making the electrical installation or alteration in wm wi the ectrical laws, N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port les M icipal Code, and Llti t e �i ti and PAMC 14.05.050 regarding Electrical Permit Applications.
�=CyCt �N
Date Print Name S' nature Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]