HomeMy WebLinkAbout1151 GRANT AVE - Building ELECTRICAL PERMIT z
CITY OF FORT ANGELES
360-417-4735
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Application Number . . . . . 18-00001783 Date 12/13/18
Application pin number . . . 811454 REPORT STATE SALES TAX
Property Address . . . 1151 GRANT AVE 011 our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-14-5-6-0176-0000- y
Application,type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name .
Property Use . . . (Location Code 0502)
Property Zoning . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation 0
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Application desc
New service
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Owner Contractor
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JOSHUA B SEELYE/LORENE E MCGEE BLACK DIAMOND ELECTRICAL CONTR
1151 GRANT ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983622728 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 120.00 Plan Check,Fee .00
Issue Date . . . . 12/13/18 Valuation . . . . 0
Expiration Date 6/11/19
Oty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00: 120.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH IN 1
FINAL a
COMMENTS:
PERMrr WILL EXPM SIC(6)MONTHS FROM LAST INSPECTION
Signature ofb*ner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMITAPPLICATIOLRECE1
Public Works and Utilities Department Nov ,.! ,
321 E. 5th Street, Port Angeles, \ A 98362
360.417.4735 www.cityofpa.us I electricalpermits@cityol-pa.us �R�rR���
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Project Address: ` 57 �-''� "1 �E W
Project Description:
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: �+�L.E`7 Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR • - • •
Name: License:
Mailing Address: Expiration Date:
Email: Phone: 13r-O Y'41—�2fs-7
PROJECT
Ism Unit Charae 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 $
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 $ 7 �—
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 a above named property or a licensed electrical contractor. 1
am making the electrical installation or alteration in compliance with a ctrical laws, N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
466,The City of Port Angel nicipal Code, and Utility Sp ' ti n and PAMC 14.05.050 regarding Electrical Permit Applications.
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Date rint Name 1g ture( Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]