HomeMy WebLinkAbout801 Georgiana ST - Building ELECTIUCAL PERMIT
CITY OF tMT ANGELES
360-4174735 os
Application Number 18-00000332- Date 3/14/18
Application pin number . . . 767500
Property Address . . . . . . 801 GEORGIANA ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3750-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
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Application desc
Ductless / Washer
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Owner Contractor
LINDA MERTH BLACK DIAMOND ELECTRICAL CONTR
801 GEORGIANA ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983623511 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . 3/14/18 Valuation . . 0
Expiration Date 9/10/18
Qty Unit Charge Per Extension r -
BASE FEE 75.00 1
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Fee summary Charged Paid Credited Due
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Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
t.
INSPECTION TYPE DATE: RESULTS: INSPECTOR;-
DITCH
SERVICE
ROUGH-IN
FINAL
COA01ENTS:
PERMIT WILL EXPIRE SVC(6)MONTHS FROM LAST INSPECnON
Signature of owner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION -
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362 `
360.417.47351 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address:
d ( GADP- (ANA W
Project Description: PUS- S 4-S rf &V l QC:v/T
Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: L 1"p r7 IINXERT 1 Email:
Mailing Address: 6��A-CA A..)A— Phone: 20 G 3'3 1 9 6$
CONTRACTOR INFORMATION
Name: r License: /"3L A-CLEC-F9YOZ
Mailing Address: iL A.�NO Expiration Date:
Email: )�0.c �es i Cud f,dL C o ti Phone: 246
PROJECT
Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201400 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 14 $75.00 '�_ $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201400 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 $
,r
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 el rical ws, N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code, and Utility Specifi i s d C 14.05.050 regarding Electrical Permit Applications.
--� -g - /� A-'.)S�*""* A,
Date Print Name iwtjdle( Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to Ci all or electricalpermits@cityofpa.us or faxed to 360.417.4711]