HomeMy WebLinkAbout133 W 5TH ST - Building '.
ELECTRICAL PERMIT
CITY =PtRT ANGELES
300=417-4735
Application Number . . . . . 19-00001917 Date 12/05/19
Application pin number 446519 REPORT STATE SALES TAX
Property Address . . . . . . 133 W 5TH ST on your excise fax form
ASSESSOR PARCEL•NUMBER: 06-30-00-0-0-8845-0000- y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . .
Property Use . . . . (Location Code 0502J
Property Zoning . . RESIDENTIAL HIGH DENSITY
Application valuation . . 0
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Application desc
DHP
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Owner Contractor
RUTH ZOE BAYTON BLACK DIAMOND ELECTRICAL CGNTR
411 S OAK ST 502 BLACK DIAMOND RD
PORT ANGELES WA 9$362 PORT ANGELES WA 98363
(360) 451-5569 (360) 565-1035
Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional:desc .
Permit Fee 63.00 Plan Check Fee .00
Issue Date . . 12/OS/19 Valuation . . . . 0
Expiration Date .. . 6/02/20
Qty Unit Charge :Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR NO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 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 l
FINAL
CON04ENTS:
PERMIT WILL EXPIRE SIX(6)Moms FROM LAST INSPECDON
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION �RF 3
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362L1
360.417.4735 ! www.cityofpa.us I electricalpermitsCcityofpa.us -�
Project Address: W
Project Description: ?V C.-la f2-S C
Single-Family Residential ❑ Duplex/ARU Building Square footage:
Mailing Address: Phone:1IMiT
CONTRACTOR l • !
Name: License:
Mailing Address: Expiration Date:
Email: Phone:-76 0- L�61 ✓3 i r 7
777777
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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 owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in complian ith the electrical laws, N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles M 'cipal Code,and Utili Sp ications and PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Name Signature( Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electrical permits@cityofpa.us or faxed to 360.417.4711]