HomeMy WebLinkAbout429 W 4TH ST - Building ELECTIRW A.L PERMITS
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 19-00002013 Date 12/19/19
Application pin number . . . 027046 REPORT STATE SALES TAX
Property Address . . . . . , 429 W 4TH ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-7350-0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . . (Location Code 0502)
Property Use, . . . .
Property Zoning . . . . . . RS7 RESDNTL`SINGLE FAMILY
Application valuation . . . 0
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Application desc
DHP
Owner Contractor
TORI JOUTSEN BLACK DIAMOND ELECTRICAL CONTR
429 W 4th St 502 BLACK DIAMOND RD -
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) _460-6430 (360) 565-1035
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . 63.00 Plan Check Fee .00
Issue Date . . 12/19/19 Valuation 0
Expiration Date 6/16/20
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
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
CON04ENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362 ti
360.417.47351 www.cityofpa.us 1 electricalpermitsg6tyofpa.us
Project Address: 2 R t
Project Description: T>vc.T*1L4 fJ
Single-Family Residential ❑ Duplex/ARU Building Square footage:
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Name: .fib y-r'S a.,J Email:
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Mailing Address: Phone:
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Name: b ri. License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT b
Ism 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 $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 compliance with the electrical laws,N.E.G.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Mullicipal Code,and Utility ec' ions and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name ISIgnature : Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]