HomeMy WebLinkAbout812 W 4TH ST - Building (2) x,
PIT
Com 'iNGELES
Appieation Number . . . . . 19-00000907 Date 6/13/19
"Application pin number 047087 IWOORT STATE SALES TAX
Prt ty P�ddxess . . . . 812 W 4TH ST " OU/"excise tax form
ASSESSOR PAA62L NUMBER: 06-30-00-0-170205-0000 UI?,y
Applic tion type description ELECTRICAL ONLY t(tl* City Of Port Angeles
Subdivision Name .
PropeYty Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation,. 0
------------------ ----------
Application desc
Ductless heat pump,.
Owner
Contractor
------------------------
Iris
------------------- ---Iris Finch,Heston BLACK DIAMOND ELECTRICAL CONTR
812 W;4TH ST 502 BLACK DIAMOND,RD
PORT ANGELES WA 983632107 PORT ANGELES WA 98363
(360)'460-7229 (360) 565-1035
----------------------------
-------------_-----------------
PermitELECTRICAL ALTER RESIDENTIAL
Additional°dese
Permit Fee . . 63.00 Plan Check Fee .00
Issue Date bl13/19 Valuation 0
Expiration Date -12/10/19
Qty Unit Charge Per . Extension
1.00 63,.0000 BCH EL-R- BRANCH CIR WO! SER FEED 63.00
--------------------------
Fee summary Charged" Paid Credited Due
-
Permit Fee Total 63:Ofl 63-00 00 00
Plan Check 'Total .00 .00 .00 .00
Grand Total 63.00 63.00 00' .00
INSPECTION'TYPE DATE' 'RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FII ,
COWENrs:
PERMrr WILL EXPIRE six(6)momm PRom LAST vapwr[(
Signature of owner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY CD
ELECTRICAL PERMIT APPLICATION REC��'� ;1
Public Works and Utilities Department
JUN ill,i
327 E. 5th Street, Port Angeles, WA 98362
360.417.4735 j www.cityofpa.us j electricalpermits@cityofpa.us
Project Address: Z `( TW-
Pro'ect Description: cD uc-77-o-S S
Single-Family Residential ❑ Duplex/ARU Building Square footage:
! ! ' !
Name: Email:
Mailing Address: Phone: — 72--Z
slim
Name: License:
Mailing Address: ExpirationnDate: ,/ �7
Email: Phone:2-6-0
R
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-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 owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
466,The City of Port Angeles MunicipalCode, and Utility Sp e s nd PAMC 14.05.050 regarding Electrical Permit Applications.
I .
6 -/1.! An►
Date Print Name graAature Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to ity Hall or epermits@cityofpa.us or faxed to 360.417.4711]