HomeMy WebLinkAbout202 W 10TH ST - Building (4) 717-"r
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LPERMIT
CM PMT ANGELES
6 -417-4735
0
Application Number . . . . . . 19-00001377 Date 9/12/19
Application pin number . . . 098971 rsTATESALES
Property Address . . . . . . 202 W 10TH ST
on ywr exclse tax form
ASSESSOR PARCEL NUMBER: 06-3G-0,0-0-3-2600-0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . .. . . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
------------------------ ------------------------
BRANDON D AND BARBARA P JOHNSO BLACK DIAMOND ELECTRICAL CONTR
524 W 4TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362- PORT ANGELES WA 98363
(360) S65-1035
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Permit .. . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional dese
Permit Fee . . . . 63*00 Plan Check Fee .00
Issue Date . . . . 9/12/19 Valuation . . . . 0
Expiration Date 3/10/20
Qty Unit Charge Per Extension
BASE FEE, 63.00
- ----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ------7--- ---------- ---- ----------
Permit Fee Total 63.00 61400 .00 .00
Plan-Check Total .00 .00 .00,
Grand Total 63.00 63.00 .00 .00
DATE:
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Silgeature of owner or Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATION
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Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 983162
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360�41 7.4735 1 wwwcityof. a.us � electricalperrn;ts@cityofpa.us
Project Address: 202- L..> 07'W
Pr ' ct Description: ss
c'
r 11 Duplex/ARU Building Square footage:
Single-Family Residential
OWNER FORMATION
Name: -?FAj Email:
Mailing Address: Phone: -7(.,* -2-?1- .7-7 3
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiratio Date:
Email: Phone:
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 owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with,the e
Vctrical laws, N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296
46B,The City of Port Angeles Municip Code, andUtility nd PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Name /Xlg+ture(EA Owner F� Electrical Contractor/Administrator)
vl�,:
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711