HomeMy WebLinkAbout625 E 10TH ST - Building (2) x
17
ELECTRICAL PERMIT
CITY OF PORT ANGELES .<
360-417-4735
Application Number . . 19-00001595 Date 10/17/19
Application pin number 805105 REPORT STATE SALES TAX
Property Address . . . . 625 E 10TH ST on your excise tax form
ASSESSOR PARCEL; NUMBER: 06-30-00-0-2-8680-0000- .
Application type desc'ri.ption ELECTRICAL ONLY to the City of Pont Angeles
Subdivision Name (Location Code 0502)
Property Use . . .
Property Zoning . . RS7 RESDNTL SINGLE FAMILY
Application valuation . 0
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Application desc
DHP
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owner Contractor
CHARLES R AND MICHELLE L MAYO BLACK DIAMOND ELECTRICAL CONTR
625 E'10TH ST 502 BLACK DIAMOND"RD
PORT ANGELES WA 98362 PORT ,ANGELES WA 98363
(360) 565-1035
Permit . . . ' ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 63.00 Plan Check Fee .00
Issue/Date . . 10/17/19 Valuation . . . . 0
Expiration Date 4/14/20
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 63.'00 63.00 00 .00
Plan Check Total .00 .00 00 .00
Grand Total 63.60 63.00 .00 .00
INSPIi tJl�i WPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
CON94 NTS:
PERMIT W[LL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signatatmof owner or Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATION
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Pub|ic ''~`~~ ~�n� �hi}'^'
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321 E5th Street, Port Angeles, W498�h2
3604|74735 | vvp/w,oityofpu.us I c|ccthca|pconiisCchvofpu.um '
Project Address:
Project Description:
kingle-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: re 140-7-4 Phone:-30 1 bF-�-1
ELECTRICAL CONTRACTOR INFORMATION
Name: ZIP& License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
item Unit ChaEge Quantity �Qua—nttby x Unit Charge)
Service/Feeder 20UAmp. $12I00 $__________
Service/Feeder 2014OOAmp. *146.00 $__________
Service/Feeder 4O1'8OOAmp. $205.00 $__________
Service/Feeder OO1'10O0Amp. $262.00 $________
Service/Feeder over 1O00Amp. $373.00 *_______-'
Branch Circuit NKService Feeder $5.00 $_________
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit u5.00 $
Branch Circuits 1-4 $75�00 $
Temp.Service/Feeder 2OUAmp. $93.00 $_________
Temp.Service/Feeder 2O1-4OOAmp. $110.00 $
Tbmp.Service/Feeder 4O1-6OOAmp. $149.00 $_________
Temp. Service/Feeder GU1-1OOOAmp. $168.00 $________.
Portal to Portal Hourly m86.00 $_____----
Signal Circuit/Limited Energy'1&2DU- $84.00 *________
Manufactured Home Connection $120.00 $
Renewable Elec. Energy:5KVA System o,less $102�00 $_______-_
Thermostat(Note:$5 for each additional) . $56.00 $______--_
First 130OSquare Feet $128.00 $_~_______
Each Additional 5UOsquare feet" $40.00 $_______--'
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $__����_--'
Cxwneroado8nad by RCW19.28.261:(1)Ownerwill occupy the structure for two years after this electrical permit is finalized.(2)Owneris
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 compliancewith thejeleclrical| N EC RCVKChapter 19,28,WAC.Chapter 296
46B,The City of Port Angeles Municipa ode,and Utility Spec" i a PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Nameure owner [:] Electrical Contractor/Administrator) (
[Electrical Permit Applications maybe submitted to ity Hall orepermits@cityofoa.usorfaxedto 360.417,4711]