HomeMy WebLinkAbout21 N MAPLE LN - Building Vv
ELEMICAL PERMrr
MY OF PORT ANGELES T \.A
�360-417-4735
Application Number . . . . . 18-00001318 Date 8/27/18
Application pin number . . . 949212
Property Address . . . . . . 21 N MAPLE LN REPORT STATE SALES-1AX- ,
ASSESSOR PARCEL NUMBER: 05-30-17-5-3-0120-0000-
,application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN (Location Code 0502)
Application valuation . . . . 0
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Application desc
Haet pump Furnace
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Owner Contractor
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RANDALL B/THERESA ALDERSON BLACK DIAMOND ELECTRICAL CONTR
21 N MAPLE LN 502 BLACK DIAMOND RD
PORT ANGELES WA 983628149 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 8/27/18 Valuation 0
Expiration Date 2/23/19
L
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63-00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .0V .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
P,OUG11-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INS#ECI1ON
Signature of owner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY T
3
ELECTRICAL PERMIT APPLICATIC)k4kL
Public Works and Utilities Department
321 E. 5th Street. Port Angeles, WA 98')62
360.417.4735 :1 www.cityofpa.us I electricalpermits(!-�,cityofpa.us
Project Address: N. Af&PLe
Project Description: 4*PIA# A-E-7X,
El Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: C.P^Xrf-^.c--r0 A-- 6e-4AAb - S%0T*4%. Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: L License:
Mailing Address: Expiration Date:
Email: Phone: 36-0-1141-991-7
PROJECT DETAILS
Item Unit ChaEge Quantily JQ1A-1(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 W1 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 60 1-1000 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 $ 09
TOTAL $ (0
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 ele trical laws, N.E.C.,RCW Chapter 19.28,WAC.Chapter 296-
46B,The City of Port A I s unicipal Code,and Utility Sp i cat' ns d PAMC 14.05.050 regarding Electrical Permit Applications.
9"22-19 r,tiw 5�v If
Date Print Name n ur Ovvnerf� Electrical Contractor/Administrator)
(Electrical Permit Applications maybe submitte�d�Cityy*Hall or epermits@cityofpa.us or faxed to 360.417.4711]