HomeMy WebLinkAbout1619 E 5TH ST - Building (7) mad 71 -
ELECTRICAL PEl2MTT' _ �0
CITY Off'PORT ANGELES -�
360-4 7-4735
Application Number 19-00001594 Date 10/17/19
Application pin number 731246 REPORT STATE SALES TAX
t Property Address . . 1619 E 5TH ST our excise tax form
ASSESSOR PARCEL NUMBER: ' 06-30-00-0-1-8370-0000 on y
Application type description ELECTRICAL ONLY, to the City of Port Angeles
Subdivision Name . .
Property Use . . LOCatl0I1 Code 0502)
Property Zoning .` . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc'
Furnace and heat pump
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Owner Contractor
Valli Quaintance & Dean Ratzma BLACK DIAMOND ELECTRICAL CONTR
136 E 8th Street 502 BLACK DIAMOND RD
#11 PORT ANGELES WA 98363
PORT ANGELES WA 98362 (360) 565-1035
(585) 752-0337
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 68.00 Plan Check Fee .00
Issue Date . . 10/17/19 Valuation . . . . 0
Expiration Date 4/14/20
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged' Paid Credited Due
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total 00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
32} E. Sth Street, Port Angeles, WA98�82
3604174735 ! *wv�cityo[paus i dcckioaiperoniNgc fpa.u»
Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: 41111-M Email:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit ChaEge Quantity IQ.W(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $______
Service/Feeder 201'4OOAmp, $146.00 $________
Service/Feeder 4V1-60OAmp. $205.00 ____--- $______-----
Service/Feeder O01'1ODOAmp. $262.00 *_____-----
Service/Feeder over 1OOOAmp. $373.00 $___________
Branch Circuit vN Service Feeder *5.00 *
Branch Circuit W/O Service Feeder $63.00 ____--- $
Each Additional Branch Circuit $5M $_-__��--_
Branch Circuits 1'4 $75.00 ____--- $_____---_
Temp.Service/Feeder 2UOAmp. $93.00 $_____-----
Temp.Service/Feeder 2O1'4OOAmp. $110.00 *_________
Temp,Service/Feeder 4O1-BOOAmp. *149.00 $_____----_ �
Temp.Service/Feeder 8U1'1ODOAmp. $168.00 ____--- $
Portal tn Portal Hourly $90.00 $_________ !
Signal Circuit/Limited Energy'1&2 DU. $64.00 $_____---_
Manufactured Home Connection $120M $_________
Renewable Elec. Energy:5NVA System nrless $102.00 $_____-___'
Thermostat(Note:$5 for each additional) $56.00 $_---___--_ �
First 13UO Square Feet $120.00 $_______-_ �
�
Each Additional 5UU square feet" $40.00 $_________
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $ ACZ
TOTAL $_����---_
Owner ao defined byR[W.1S.28.261:(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, 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 wi h IheXectrical laws, N.E.C., RCW Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Uti and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name =-=- A.L. Owner Electrical Contractor/Administrator) �
[Electrical Permit Applications maybe submitteW ity Hall orepermits@cityofpa.usorfaxedto360.417.4711]