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HomeMy WebLinkAbout2143 W 4TH ST - Building (2) ELE ICAL PERMIT crn tF`PGR.T ANGELES - ���7.4735 Application Number 19-00000289 Date 2/28/19 - Application pin number 372057 REPORT STATE SALES TAX Property Address . . . . 2143 W 4TH ST on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-9-4-4015-0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . (Location Code 0502) Property Use . Property Zoning . . .- RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor ------------------------ ------- ------------- RICK / KAREN SISTEK BLACK DI MOND.ELECTRICAL CONTR 2143 W 4TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 983631401 PORT ANGELES WA 98363 (360) 452-7471 (360) 565-1035 . Permit ELECTRICAL ALTER RESIDENTIAL Additional desc .. DHP Permit Fee 63.00 Plan Check Fee .00 Issue Date 2/28[19 Valuation. 0 Expiration Date 0/27/19 Qty Unit Charge Per Extension 1.00 63.0000 BCH EL-R- BRANCH CIR WO/ SER .FSED 63.00 ---r-------------- --_- ------------- Fee summary Charged Paid Credited Due Permit Fee Total 63.00 63.00 A0 .00' Plan Check. Total ..00 .00 100 GO Grand Total 63.00 63.00 .00 .00 ! INSPECTION TYPE DATE: RESULTS: INSPECTOR: I DITCH SERVICE ROUGH-IN FINAL CONivLENTS: PERMIT wu L EXPIRE SIX(6)Momms FROM LAST Qd$PwmN Signature of owner or EleMcal Contractor X Date: r 1 - 2 SINGLE-FAMILY 1 ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.47351 www.cityofpa.us ; electricalpermits@cityofpa.us �., L QO Project Address: 2 1 �' ( � Project Description: ©y L?fib J ingle-Family Residential ❑ Duplex/ARU Building Square footage: OWNER INFORMATION Name: (L[L Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR • - • Name: License: Mailing Address: Expiration Date: Email: Phone: A0 S-7 PROJECTDETAILS 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 $ 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 with a ctrical laws, N.E.C., RCW.Chapter 19.28,WAC.Chapter 296- 46B,The City of Port Angelic al Code, and Utility S i o and PAMC 14.05.050 regarding Electrical Permit Applications. -L - II J lh�,i2:ae Date Print Name nature Owner ❑ Electrical Contractor/Administrator) [Electrical Permit Applications may be submitte),11ity Hall or epermits@cityofpa.us or faxed to 360.417.4711]