HomeMy WebLinkAbout3210 McDougal ST - Building T PERMIT
Cl"1' F. T ANGELES "
Application Number . . 18-00001681 Date 10/30/18
Application pin number . . . 169950 REPORT STATE SALES TAX
Property Address . . . . . . 3210 MCDOUGAL ST on your excise.tax form
ASSESSOR PARCEL NUMBER: 06-30-15-6-5-0400-0000-
Applicatioq'type description ELECTRICAL ONLY to the City of Port-Angeles
Subdivision Name .
Property Use . . . . (Location Code 0502)
Property Zoning . . . UNKNOWN
Application valuation . . . . 0
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Application desc
Ductless heat pump
Owner Contractor
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MARLA J GARR BLACK DIAMOND.ELECTRICAL CONTR
3210 MCDOUGAL ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983626738 PORT ANGELES WA 98363 ,
(360) 565-1035
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Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permits Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 10/30/18 Valuation . . 0
Expiration Date 4/28/19
a'
Oty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary, Charged Paid Credited Due
Permit Fee Total 63.0.0 63.00 .00 .00
Plan Check Total .00 00 .00 00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COI� .,�+fiTS:
PERMIT WILL EXPIRE SIX(4)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATION �~
EL9TRU,AL
Public Works and Utilities Department INSPECTpgNS
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us ; electricalpermits@cityofpa.us
Project Address: JZ / a A C&L,(,d
Project Description: (2)ul,?1JCJ2J
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone: SQ— G-79 8739
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:/-3957
PROJECT DETAILS
Item_ Unit Charae 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 $(0'J
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 w' the electrical laws, N.E.C., RCW Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Mu icipal Code, a tility a ications and PAMC 14.05.050 regarding Electrical Permit Applications.
/ a'd &a
Date Print Name Signature Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]