HomeMy WebLinkAbout904 F Street - Building ELECTRICAL PERMIT 1
CITY OF PORT ANGELES
360-417-4735
Application Number 17-00001310 Date 9/14/17
Application pin number . . 724260
Property Address 904 F ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-0400-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
Owner Contractor
SERGIO AND LEIANN NICCOLI BLACK DIAMOND ELECTRICAL CONTR
517 SW 120TH ST 502 BLACK DIAMOND RD
SEATTLE WA 98146 PORT ANGELES WA 98363
(206) 369-6411 (360) 565-1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc . DHP
Permit Fee . . . 63.00 Plan Check Fee . . .00
Issue Date . . . 9/14/17 Valuation . . . . 0
Expiration Date . 3/13/18
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
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE / -
FINAL
ROUGH-IN /22 -j
'14)47
COMMENTS: C
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
r
CITY OF PORT ANGELES PERMIT APPLICATION AlrboNweift-
Building Division/Electrical Inspections
321 East Fifth Street— Port Angeles Washington,98362 "f" 1
Ph: (360)417-4735 Fax: (360)417-4711
Date: ` -// / 7 X 1 &2 Single Family Dwelling LAI
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*Plan Review May Be Required Please CompleteElectricalPlan Review Information Sheet
Job Address:Building Square Footage:
Description of above
Owner Information Contractor Iornation
Name: to l C-Co l-I Name:
Mailing Address: ?c2 y f• •F Mailing Address:
City: State: Zip: City: State: Zip:
Phone: -D 3�i 3 Fax: Phone:
g— aili "7 7
1 Exp.#/Exp. License#/Exp.
Item Unit Charge Total(OW Multiplied by 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 Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 Only $ 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 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$ 4 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 alteratioA, com•liance with the electrical laws,N.E.C.,RCW. Chapter 19.28,WAC. Chapter 296-46B,The City of Port
Angeles Municipal Co jam. d Utililpe .">'ations and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of ow ,,electri -'contr. or or electrical administrator: CImi
Cash y Check
1 0 Credit Card#
X Dated: /! ! 7
02106/2012
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