HomeMy WebLinkAbout605 I ST - Building (2) ELECrRICAL PERMrr
MY OF POI�T ANGELES
360-417-4735
Application Number . . . . . 18-00001410 Date 9/13/18
Application pin number . . . 172300
Property Address . . . . . . 605 1 ST REPORT S TATE SALES TAX
ASS M OR PARCEL NUMBER: 06-30-00-0-1-5150-0000-
Application type description ELECTRICAL ONLY on your excise tax form
SubdiViBion Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
1-4 CIRCUITS
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Owner Contractor
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JAMIE L BLAYLOCK OWNER
PO BOX 1703
PORT ANGELES WA 98362
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . . . 9/13/18 Valuation 0
Expiration Date 3/12/19
Qty Unit Charge Per Extension
BASE FEE 75.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTIoNTYPE DATE: RESULTS: INSPECTOK-
MCH
SERVICE
ROUGH-IN
FINAL
COWMENTS:
PERMIT WILL B"IRE SD((6)MONTHS FROM LAST INSPECnON
Signature of owner or Electrical Contractor X Date:
-2 SF
iELI
1 2 SINGLE-FAMILY
C)�VOR f 41
ELECTRICAL PERMIT APPLICATION
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Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us electricalpermitsCa.cityofpa.us
Project Address: 'rp(�'s
Project Description: NC��, (VA i nL C
1k Single-Family Residential El Duplex/ARU Building Square footage: �2j2�L2,k Q
OWNER INFORMATION
Name: Email: _7� L-L-i-7 t�,(o tWc)n CCW-,,
Mailing Address:LL -7L�_'I, �\0,CA60� t,�f� Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
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 s Z-'5' -—0--a
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 RCW1 9.28.261:(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. Perrnit 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 Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 rega ding Electrical Permit Applications.
Date Print Name SignaWre(rrV'Own'er F_Jt�ltie&ical Contractor/Administrator)
Li�l
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]