HomeMy WebLinkAbout123 VI PARK AVE - Building � <.x „.
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Application Number 19-00001120 Date 7/26/19
Application pin number . 984006 REPt)RT STATE SALES TAX
Property Addre," . . 123 W PARK AVS
ASSSBSQi�.PARCEL`�: 06-30-99-5-2--3662-0000- on your e�CCI 'lj
form
Application type description ELECTRICAL ONLY to ft City of Port*196AM!
Subdi�rision 2same (Locadon Code OtO2)
'. Property.:
Propety Eorsng
RS7 RESDNTL SINGLE FAMILY
Application'valuation 0 m
Application desc
Ductless heat pump
Owner,: - Contractor -
Tim:E�*WS' D
SY�AN -f +UD1A-M COOK BLACK DXAR9M ELECTRICAL COM
123 WirPARK AVE502 'BLACK DIAMOND RD
PORT ANGELES 0x83626960 PART ANGE,SS, WA 98363
(360) 417.-2611 (360) 565-1635. '
--------------- -------,_
Permit G ELECTRICAL ALTER RESIDENTIAL
PPermit
Additional desc 63.00 Plan Check Fee .00
issue bate . . 7126f19; Valuation'
Expiration Date . ' . 1/22/20
Qty Unit Charge Per Extension
1:00 63.0000 BCH " R- BRANCH CIR WQ/ SSR_ BED 63.00
t.--- --c ----------- - - --
1*ee x3' Charged Paid Credited Due
------- ---------- ---------- ---------- ---------- i
PerN ee Total 63.'00 63.00 .00 .00
P1a44ek,Total .09 00 :00 .00
GniT-Tota163.00 53_.00 -:00 00
�a,
INSPEC'MN TYPE DATE: RESULTS: INSPECTOR:
SERVICE
ROUGFI=IN
FINAL
� CO�H+�EI`1TS:
t
P �a 1►l 1 i iS FROM iAST M8FWOON
Signature of owner or Electrical Contractor X Date:
Win,+ �'.a�.in'3"*.� +4 3„'x`X 'C i
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1 - 2 SINGLE-FAMILY
• ' ELECTRICAL PERMIT APPLICATION RECEIVED
Public Works and Utilities Department
U.. `{ 20M -�
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us j electricalpermits@cityofpa.us
Project Address: 12- 3 Pkv- AV IC v
Proje Description: 'Dt�L 11.ESS 74-e
Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: (23 ?Av,�AVE Phone: V7— �o I
ELECTRICAL CONTRACTOR ! - !
Name: License:
Mailing Address: Ic9,2 Expiratio e:
Email: Phone:
PROJECT DETAILS
IRE Unit Charas Quantily 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 $
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 own2r of he above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance a ctrical laws, N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
466,The City of Port Angeles Mu ipal ode, and Utility Sp i o and PAMC 14.05.050 regarding Electrical Permit Applications.
/ 1olKm
Date Print Name ignature(❑ Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submittedA/cl&y Hall or epermits@cityofpa.us or faxed to 360.417.4711]