HomeMy WebLinkAbout116 E 12TH ST - Building (2) EC"I' CAL PERMrr5.
0"i-ORT ANGELES
ES
31 - 17-4'7.35
Application Number . . . . . 19-00001653 Date 10/24/19
Application pin number 017913 REPORT STATE SALES TAX
Property Address . . . . . . 116 E 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8025-0000- on your excise tax'f rm
Application"type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . (Location Code 0502)
Property Use . . .
Property Zoning . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
Application-desc
DHP v
----------------------------------------------------------------------------
Owner Contractor-
C.C. BEAUDETT JR/R.J. Guttman BLACK DIAMOND ELECTRICAL CONTR
po box 2752 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 797-1417 (360) 565-1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additionalidesc .
Permit Fee . . . 63.00 Plan Check Fee .00
Issue Date . . . . 10/24/19 valuation 0
Expiration Date 4/21/20
Oty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 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
FINAL
COMMENTS:
PERNfrr WILL EXPHtE SEX f 6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
� g
t
i
1
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION ,
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us I electrical permits@cityofpa.us
Project Address: V�
Pro' ct Description: Doc 7-K sy,
Single-Family Residential ❑ Duplex/ARU Building Square footage:
Name: Email:
Mailing Address: Phone: 740 -71-7 ILO-7
Name: License:
Mailing Address: Expiration Date: _
Email: Phone-.--760 49 �!S�
,loin Unit Charae Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201400 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 14 $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 coMliange with the electrical laws, N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
468,The City of Port Angeles Municipal Code, it Code, pecifications and PAMC 14.05.050 regarding Electrical Permit Applications.
o-23-LS �, 4-n
Date Print Name Signature Owner❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]