HomeMy WebLinkAbout2906 Regent ST - Building ELECTRICAL PERMIT {
CITY OF PORT ANGELES
36" 7-4735 �v
Application Number . . . . . 18-00001321 Date 8/24/18
Application pin number . . . 176714
Property Address . . 2906 REGENT ST REPORT STATE SALES TAX
" ASSESSOR PARCEL NUMBER: 06-30-15-5-6-0700-0000-
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
Remodel
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Owner Contractor
DEBORAH K YOUNG BLACK DIAMOND ELECTRICAL CONTR
2906 S REGENT ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983626948 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 . . . . 8/24/18 Valuation 0
Expiration Date 2/20/19
Qty Unit Charge Per Extension
BASE FEE 75.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 00 a
Grand Total 75.00 75.00 00 .00
INSPECTION TYPE' DATE: RESULTS: INSPECTOR:
DITCH
SERVICE '
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EMPIRE SIX(6)MONTHS FROM LAST 1NSPEMON
Signatim of owner or Electrical Contractor X '' Date:
4...._
-.
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 ! www.cityofpa.us electricalpermits@cityofpa.us �—
W
Project Address:
Project Description: i''+-��E C.-
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: r4l Email:
Mailing Address: Phone: Al A
ELECTRICAL CONTRACTOR •• •
Name: RD License:
Mailing Address: Expiration Date:
Email: Phone: C(—.2?Jr 7
PROJECT DETAILS
Item Unit Charge Quantity 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.19.28.261:(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 own of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compli ce th a electrical laws, N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles icipal Code, and Util' Sp i ons and PAMC 14.05.050 regarding Electrical Permit Applications.
f-Zz-11 K
Date Print Name ignatur Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submi to Ci Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION
es,g%
WIRING REPORT
417-4735
DATE- --TPERMIT# INSPECTOR
DATE:
1 11.5
OWN
CONTRACTOR
ADDRESS
zn
APPROVED NOT APPROVED
0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . .
0. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED: V-lg-ls u C!2�,
X, I VA
2)-
9"T M,
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- 00 NOT REMOVE-