HomeMy WebLinkAbout314 W 5TH ST - Building EUCTAX! PERMIT
rry OF PORT ANGELES
360-4
174735
Application Number . . . . . 19-0000' 13'71 Date 9/10/19
REPORT STATE SALES TAX
Application pin number . . . 173597,
Property Address . . . . . . 314 W �TH ST
ASSUSM—PARCEL NUMBER: 06-w�0�40-0-1-6325-000Q- onyour excise tax form,
Application type description ELECTR tCAL ONLY ffi the MY:&Port Angeles
subdivision Name . . . . . .
Property Use, . . . . . . (Lockbn Code 0502)
Property Zoning .. . . . . . . RESIDENTIAL HIGK DENSm
Application valuation . . . . 0
Owner contractor
----------------- ------ ---------77�------------
ADOLPHSEN GLENN BLACK DIAMOND,ELECTRICAL CONTP.
318 W 6TH ST 502 BLACK,DIAXOND RD
PORT ANGELES wi, 981625902 PORT AM=I S WA 98363
(3.60) 565-1035
----------------------------- --------------------- -----------------
Permit . . . . . .. ELECTRICAL ALTER RESUMMAL,
Additional desc REPAIR SVC MAST
permit Fee 120.00 Plan Check Fee .00
Issue Pate 9/10/19 Valuation 0
Exp4ritign,bato 3/08/20
Oty Mit Charge Per ptension
1.00 120.0000 RM,, EL-0-200 SRV FEEDER 120.00
- ---------------------------- -----------------------------------------7
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
INSPECTOR.
INSPBMONTYPE DATE: RESULTS:
DrrrH
SERVICE 4D
ROUGH-IN
FINAL
Cj- f4D -
PERM1TW1UEXPAES1X.(6)MONTHS MOM LAST JNSPWWN-
Signature of owner or Electrical Contractor X Date:
RECEIVED
1 - 2 SINGLE-FAMILY
SEP I
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 983 62
360.417.4735 www.cityofpa.us I electricalperrnitsCa)cltyofpa.us
Project Address:
Project Description:
Single-Family Residential 0 Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: N&C�_ oia,-Ovt6k (-tA License: 51-A6
MailingAddress: '>02- Expiration Date:
Email: -Phone:
PROJECT DETAILS
Item Unit Charae Quantily Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $ 12.0 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-
46B,The City of Port Angeles Municipal Code,and Utility Specifi C 14.05.050 regarding Electrical Permit Applications.
�/�/ I" 1�;C, `�A&-Wo
Date Print Name OwnerFj Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]