HomeMy WebLinkAbout2003 W 15TH ST - Building (2) F5
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Application Number . . . . . 19-00001325 Date 8/29/19
Application pin number 603850 REPORrZTA TE SALES TAX
Property Address . . . . . . 2003 W 15TH ST
ASSESSOR PARCEL; NUMBER: 06-30-00-1-0-76OS-0000- on your,excise tax form
Application type description ELECTRICAL owLy
Subdivision Name to the City,of Port Angeles
(Location Code 0502)
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL TRAILER PARK
Application valuation . . . . 0
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Application desc
Service
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Owner Contractor
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JOHNE`TTA K BINDAS BLACK DIAMW ELECTRICAL CONTR
2012 W114TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 981635102 PORT ANGELES ' WA 98363
(360) 452-3727 (360) S6t-1035
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Permit
ELECTRICAL ALTER RESIDSNTM
Additionaldesc
Permit Fee
. . . . 120,00 Plan Check Fee .00
Issue Date . . . . Valuation 0
Expiration Date 2Y25/20
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
INSPECTIONTYPE DATE' RESULTS: INSPECTOR.
DITCH
SERVICE
ROUGH-IN
FINAL
PERMff WRL EXPWX SIX(6)MONTHS FROM LAST INSPBCMN
Signature of owner or Electrical C ontractor X Date:
Nf,
1 - 2 SINGLE-FAMILY
3
ELECTRICAL PERMIT APPLICATION RECENEE)
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98')62
360.417.4735 www.cityofpa.us i electricalpermits Ctucityofpa.us
Project Address: 'Xat:-3 ku
Pro' ct Description: .5,p-"Lv Lc_�
Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: 7.003 Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charge QUantoty 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 0 ier of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance wilwAhVlectrical laws, N.E.C.,RCW Chapter 19.28,WAC.Chapter 296-
46B,The City of Port eles Municipal d Uti s and PAMC 14.05.050 regarding Electrical Permit Applications.
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Date — Print Name ignaturef&Vl 0 ner [] Electrical Contractor/Administrator)
[Electrical Permit Applications may be su�bmZifte KoCity Hall or nepe Mits@cityofpa.us or faxed to 360.417.4711]