HomeMy WebLinkAbout312 W 13TH ST - Building (2) EL `FC PERMI'
CITY QFT ANGELES
5 -4735
Application Number 19-00001793 Date ; 11/14/19
Application pin number 694862 REPORT STATE.SALES TAX
Property Address . . . . . . 312 W 13TH ST On OUI'eXCISe tax form
ASSESSOR PARCEL' NUMBER:' 06-30-00-0-3-8910-0000
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . .
Property Use . . . . . . . (Location Code 0502)
Property Zoning . . . .
Application valuation . . 0
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Application desc
Remodel
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Owner Contractor
LUSTIG, SUSANNAH R BLACK DIAMOND ELECTRICAL CONTR
312 W 12TH ST / 502 BLACK DIAMOND RD
PORT ANGELES WA 983627607 PORT ANGELES WA 98363
(360)' `565-1035
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 140.00 Plan Check Fee .00
Issue Date . 11/14/19 Valuation . . 0
Expiration Date
4ty Unit Charge Per Extension
4.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 20.00
1.00 120.0000 BCH EL-0-200 SRV FEEDER 120.00
Fee summary Charged Paid Credited Due
Permit Fee Total 140.00 140.00 .00 .00
Plan CheSk Total .00 .00 .00 .00
Grand Total 140.00 140.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
'VICE
ROUGH-IAL 22
FINAL
COWENTS:
ptipwo104 t"ME SIX(6)MONTHS FROM LAST IN$PBCn4N'
Signature of owner or Electrical Contractor X Date:
f
a '
'y s •
1 - 2 SINGLE-FAMILY
• ' ELECTRICAL PERMIT APPLICATION RED
Public Works and Utilities Department L7 y
321 E. 5th Street, Port Angeles, WA 98362 ��
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us -13
Project Address: C3 '
Pr .ect Description:
Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR i ' i
Name: License:
Mailing Address: Expiration Date:
Email: Phone: AY10 ' 7
PROJECT
Item Unit Charae 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 $ 2�
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 $ ` 7
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 a el ctrical laws,N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code, and Utility Sp i n nd PAMC 14.05.050 regarding Electrical Permit Applications.
&12:-If J -n� cQAq-,,4 . / -1
Date Print Name 4;ei ature Owne Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or eper -is@cityofpa.us or faxed to 360.417.4711]
tel
32g
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE PERMIT# INSPECTOR
17J 33
OWNEFt
CONTRACTOR
ADDRESS
75
APPROV NOT APPROVED
. . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0
[3. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . ....261;r-
13. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 13
0. . . . . . . . . . . . . . . . . . . . . FINAL.. . . . . . . . . . . . . . . . . . . . . (3
CORRECTIONS NEEDED: i
)zo,T)4 w
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- 00 NOT REMOVE-