HomeMy WebLinkAbout216 E 10TH ST - Building (2) ELE+(=CAL FERMI'I' \
CI''I"`, OF'PORT ANGELES tv
360 417-4735 _
Application Number . . . . 19-00002052 Date 1/02/20 1
Application pin number . . 011456 REPORT STATE SALES TAX
Property Address . . . 216 E 10TH ST on your exdse tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2925-0000-
Application type description ELECTRICAL ONLY to the City Of Port Angeles.
Subdivision Name . . . . (Location Code OW2)
Property Use . . . . . .
Property Zoning . . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
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Application desc
Water heater
Owner Contractor
SORENSEN INGRID M BLACK. DIAMOND ELECTRICAL CONTR
216 E 107H ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983627834 PORT ANGELES WA 98363
(360) 565-1035
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Permit ' ELECTRICAL ALTER RESIDENTIAL
Additional deso .
Permit Fee 68.00 Plan Check Fee .00
Issue Date : 1/02/20 Valuation . . . . 0
Expiration Date 6/30/20
Oty Unit Charge Per Extension
1.00 5.0000 ECH RL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR W0I SER FEED 63.00
----- - ----__WCharged -------Paid -----Credited ------ a--------Fee summary Due
-------------- -- --- ---------- --- - --- ----------
Permit Fee Total 68.00 68.00 .00. .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
I
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COIDIENTS: - y l 2
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
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• ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 9$362 N
3b0.417.4735 www.cityofpa.us i electricalpermits@cityofpa.us (�
Project Address: N
Project Description: C C 4-C- + f+_r_A .
Single-Family Residential 0 Duplex/ARU Building Square footage:
OMtR WF• " •
Name: t) Email
Mailing Address: Phone: `If s2+ 22
Name: License:
Mailing Address: Expiration ate:
Email: Phone: 35S-7
. . • It
!tom Unit Charge Quantity Tom,[(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 $_ —•.O
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 complian2e with the electrical laws,N.E.G.,RCW Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angel s Municipal Code, and UtilityVns and PAMC 14.05,050 regarding Electrical Permit Applications.
Z-17
Date Print Name Si nature( Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to ity Hall or electricaipermits@cityofpa.us or faxed to 360.417.4711]