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Home My WebLink About122 W 3rd - Building ELECTRICAL PERMrF z CITY 4F'PORT ANGELES 300-417-4735 6~ Application Number . . 19-00001976 Date 12/13/19 Application pin number 866056 AE PORT STATE SALES TAX -Pppperty,Address . 122 W 3RD ST on our excise tax form ASSESSOR PARCEV NUMBER: 06-30-00-0-0-7020-0000- Application 'type description ELECTRICAL ONLY to the City of Port Angelo; Subdivision Name Property use (Location Cade 0502) Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 0 -------------------------- Application dese DHP ------- --------------------------------------------------- - ---- - Owner Contractor -- --- ---------------- -------- --- 3€'„ --- ' JACK19 JARDINE MOORE BLACK,DIAMOND EL$C!r L CONTR 122 W 3RD ST 502 S +CK DIAMOND RD 622 i ESS 63PORT-ANGELES WA P838 (503) 949-3033 (360)'`'5d5-1035 --------------------- -- -- - - ------------------------- --- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee 63.00 Plan Check Fee ° 00 I Issue Date . . 12/13/19 Valuation . . . 0 Expiration Date 6/10/20 M Qty Unit-Charge Per Extension x' � 1.00 63.0000 ECH EL R- BRANCH CIR WO/_SER FEED 63.0.0 ; ------------------------------- ------ -------- ---- --- ------------------ Fee summary Charged Paid Credited Due ----------------- ------ --- ---------- - ------ ------- Permit Fee Total 63.'00 63.00 .00 .00 Plan Check<,Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMrr WILL EXPIRE SIX(6)MO 'rHS MOM LAST MPEMON Signature of owner or Electrical Contractor X Date: c - i 1 f� ELECTRICAL PERMIT APPLICATION nElr /`v�ii-- � . �� Public and l�L }i�es Department �E� 321 E5th Street, Port Angeles, W&98302 360.4174735 / www.cityofpa.us / dectdca|permhoCaoi Gpn.um Project Address: Project Description: C-'T�J Single-Family Residential 11 Duplex/ARU Building Square footage: OWNER INFORMATION Mailing Address: Phone: 3 33 ELECTRICAL CONTRACTOR INFORMATION Name: VV= License: Mailing Address: Expiratiop Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total(Quantity x Unit Charge) Service/Feeder 20Amp. $120.00 $______ Service/Feeder 20140O Amp. $146.00 $__________ Service/Feeder 4O1-60OAmp. $205.00 $-________ Service/Feeder O01'1OOOAmp. *282.00 $__________ Service/Feeder over 1VO0Amp. *373.00 $_________ Branch Circuit wW Service Feeder *5.00 $ Branch Circuit W/O Service Feeder $03.00 $ ' Each Additional Branch Circuit u5.00 $___�_��_ Branch Circuits 1'4 $7500 $_________ Temp.Service/Feeder 3O0Amp. $93.00 $_________ Temp.Service/Feeder 2014OOAmp. $110.00 $_________ Temp.Service/Feeder 4O1-6OOAmp. $149.00 $_________ Temp.Service/Feeder 0O1-1O0DAmp. $168.00 $_________ Portal to Portal Hourly $90.00 %_________ Signal Circuit/Limited Energy-1&2DU. x64.00 o_________ Manufactured Home Connection $120.00 $__________ Renewable Elec. Energy:5KVA System o,less $103.00 $__________ Thermostat(Nota:$5 for each additional) $55D0 $_________ First 13OO Square Feet $120.00 $-________ Each Additional 5UO square feet" $40.00 $-________ Each Outbuilding/Detached Garage $74.00 $_________ Each Swimming Pool/Hot Tub $110.00 TOTAL $ Owner aa defined byRCVK19.2&251:(1)Owner will occupy the structure for two years after this electrical permit io finalized.(o)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, |hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the |acth |installation or aae h in compliancewith the electrical| 46B,The City of Port Angeles Municipal Code, and Utifty Specification .05.050 regarding Electrical Permit Applications. Date Print Name sigl�,,�JT bwner Fj Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa,us or faxed to 360.417.47111 ELECTRICAL PERMIT CI IY=QF PORT ANGELES ' 30 417-4735 a.<,4i ratio, Nunber . . . 19-00002006 Date 12/18/19 �lication t r 743906 REPORT STATE SALES TAX Prt �e$ 922 BENJAMIN AVE ASSESS 'DUMBER: 06-30-15-6-4-0030-0000- on your excise tax form ApplicatYoYi type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---- - --- ------ Application desc Gas fireplace Owner Contractor STUTESMAN PAUL G MEYER ELEECTRIC 922 BENJAMIN ST 42 GEOLAINE WAY PORT ANGELES WA 983626720 _SEQUIM . WA 98382 (360) 477-2202 Permit . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee 63.00 Plan Check Fee .00 Issue Date 12/19/19 Valuation ''. , , . 0 Expiration Date 6/15/20 Qty Unit Charge Per - Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FRED 63.00 �y ----------------:--------------- -------------------------------------------- Fee summary Charged Paid Credited Due ------ ---- ---- -- ---- - --------- -------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 00 Grand Total 63.00 63.00 .00 .00 i I INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN `2 FINAL CoNadwrS: a PERMrr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electricaf Contractor) Date: ;_.__. ). i�::. e - �5s �-' aT + �. �. � � - _. I - i 1 - - _ .. I .. i C G �s�n __ r � ,. r � 1 - 2 SINGLE-FAMILY ��F4F, ELECTRICAL PERMIT APPLICATION � � Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA.98362 to 360.417.4735 ! www.cityofpa.us i electricalpermits@cityofpa.us g Project Address: Project Description: Lt,,4 frr iJL eL Single-Family Residential ❑ Duplex/ARU Building Square footage: � • ' � IN Name: M Email: avAv'c u✓ 1 C�w� Mailing Address.- 1_ C�7(ht V1 S� Phone: ?(+0' y " 6o --(acioif i • ' • • - Name: U kryyv�0 License:� Email � v�Q. ��r-A W� o CV Phonet�3� '� � 1 0 ~ Xk r Xo�� Mailing Address. `1 eol G � 77 a1ad2 PROJECT , III&M Unit Charae ,Qgal3flil Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Servioe/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 Elea Energy:5KVA System or less $102-00 $ Thermostat(Mote:$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 $ G C7 T Owner as defined by RCW.19.28161:(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. Kit% Date P " t Name Signature(❑ Owner K Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hail or electricaipermits@cityofpa.us or faxed to 360.417.47111