HomeMy WebLinkAbout1136 E 7TH ST - Building (2) ELECiiiCAL PERMIT ✓/ ..Sy
CITY ' 'ANGELES .
* 417-4735
Application Number . . . . 19-00001998 Date 12/17/19
Application pin number 365486 REPORT STATE SALES TAX
Property Address . . . . 1136 E 7TH ST on our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2100-0000- y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . (Location Code� �
Property Use . . . . . . .
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . 0
Application dese
Heat pump
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Owner Contractor
VANCE-AND HAZEL-HEYDORN TIES BLACK DIAMOND ELECTRICAL CONTR
1136 R.,7TH ST. 502 BLACK DIAMOND'RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(928) 301-8934 (360) 565-1035
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Permit ELECTRICAL ALTER RESIDENTIAL -
Additional desc .
Permit Fee . . . 63.00 Plan Check Fee .00
Issue Date 12/17/19 Valuation 0
Expiration Date . 6/14/20
1
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00,
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Fee 'tiWnary Charged Paid Credited Due
- -La ------- -------- ---------- - --- ------- _
k Permit-Fee Total 63:00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECT ION T)TE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
• ELECTRICAL PERMIT APPLICATION
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Public Works and Utilities Department �-
321 E. Sth Street. Port Angeles, WA 98362 � � Z���
360.417.4735 I www.cityofpa.us electricalpermits,cityofpa.us
Project Address:
j 3� IIL -7
Project Description:
.Single-Family Residential ❑ Duplex/ARLI Building Square footage:
Name: Email
Mailing Address: Phone: '77_I Yo 3
CONTRACTORELECTMAL .
Name: =_ 1ZC_ License:
Mailing Address: Expiration Date:
Email: Phone: +
s •
Item Unit Charge Quantity y Total(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.19,28161:(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 compliance with the electrical laws, N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility ec ns and PAMC 14.05.050 regarding Electrical Permit Applications.
►2-Y6-lq & �LLAM.
Date Print Name 41 Si ature Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]