HomeMy WebLinkAbout1614 E 3rd - Building g a4 _ {C fur¢- c,�. ;✓
ELE 'RTCAL PERMIT
CTT I + TART ANGELES
4 —4735
Application Number . 18-00001784 Date 12/13/18
Application psn number 94539z R 0JRT STATE SALES TAX
Prop rty.Addresa 1614 E 3RD ST
ASSESSOR PARCEL' NUMBER: 06-30-00-6-9-0410-OL100- Of?your EXCfSe tax form
type description ELECTRICAL ONLY t0 the City 4f Port Angeles
Subdivision`Name .
Property Use (Location Cade 0502)
Property Zoning . RS7 RESDNTL SINGLE FAMILY
Application valuation . 0
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Application desc
Ductless heat pump
Owner - Contractor
IREDALE ROSIN/KATHY BLACK DIAMOND ELECTRICAL CONTR
1614 E '3RD ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983624806 PORT ANGELES WA'98363
(360) 565-1035
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 63.00 Plan check Pee .00
Issue Date . . 12/13/18 Valuation
Expiration Date 6/11/19
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIA WO/ SSR FEED 63.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 00 .00
Grand Total 63.00` 63.00 .00 .00
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INSPECTION TYPE DATE RESULTS:' ISPEC,"TOR:
DiTCg'
SERVICE j
ROUGH-IN
FINAL
COMMENTS:
PERMrr wiLL EXPIRE SIX(6)MONTHS FROM LAST FNSPEt'nON
Signature of owner or Electrical Contractor X Date:
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1 - 2 - RE6E SINGLE FAMILY
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ELECTRICAL PERMIT APPLICATION NOV )11
Public Works and Utilities Department
ELECTRICAL _.
321 E. 5th Street, Port Angeles, WA 98362 INSPE'TIONS i
360.417.4735 ! www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: 112/q E.
Project Description: 1�>L.,�,S.f
N�Z .ingle-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: /6 Phone: 80 9 —ocU I O
ELECTRICAL CONTRACTOR • ' •
Name: 7 License:
Mailing Address: Expiration Date:
Email: Phone: „I/. ` (,TYFc--?
PROJECT DETAILS
item Unit Charge Quantit f 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 th/owof the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in complian electrical laws, N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,TheCity of Port Angel Municipal Code,and Ut s and PAMC 14.05.050 regarding Electrical Permit Applications.
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Date 1 Print Name Signature Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submi d to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]