HomeMy WebLinkAbout536 W 11TH ST - Building (2) ELECTRICAL PERMIT
CITY OF PORT ANGELES
3664i7-4735
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Application Number . . . . . 17-00000846 Date 6/23/17
Application pin number . - . 963550
Property Address . . . . . . 536 W 11TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06�30-00-0-3-4840-6060-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
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Application desc
Temp service
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Owner Contractor
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ERIC J AND JILLIAN MUNGER BLACK DIAMOND ELECTRICAL CONTR
536 W ELEVENTH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc
Permit Fee . . . . 93.00 Plan Check Fee .00
Issue Date . . . 6/23/17 Valuation . . . . 0
Expiration Date 12/20/17
Qty Unit Charge Per Extension
1.00 93.0000 ECH EL-TEMP SRV 0-200 SRV FDR 93.00
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Fee summary Charged Paid credited �Due
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Permit Fee.Total 93.00 93.00 .00 .00
'Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .00 .00
INSPEMONTYPE DATE: RESULTS: INSPECTOK-
DITCH
SERVICE
ROUGH-IN
FINAL
COMAENTS:
PERMIT WH.L F"WE SIX(6)MONTHS FROM LAST INSPECrION
Signature of owner or Electrical Contractor X Date:
CITY OF PORT ANGELES PEM'VHT APPLICATION Alum-
Building Division/Electrical Inspections low
321 East Fifth Street- Port Angeles Washington,98362
Ph: (360)4174735 Fax: (360)417-4711
Date: -7 &2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
�5 3 C -
Job Address: c,_.j T&4
Building Square Footage:
Description of above
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Owner Information Contractor Infpq ti
Name:- N-L'U. C L-b CAI Name: lort
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone: -Fax: Phone: __2r_Fax:
License#I Exp. License# Exp—OL-1 �E_C- e-- R2Z710
Item Unit Charge Total(Qtv Muftiplied by 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 Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $_
Each Additional Branch Circuit $ 5.00 $_
Branch Circuits 1-4 Only $ 75.00 $
Temp.Service/Feeder 200 Amp. $ 93.00 $:::� F -7
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-I &2 Family Dwelling $ 64.00 $
Manufactured Home Connection - $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $_
Thermostat $ 56.00 $_
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Y 0
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 s- 3
$ Totat -7 (_)�)
Owner as defined by RCW.1 9.28.261:(1) Owner will occupy the structure for two years after this electrical permit is finalized. (2)Owner is r red
jq(�(
to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspecton.
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 the electrical laws,N.E.C., RCW. Chapter 19.28,WAC.Chapter 296-46B,The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Aplications.
Signature of o"r,e[�,!rical contractor or electrical administrator: El Cash?,-Check
[I CreditCard#
x Dated: 6�- 26 ;7 — 0210612012