HomeMy WebLinkAbout112 W 6TH ST - Building (2) ELECTRICAL PERMIT *'
Com:'0E PORT ANGELES
3i7-4735 CIA
Application Number . . . . . 19-00001634 Date 11/01/19
Application pin number 720032 REPORT STATE SALESTAX
Property;Address . . . . 112 W 6TH ST O/]your @XCISe tax form
ASSESSOR PARCEL'NUMBER: 06-30-00-0-1-6520-0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . (Location Code�. 2,
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
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Application desc
Furnace heat pump
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Owner Contractor
BAITS GARY S/MYLINDAS BLACK. DIAMOND ELECTRICAL CONTR
112 W 6TH ST 502 BLACK DIAMONDRD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . ELECTRICAL ALTER RESIDENTIAL"
Additional desc ,
Permit Fee . . . 68.00 Plan Check Fee .00
Issue Date 11/01/19 valuation 0
Expiration Date 4/29/20
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 68.00 68,00 00. .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN �
FINALdn
COMMENTS:
PERMIT WILL EXPQtE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Eeettidd Contractor X Date:
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ELI-2 SF� 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
PDh/' �D� Th�l���� �D[ 077 �~
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321 E. 5th Street, Port Angeles, WA 98'
360.4174735 | noww.c' G`o us | c|ccLhculpennbogcfpn uy
Project Address: 112- �J C
/Zect Description: Ft..,
Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: 13_LYrES Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address:
PROJECT DETAILS
item Unit Charge Quantity JQW(Quantity x Unit Charge)
Service/Feeder 2OOAmp. $120.00 *__________
Service/Feeder 2O14OOAmp. $146.00 -_--__- $__________
Service/Feeder 401-O0OAmp. *205�00 ----__. $------____
Service/Feeder 801'1OOOAmp. $202.00 ----___ Q___________
Service/Feeder over 1OOUAmp. $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 14 *75.00 $__________
Temp. Service/Feeder 2OUAmp. $33.00 ----___ $_________
Temp,Service/Feeder 2U14OOAmp. $110.00 $__________
Temp.Service/Feeder 4O1'QOOAmp. *149.00 ----__- *_-----____'
Temp.Service/Feeder 8O1'1O0VAmp. s108.00 $_________
Portal 0oPortal Hourly $90.00 $_-----____
Signal Circuit/Limited Energy-1&2DU. $64�00 ----__. $__________
Manufactured Home Connection u120.00 $__________
Renewable Elec. Energy: 5KvASystem orless $102.00 _---___ $__________
Thermostat(Note:$5for each additional) *50.00 ----__. $------____
First 130OSquare Feet m130.00 *~_________
Each Additional 5OVsquare feet" $40.00 $____-____
Each Outbuilding/Detached Garage o74.00 $_________
Each Swimming Pool/Hot Tub *110.00 *
TOTAL $
Owner as defined by RCW1 9.28.261:(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-
8 The City ofP Angeles Municipal
-%I/e>-/-7- 19 &�__16� !M I -
Date 'Print Name 4naturejX OwnerM Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]