HomeMy WebLinkAbout218 W 9TH ST - Building (3) �. .,�a"Ys'd.... ^•mss in
,E-LEQ. M 1 iL PERMIT ;
MY OF PORT ANGELES
300-417-4735
Application.Number . . . 19-00001662 Date 10/31/19
Application Pin number . . 013454 REPORT STATE SALES TAX
Property Address . . 218 W 9TH sT OUI'exGiSe tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9320-0000- On y
Application type description ELECTRICAL ONLY to the City of Port Angeles
SubdivisProperty Us Name . . . (Location Code 0502)
Property Use
Property Zoning , RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
- --
Application desc
Crawl space clean up
----------------------------------------------------------------------------
Owner Contractor
------- -------------
PAULINE C SCHULTZ AND DIANE: M MEYER ELECTRIC
14523 Greystone Dr 42 GEOLAINE WAY
SUN CITY WEST AZ 85375 SEQUIM WA 98382
(360) 477-2202
Permit . . ' ELECMCAL ALTER RESIDENTIAL
Additional ileac 1-4 'CIRCUITS
Permit Fee 75.00` Plan Check Fee .00
Issue Date 10/29/19 valuation 0
Expiration Date 4/28/20
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
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
FINAI.
COMMENTS:
PERMIT Wff L EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
. . .
�;
i
f
i
I
it
�,
. ;
��
,,
-� �.�
( � ,;
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 ( www.cityofpa.us ( electricalpermits@cityofpa.us s—
Project Address:
r7
Project Description:
K.1 Single-Family Residential ❑ Duplex/ARU Building Square footage:
IMMimi
Name: Email: -c-
Mailing
c-
Mailing Address: CI rL cca �~ Phone: F)G Xor-2 lo'�
Name: C cs b v�VN License: Afe_ S
Mailing Address 4)_ G �Se v� T!i c Jr p ration Daft/ 1"
Email: Sevl Phone: , '-1 7 7
! Unit Charge Quantity Total(Quantity 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 ��_ $ ,v
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. $ �5:v r]
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.
Date Print Nam.9 Signature(❑ Owner M Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]