HomeMy WebLinkAbout1510 S Pine StRS7 RESDNTL SINGLE !'A},IILY
0
rePORf STATE SAT.ES TAX
on yur exci* taxform
tothe City d Port Angeles
(Location Code0il2)
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ApplicaEioa Number
Application pi! number
Property Address
ASSESSOR PARCEL NUMBER:
Application, tlpe description
Subdivision Name . .
Property Use
ProPerty Zoning
Application valuaEioa
19 - 00000603 Date 4/25/19
428136
1510 S PINE ST
06 -30 - 00- 0-4 - 2500 - 0000 -
EI,ECTRICAI, ONI,Y
ApplicaEion desc
Ductless heat pump
Owner Contsractor
NICOLE AND MCKENZIE I{UFF
1510 S PINE ST
PORT ANGEIES WA 98352752A
(503 ) 290-9112
BI,ACK DIAMOND ELECTRICAL COIITR
502 BI,ACK DIAIVIOND RD
PORT ANGELES WA 98363
(360) 565-103s
PermiE .
AddiEional desc
Permi"E Fee
Issue Datse
Expiration Date
63 .00
4/2s/L9
LO /22 /L9
Plarr Check Fee
Val,uation
ELECTRICAI ALTER RESIDEMIIAL
0
oty Unit Charge Pe!
]..00 53.OOOO ECH EL-R- BBANCH CIR WO/ SER FEED
Bxtension
63.00
Fee summary charged Paid CrediEed Due
Permi! Fee Total
PIan Check Total
Grand Tot.al
63.00
.00
53 .00
63.00
.00
63.00
00
00
00
PEXMIT WILL EXPIRE SIx (5) MOtfiIlS FROIr.t llllT INSPECTIoN
INSPECTIONTYPE DATE:RESULTS:II.ISPECTO&
DITCII
SERYICT
ROUGH.IN P
FINAL ;hJ n .AP =fltr
COMMENTS:
IIIIII
Sigraffre ofoqffi o( Electical Conrractor x Date:
EI-ESTRICAL PERMIT
CMY OF PORT ANGELES
3ffi417473s
.00
.00
.00
. o0
sEj;-;
ELr-2 sF
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.4 17.47 35 I www.cityofpa.us I electricalpermits@cityofpa.us
I Yto S. Pt-2
RECE/YED
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Project Address
Oescription b.){J
Si ngle-Family Residential D Duplex / ARU Building Square footage
Name
Mailing Address
Email:
Phone IL
O!\NER INFORMATION
i
ELECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address:
Email:
License:
Expirati
Phone.
on Date
PROJECT DETAILS
lEm
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401 $00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit w/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. SerYice/Feeder 200 Amp.
Temp. Service/Feeder 201.400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 6011 000 Amp.
Portal lo Portal Hourly
Srgnal Circuiulimited Energy - 'l&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Ea(*l Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
!!ll-C[3rgS
$120.00
$'146.00
$205.00
$262.00
$373.00
s5.00
$63.00
!I,UU
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
556.00
$120.00
$40.00
$74.00
$'110.00
Quantitv fghl (Quantity x Unit Charge)
-x
$
$
$
$
$
!
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
sTOTAL
Owner as defined by RCW 19.28.261. (1) Owner will occupy the structure for two years afrer this eleclrical 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 properly or a licensed electrical contraclor. I
am making the electrical installation or alteration in compliance with the electrical laws , N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468, The City of PortAn Mu ni Code, and Utility 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 .47111
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