HomeMy WebLinkAbout1735 W 13th StELEETRIEAL PERIUIT
EITY OF PORT ANGELES
t604174735
RS? RESDNTL SINGLE EAMIIJY
o
REPORT STATE SALES TAX
onWrexd&taxform
tothe City d Put Angeles
(L*ationde0502)
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appfication type description
Sutrdivis ion' Name
Property Use
Property zoning
Application valuation
19 - ooooo62t Date 4/30/1-9
06854?
1735 W 13Tt{ ST
05 - 3 0- 99 - 0 -3 - 5310- 0000-
ELECTRTCAI OIILY
Application desc
Heat pump
Contractor
DONAIiD L/.]1'DITH M
1735 W -1311{ ST
PORT ANGELES
PERRY
wA 983535805
BI,ACK DTAMOND ELECTRIC4L CONTR
502 BIACK DIAI''IOND RD
PORT ANGELES I.'A 98363
(350) s5s-1035
Permit
Additional desc
Permit Fee
Issue DaLe
Expiration Date
53 .00
4/30/19
to /2i / ).9
ELECTRICAL AI,TER RTSIDE}.ITIAL
Plan Check Fee
Valuation
00
0
Qtsy Unit Charge Per
1-00 53.0000 EcH EL-R- BRANCH CIR WO/ SER FEED
Extearsion
63 .00
Fee summary Charged Pa.1cl Credited Due
Permit Fee ?o!al
Plan Check To!al
Grand Total
63 .00
.00
63.00
o0
00
00
00
00
00
PERMtf WIIL E)(PnE Slx (6) MOIITHS FROM LAST rlrSPErrON
INSPECTIONTYPE DATE:RESI,JLTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN s),a )tq d :9F
FINAL q)pln CY
@MMENTS:
I
TIIII
Sigilahrrc ofowuct or Elcohical Conhactor X Date:
---0
Ir
,..r
Owner
53 .00
.00
53.00
ELl-2 sF 1-2 SINGLE-FAMILY ,?'g
EL ECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
32 t E. 5th Street, Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us electricalpermits@ciryofpa.us
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Project Address
Proj Description
le-Family Residential n Duplex / ARU Building Square footage
O\ANER INFORMATION
Name Email
Mailing Address phone: y77- locl\
ELECTRICAL CONTRACTOR I NFORMATION
Mailing Address
Email:
License
Expiration Date
Phone ?Co- qG(-?tr"
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 .600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuil W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Servace/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601 - l 000 Amp.
Portal to Portal Hourly
Signal CrrcuruLimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
unit Charue
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
95.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.@
$40.00
$74.00
$'r10.00
Quantitv Total touantitv r tlnit Charoel
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
b
$
$
$
$TOTAL
Owner as defined by RCW19.28.261: (1) Ownerwill occupy the struclure for two years afrer this electrical permit is finalized. (2) Owner is
required to hire an eleclrical 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 cal laws, N.E C., RCW. Chapter 19.28, WAC. Chapter296-
468, The City of PortAngeles Mu lCode, and and PAMC'14.05.050 regarding Electrjcal PermitApplications.
L{ -21./,1
Oate Print Name
[Electrical Permit Applications may be
nature Owner ! Electrical Contractor /Administrator)
d to Caty Hall or epe its@cityofpa.us or faxed to 360.4'17.47111
Name: