HomeMy WebLinkAbout3210 S LAUREL ST - Building (3) ti
:Application Number . . 20-00000241 Date 2/19/20
Application pin number 322738 REPOW STATE.SALM T"
Property Address . . . . 3210 S LAUREL ST �r,�,r
ASSESSOR PARCEL NUMBER: 06-30-16-1-4-0150-0000- on Jam^"
Application,type description ELECTRICAL ONLY ft Myofftt AlVdft
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Subdivision -Name . . . � Code OM
Property Use
Property Zoning . . . . .
Application valuation . . 0
Application desc -
DHP
- Owner - Contractor
TIM AND MOLLY MESSMER BLACK DIAMOND.ELECTRICAL CONTR
1237 S"ttICTORIA AVE NO-266 502 BLACK,DIAM=' RD
OXNAARD CA 93035 PORT ANGELES WA 98363
(360) 565-1035
Permit . . . . ELECTRICAL ALTER RESIDENTIAL '
Additional desc .
Permit Fee . . . 63.00 Plan Check Fee .00
Issue Date . . . 2/10/20 valuation 0
Expiration Date 8/17/20 /
Qty Unit Charge ;Per Extension !
1.00 63.0000 $CH EL-R- BRANCH CiR"WO/ SER FE$D 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 . -00 .00
Plan Check 'Total 00 .00 .00 .00
Gran Total 63.00 . 63.00 .00 .00
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1 - 2 SINGLE-FAMILY
• ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360,417.4735 www.cityofpa.us ' electricalpermits@cityofpa.us
-Z
Project Address:
Project Description:
Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER
INFORMATION
Name: Email:
Mailing Address: Phone: 3 77-2-
ELECTRICAL O. INFORMATION
Name: License:
Mailing Address: Expirati Date:
Email: Phone
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 $
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 $�
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 compliancVvip the electrical laws, N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
466,The City of Port Angele Muni al Code, and ity S c cations and PAMC 14.05.050 regarding Electrical Permit Applications.
41au
Date rint Name Signature Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submZedto City Hall or electri (permits@cityofpa.us or faxed to 360.417.4711]