HomeMy WebLinkAbout1316 B ST - Building y,
CAL PERMIT
h f •t.
CRYOF -MT ANGELES
1 7-4135
Application Number; 19-00001802 Date 11/15/19
Application pin number . . . 983886 REPORT STATE SALES TAX
Property Address . . 1316 B ST OUC eXCISe tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-9590-0000- On yr+
Application type description ELECTRICAL ONLY t0 the City Of Port fang%S
subdivision blame . . . . . �LOCs'!tlOR CodeOJ�42�
ProPerty'Use . . ,
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------
Owner Contractor
MICHAEL / JENNIFER SPRAGUE BLACK DIAMOND ELECTRICAL CONTR
1316 H-ST 502 BLACK DIAMOND RD
PORT ANGELE5 WA 98363 PORT ANGELES WA 98363
(360) 477-0161 (360) '565-1035
-- -------- ----- -- -- --- -- ------- - - --C----------------------------
Permit ELECTRICAL ALTER RESIDENTIAL
Additional dese .
Permit Fee b3 Ofl Plan Check Fee .00
Issue Date . . 11/15/19 Valuati= . . 0
Expiration Date . S/13/20
4ty 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 U0 .00
Plan Check Total .00 00 00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE ' DATE. RESULT: INSPECTOR:
DITCH
SERVICE
ROUGH-IN41
FINAL
COvlltiENTS:
PERMIT WILL EXPIRE SIX=(G)MONTHS FROM LAST INSPECMM
Signature of owner or Electrical Contractor X Date:
H ,
� a
1 - 2 SINGLE-FAMILY CD
• ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
1� 321 E. 5th Street, Port Angeles, WA 98362 1
360.417.47351 www.cityofpa.us I electricalpermits@cityofpa.us d
Project Address: 1.316 d • �E✓
Project Description: cJ C-EJ.J
�ingle-Family Residential ❑ Duplex/ARU Building Square footage:
INFORMATIONOWNER
Name: l Email:
Mailing Address: Phone:
CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expirati Date:
Email: Phone:,6 D -- 4-17—dk ,.
PROJECT DETAILS
Item 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.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angele unicipal ode, and Utility Sp "I ' s and PAMC 14.05.050 regarding Electrical Permit Applications.
-�� �
Date Print Name Signature( Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]