HomeMy WebLinkAbout102 OLD JOE RD - Building ELECIICAL PERMIT h ,�
CITY f3F PORT ANGELES
36"17-4735 +
Application Number 19-00000290 Date 2/28/19
Application pin number 466770 REPORT STATE SALES TAX
Property Address . . . . .. 102 OLD JOE Rn
ASSESSOR PARCEL NUMBER: 06-30-08-4-4-0050-0000 on your excise tax form
Application type description ELECTRICAL ONLY t0 the City Of Port PropertyAngeles Use Subdivision e ame . _ . . . . (LOCAL%On Code 0502)OZJ
Property Zoning . . . . . UNKNOWN
Application valuation . . . 0
Owner Contractor
----------------------
CONNELY THEODORE E BLACK DIAMOND ELECTRICAL CONTR
102 OLD JOE RD 502 BLACK DIAMOND RD
PORT ANGELES WA 983638301 - PORT ANGELES WA 98363
(360) 565-1035
-------------------------------------
Permit ' . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc ADDITION 1-4 +2 CIR
Permit Fee 85.00 Plan Check Fee .00
_Issue Date 2/28/19 Valuation . . . . 0
Expiration Date 8/27/19
Qty Unit Charge Per Extension
BASE FEE 85.00
.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED .00
------------------------
Fee summary Charged Paid Credited Due
-
Permit Fee Total 85:00 85.00 1.00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 85.00 85.00 .00 .00
- I
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DrrCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
�i SII
1 - 2 SINGLE-FAMILY CD
• ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 ; www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: ( c)Z 0
Project Description:
KSingle-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone: 416e—.?q rz
PROJECT
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 $
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-182 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 owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance vp the electrical laws, N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port An eles 04unicipal Code, andUtili a ions and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name �/ ignature(EXOwner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitte to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE: PE T# INSPECT
OWN
CONTRA R
ADDRESS
02, OL
APPROVED NOT APPROVED
❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑
. . . . . . . . . . . . . . . ROUGH IWCOVER . . . . . . . . . . . . . . . ❑
.SERVICE . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑
CORRECTIONS NEEDED: Vl 441160 L A.(
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- 00 NOT REMOVE--