HomeMy WebLinkAbout1521 S PINE ST - Building (2) ELEC` IUCAL PEA A
mt 6 PORT ANGELES c
30 417-4735
Application Number . . . . . 19-00001824 Date 11/19/19
Application pin number . . 634848 REPORT S►TATESALES TAX
Property Address . 1521 S PINE ST On our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-2460-0V00- y
Application-type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . .
Property Use . . . . . (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
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Application desc
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Owner Contractor
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CORY TITMUS AND ANDREA M KOLES BLACK DIAMOND ELECTRICAL CONTR
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1521 S PINE ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983627527 PORT ANGELES WA 98363
(360)" 565-1035
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Permit . . .. . ELECTRICAL-ALTER RESIDENTIAL
Additional desc .
Permit Fee . . 63.00 Plan Check Fee .00
Issue Date 11/19/19 Valuation 0
Expiration Date 5/17/20
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Oty Unit Charge Per Extension
1.00 63.0000 BCH EL-R- BRANCH CIR WO/ SBR PE$D 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 0.0
Grand Total 63.00 63.00 .00 00
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INSPECTION TYPE DATE: RESULT' _ INSPECTOR:
DITCH
SERVICE
ROUGH-IN 1Z
FINAL i 2
COMMENTS:
PERMrr WILL WME SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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=vK �i�ELECTRICAL PERMIT APPLICATION
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Public Works and Utilities Department
321 E5dh Street, Port Angeles, WA90302 �
360.417.4735 | wwp/oityofpn-us | cicc1hcu}perrnhxgcitvofbuus
Project Address:
Project Description: t "i
)d,-Single-Family Residential 11 Duplex/ARU Building Square footage:
OWNER INFORMATION
77
IELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
PROJECT DETAILS
Item Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 20OAmp. m120.00 ___--- $
Service/Feeder 2O14O0Amp. $14&00 $_____---_
Service/Feeder 4V1-60OAmp. $205.00 $-------___
Service/Feeder 8U1'10UUAmp. $262.00 $_____---_
Service/Feeder over 1OUOAmp. $373.00 $
Branch Circuit VW Service Feeder $5D0
Branch QmuitV�OGemioaFeeder $83.00
�ouhAddh�no|Branoh�inmd $5�VO
Branch Circuits 1'4 *75.00 ____--- $_----------
Temp.Service/Feeder 2OOAmp. m93.00 $_____—_—'
Temp.Service/Feeder 2O1-100Amp. $110.00 $_--___—_--
Temp, Service/Feeder 4O1'GO0Amp. $149.00 $
Temp, Service/Feeder 8U1'1n0DAmp. $168.00 ____--- $----__---_
Portal(o Portal Hourly *90.00 *_____--__
Signal Circuit/Limited Energy-1&2DU. $64.00 *_____---_
Manufactured Home Connection $120.00 $_____---_
Renewable Elec. Energy:5hVA System orless $102.00 $________'
Thermostat(Noto:$5for each additional) $58.00 $_—___—_--'
First 13OU Square Feet $120.00 $______--_
Each Additional 5DU 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 compliance with the electrical laws,N.E.C.,RCW Chapter 19.28,WAC.Chapter 296-
46B,
11-190 -19 IG-1 sth� 7111�it�117 A A
Date Print Name Signature( Owner EJ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711