HomeMy WebLinkAbout3916 Nygren Place - Building T
ELECITRICAL-PERMIT
CITY OF PORT ANGELES
w
360-427-4735
Application Number . . 18-00001574 Date 10/05/18'
Application pin number 327368 REPORT STATE SOLES TAX
.-Property Address . 3916 NYGREN PL . On your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-15-6-3-0100-0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
' SubdProperty Us Name . . (Location Code 0502�
Property. Use .
Property Zoning . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . 0
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Application desc
Ductless heat pump
Owner Contractor
SANDRA MARTIN BLACK DIAMOND ELECTRICAL CONTR
3916 NYGREN PL 502 BLACK DIAMOND RD
PORT ANGELES WA 983621904 PORT ANGELES WA 98363
(360) 457-3105 (360) 565-1035
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Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 63.00 Plan Check Fee .00
Issue Date . . . - 10/05/18 Valuation 0
Expiration Date 4/03/19
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
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
COS:
PERMIT WILL womE six(6)mom FROM LAST INSPEMON
Signature of owner or Electrical Contractor X Date:
,
"
ELECTRICAL PERMIT ECEmVED �
Public Works and Utilities D �D[ M ,
^ OCT°/
S21 E. 5db Street, Port Angeles, WA90302
360.4|74735 | pnwvvoitvo[ha.ua | c(cctdca|pernnits@,oityoFhu.us cLIT|HICA[ `
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Project Address: Af
Project Description:
4-Q-0gle-Family Residential El Duplex ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone: ~'� 1 S—
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charae Quantity IgUll(Quantity x Unit Charge)
Service/Feeder 20Amp. $120,00 $______
Service/Feeder 2O1-0OAmp. %146.00 $_________
Service/Feeder 4O1-6OOAmp. $205.00 $___________
Service/Feeder 0O1'1OOOAmp. $202.00 *_____-----
Service/Feeder over 1UOOAmp. $373.00 $______---_
Branch CincuitVW Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63V0 $
Each Additional Branch Circuit $5.00 $ '
Branch Circuits 1-* $75.00 ___--- $---___-__'
Temp,Service/Feeder 2UDAmp. $93.00 $_____-__'
Temp. Service/Feeder 2U1-40OAmp. $110.00 $
7emp, Service/Feeder 4U1'6OOAmp. *149.00 $_________
Temp, Service/Feeder 801'1DD0 Amp. $168.00 *______---_
Portal to Portal Hourly $90.00 $___-_----'
Signal Circuit/Limited Energy'1&2 DU. x64.00 $_____--__
Manufactured Home Connection $120�00 $_____-----
Renewable Elec. Energy:5xVA System urless $102.00 $
Thermostat(Note:$5 for each additional) $50D0 ____--- u_____--__
First 13OD Square Feet $120.00 $_________
Each Additional 50O square feet" $40.00 $_---_------
Each Outbuilding/Detached Garage $74.00 $----___---
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $_--_-����'
Owner as defined by RCW 19.28261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is
required um hire on electrical contractor if above said property is for sale, rent or lease,Permit expires after six months cf 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
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