HomeMy WebLinkAbout425 E 5th ST - Building i
CM CAL PERMIT t
Ctl` OF PORT ANGELES
360-417-4735
Application Number 18-00000657 Date 5/01/18
Application pin number . . 252182
Property`Address . . . . 425 E 5TH sT REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7160-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision name . . . . to the City of Port Angeles
Property Use . . . . . .
Property Zoning . . . . (Location Code 0502)
Application valuation . . 0
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Application desc
Ductless heat pump
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Owner Contractor
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RAY T/JUDITH CHRISTIANSEN TRST BLACK DIAMOND ELECTRICAL CONTR
159 HILLTOP-DR # 2 502 BLACK DIAMOND RD
SEQUIM WA 983829319 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Pee . . . . 75.00 Plan Check Fee .00
Issue Date 5/01/18 Valuation . 0
Expiration Date 10/28/18
Qty Unit Charge Per Extension
BASE FEE 75.00 �.
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Fee summary Charged Paid Credited Due
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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:
DUCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
P8MIT wuil E)C WE SIX.(6)MONTHS FROM LAST INSPECTION
Signature owner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY
} � 3
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, \kA 98362
360.417.4735 j www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: '5�2 1 J- 574 A+-5
Project Description: DVe_T-Wr-JJ
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: N-kIST JO* J Email:
Mailing Address: 'y2 St , fig Phone:
ELECTRICAL CONTRACTOR
;• INFORMATION
Name: D r License: 3t A-ck4c4%Y40 2--
Mailing Address: V 1 —M Expiration Date:
Email: Phone: 340 —Y d r-J4,rr 7
PROJECT DETAILS
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 $102A0 $
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 Wind
rical laws,N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code, and Utility Sp PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Name Si ature Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to kyHall orelectricalpermits@cityofpa.us or faxed to 360.417.4711]