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Home My WebLink About520 GOLF COURSE R7 - Building AC C IL t"00,-,�ORT A TE 3 17-4735' : Application Number . . . . . 19-00001455 Date 9/20/19 Application pin number . . . 544515 REPORT STATE SALES TAX Property Address . . . . . . 520 GOLF COURSE RD ASSESSOR PARCEL NUMBER: 06-30-11-4-4-9020-0000- on your excise tax form Application type4escription ELECTRICAL ONLY to the City of Pod Angeles Subdivision Name . . . . . . Property Use . . . . . . (Locaffon Code 0502) Property Zoning RS7 RESMM SINGLE FAMILY Application valuation . . . . 0 ----------------------------------- ---------------- ------ ---------------- Application desc DHP ----------------- --------- ------------------------ ------------------ 7 Owner Contract-or -----------�-7----------- ------- --------I------- - SUZANNE ROBERTSON BLACK DIAMM ELECTRICAL CONTR 520,GOLF COURSE RD 502 BLACK DIAMOND RD PORT ANGELES WA 981624938 PORT ANGW4XS WA 98363 (360) 461-9788 (360) 56571035 ---------------------------------------------------�---------------------- Permit . . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee . . . . 63.00 Plan Check Pee .00 Issue Date . . . . 9/26/19 Valuation . . . . 0 Expiration Date 3/18/20 Oty Unit Charge Per Extension 63.0000 BCH EL-R- BRANCH CIR WO/ SER FRED 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 .00 .00, INSPECTIONTYPE DATE: RESULTS: INSPECTOR. DITCH SERVICE. ROUGH-IN )o FINAL L PERmrr wiLL EmmUft mm FROM LASr V49PEMON Signature of owner or Electrical Contractor X Date: T 1 - 2 SINGLE-FAMILY M 3 ELECTRICAL PERMIT APPLICATION RE(,El V ED Public Works and Utilities Department SEP 9 �919 3)21 E. 5th Street, Port Angeles, WA 98362 360.417.4735 www.cityofpa.us electricalpermitsCa�.cityofpa.us Project Address: 61 U-.4 Project Description: V-Single-Family Residential 0 Duplex/ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Dgte: Email: Phone: Y & S—Z PROJECT DETAILS Item Unit Charge Quantity 191&1(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 ow er of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with he electrical laws, N.E.C.,RCW Chapter 19.28,WAC.Chapter 296- 0 46B,The City of Port Angel-A Municipal Cod� d�Utifity Spe "aica s and PAMC 14.05.050 regarding Electrical Permit Applications. —24,�—11 �Vfr-JTWW I w I Date F3'rint Warne W 1!7s ture(E] OwnerF] Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to Citytil or epermits@cityofpa.us or faxed to 360.417.4711] 00MCAUPERMU C&VbO PORT ANGELES' 4604 7.4735 Application-Number iq-00001620 �Date 10/16/19 Application,pin number . . . 637280 REPORT STATE SALES TAX Property Address . . . . . . 1310 9 3RD ST on your excise tax form ASSESSOR PARCEL'NUMBER.- 06-30-00-9-I-QO60-0000- Application type'description ELECTRICAL ORLY to the City of Port Angeles Subdivision Name . . . . . . Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP x 2 -------------------------------------------------------------- ------ Owner Contractor ------------------------ ----------------------- LEDGERWOOD JOHN K BLACK DIMOND ELECTRICAL COMM 2S6421 HIGHWAY 101 502 BLACK DIAMOND RD PORT ANGELES WA 993628211 PORT ANGELES WA 98363 (360) 565-103S --------------------------------- -------------- 7�---------------------- Permit - ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 68.00 Plan Check Fee .00 Issue Date . . . . 10/16/19 valuation 0 Expiration Date 4/i3/20 Qty Unit Charge Per Extension 1.00 5.0000 BCH EL-ECH ADDNT BRANCH CIRCUIT, 5.00 1.00 63.0000 ECH EL-R- BRANCH CtR WO/ SER F*ED 63.00 -----------------I------- ------------------------------ ---------------- Fee summary Charged Paid Credited Due ----------------- ----------- ---------- ---------- ---------- - Permit Fee Total�� 68.00 68.00 .00 �.00 Plan Check Total .00 .00 .00 .00 Grand Tofal 68.00 68.00 .00 .00 INSPECTION TYPE DAM - RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 09 FINAL COACMEMS: PERmrr wiLL ExPiRE six(6)moNTHs FRom LAsT 114sPwnoN Signature of owner orpectrical C ontractor X Date: . . 2 SINGLE-FAMILY -0 ~'ELECTRICAL PERMIT APPLICATION .` � /�1' ' � ` = ^� PDblic � Utilities ''^-~~ and ~~�~~ ^~~�~~^~~^^ ~m 321 6. 5th Street, Port Angeles, VKA90302 360.4174735 | www.cityofpa.us | cieubioa|psmoiLu@cityo6`u.um Project Address: Project Description: .��ingle-Family Residential n Duplex/ARLI Building Square footage: OWNER INFORMATION Mailing Address: Phone: 775--tZ?-Y ELr--CTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAtLS lf-M Unit Charae Quantity J2W(Quantity x Unit Charge) Service/Feeder 200Amp. $120UO $__________ Service/Feeder 201'4OUAmp. $146.00 $_________ Qemime/Feeder4O1'0O8Amp. $205.00 $-________ Service/Feeder 0V1'18UOAmp. $202.00 $_________ Semioe/Foede,over 1OOOAmp. $373.00 $__________ Branch Circuit NKService Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 * Each/�dibono|Branch Ci�uit $5.00 $ Branch Q�ui|o1-4 $75M $ �_��-- Temp,Service/Feeder 2OOAmp. *93.00 $__________ Temp. Service/Feeder 2Ui4UDAmp. $110.00 $ Temp, Service/Feeder 401'6V0Amp. $149.00 $ Temp. Service/Feeder GO1-1OOOAmp. *160.00 $_________ Portal toPortal Hourly $96.00 $___-__-__' Signal Circuit/Limited Energy'1&2DU. $64.00 $_________ Manufactured Home Connection m12000 $_____---_ Renewable Etec.Energy:5KJ64System urless $102.00 $_________ Thermostat(Nota:s5for each additional) :56.00 $ First 13UVSquare Feet *120.00 $_________ Each Additional 5DOsquare feet" m40D0 $_____---- Each Outbuilding/Detached Garage m74.00 � $ Each Swimming Pool/HotTub $110.00 _� $ TOTAL $ Owner as defined by RCW.19.28.26 1:(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 di the above statement, |hurebycertify that|amthe owner of ^ the above named property orolicensed electrical contractor. |