HomeMy WebLinkAbout423 HILLCREST DR - Building (3) RITFWIP 7T 77�
ELECTWCAL PERMff
CITY OF PORT ANGELES
Application Number . . . . . 19-00001825 Date 11/19/19
'Application pin number . . . 766775 REPORT S TATE SALES TAX
Property Address . . . . . . 423 HILLCREST DR
ASSESSOR PARC13L NUMBER: 06-30-15-5-0-1500-0000- on your emse tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles,
Subdivision Name . . . . . . fLocation Code 0502)
Property Use . . . . . . . .
Property Zoning . . . . . . . . RS9 RESDNTL SINGLE FA14ILY
Application valuation . . . . 0
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Application desc
DHP
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Owner Contractor
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NANCY J BELL BLACK DIAMOND ELECTRICAL CONTR
C/O JAMES & ASSOC 502 BLACK DIAMOND RD
1111 CAROLINE PORT ANG914S - WA 98363
PORT ANGELES WA 98362 N060) 565-1035
(360) 452-4127
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Permit . . . . . . ELECTRICAL ALTIM, ; OBNTIAL
Additional desc
Permit Fee . . . . 63.00 Plan Check Fee
.00
Issue Date . . . . '11/19/19 Valuation . . . . 0
Expiration Date 5/17/20
Qty Unit Charge Per Extension
1.00 63.0000 BCH 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
Plan Check Total .00 .00 100 .00
Grand Total 63.0
63.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
Jj:71
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX(6)MO.NTHS FROM LAST MPSCMN
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.47351 www.cityofpa.us I electricalperrnitsgcityofpa.us
Project Address:
Pr 'ect Description: bV CT-LfC--J
7Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone: '-l!0�6 11-7
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone: 360 -14 4
PROJECT DETAILS
I M Unit harge Quantity IQJ&l(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 DLI. $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 co the electrical laws,N.E.C.,RCW Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Muni 'pal Code, and tions and PAMC 14.05.050 regarding Electrical Permit Applications.
'Z e Si
Date Print Name gnature(fff Owner M Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or eperm' its@cityofpa.us or faxed to 360.417.4711
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