HomeMy WebLinkAbout204 S FRANCIS ST - Building (2) ELE M
C CAL PERMrr
CrM OF'PORT ANGELES
36"17-4735 KS1
-Application Number . . . . . 18-00001596 Date 10/12/18
Appiication pin number . . . 789892 REPORT STATE SALES TAX
-Property Address . . . . . . 204 S FRANCIS ST AX
T
ASSESSOR PARCEL NUMBER: 06-30-00-7-7-0200-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . . to ff 7e City of Port Angel�]eS
Property Use . . . . . . . . (Locatfon Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application deac
Ductless heat pump
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Owner Contractor
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HELEN G MCCRIMMON BLACK DIAMOND ELECTRICAL CONTR
2842 CAROB ST - 502 BLACK DIAMOND RD
NEWPORT BEACH CA PORT ANGELES WA 98363
NEWPORT BEACH CA 92660 (360) 565-1035
(362) 809-3507
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 63.00 Plan Chick Fee .00
Issue Date . . . . 1011ille Valuation . . . . 0
Expiration Date 4/10/19
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 .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTIONTYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL 1A *F
CON04ENTS:,
PEMrr WELL EXPME SIX(6)MONTHSTROM LAST INspwnON
Signature of owner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY RECEIVED -T
3
ELECTRICAL PERMIT APPLICATION oc-,
Z
Public Works and Utilities Department ELFURWAL
321 E. 5th Street. Port Angeles, WA 98')62 IN' P,�IS
360.417.4735 www.cityofpa.us ! electricalpermitsCa,,cityofpa.us
Project Address: 204 5, F-IZA#�i e-i S
Project Description: V S
Asingle-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: C—c4e.,1#�-k 0--%,.0 Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone: "t'—-7 7
PROJECT DETAILS
Item Unit Charae Quantity I2W(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 $
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 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 ow f th b ve named property or a licensed electrical contractor. I
am making the electrical installation or alteration in complian�olwitlh ctrical laws, N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code, and Utility ecifi on and PAMC 14.05.050 regarding Electrical Permit Applications.
A* -10 -(f 24 1�r_j_jA 6��_e —
Date Print Name natu 0 nerF] Electrical Contractor/Administrator)
[Electrical Permit Applications may be submiftt/to Vi�tyHall or epermits@cityofpa.us or faxed to 360.417.4711]