HomeMy WebLinkAbout510 E PARK Avenue - Building WR
ELECTRICAL PERMIT
CITY Of PORT ANGELES
360417-4735
Application Number . . . . . 19-00001822 Date 11/19/19
Application pin number . . 370994 REPORT STATE SALES TAX
Property Address . . . . . . 510 E PARK AVE on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-15-5-0-9170-1000-
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
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Application desc
DHP ti
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Owrner Contractor
ST ANDREWS PARISH PORT ANGELES BLACK DIAMOND ELECTRICAL CONTR
510 E PARK AVE 502 BLACK DIAMOND RD
PORT ANGELES WA 983626938 PORT ANGELES WA 98363
(360) 565-1035
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Permit . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee 74.00 Plan Check Fee .00
Issue Date . . . 11/19/19 valuation . . 0
Expiration DaG . . 5/17/20
Qty Unit Charge Per Extension
1.00 74.0000 BCH EL-COMM BRANCH CIR WO/ SIF 74.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 74:00 74.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 74.00 74.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
CON 4ENTS:
PERMrr WILL EXPIRE S1 '(6)M 'FROM LAST'INSPECTION
Signature of owner or Electrical Contractor X Date:
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RECEIVED
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MULTI-FAMILY / COMMERCIAL NOV 1 !j zo��
ELECTRICAL PERMIT APPLICATION
Public Works and utilities Department
321 E. 5th Street, Port Angeles, XNA 98352
350.4 i 7.4735 www.cityofpa.us electricermits@cityofpa.us CD
Protect Address:
Project Description: i>"C-T-I,rSS
❑ Multi-Family Residential 1p,Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL C INFORMATION
ONTRACTOR
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
R
item Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp. Service/Feeder 401-600 Amp. $164.00 $
Temp.Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note:$5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56.00 $
$ 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 Utilit pecifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name V Signature M Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe subm' d to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]