HomeMy WebLinkAbout52.0 W 16TA ST - Building PERMrr
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Application Number . . . . . 19-0*001240 Date 8/15/19
Application pin number . . . 923280 REPORT S TATE SALES TAX
Property Address 52.0 W 16TH ST
ASSESSOR PARCEL NUMBER:- 06-30700-0-4-4616-0000- on yourexcise:tax form
Application type description 8L3C!i*ICAL ONLY�, to dw-City of Port Angeles
Subdivision Name
Property Use . . . . . . . . (Locadon Code 0502)
rv, 'Property Zoning . . . . . .. . RS7
RRSDNTLsnaLs FAMILY
'Apiplication valuation
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Application desc
DKP
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Owner C ontractor
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"ROWLAND BILL D BLACK Di� ELECTRICAL CONTR
520 W 16TH ST 502,BLA=- ,DIAMOND RD
PORT ANGELES WA 983627537 PORT ANGELES KA 98363
(360) 477-2282 060), s6s-1035-
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Permit . . . . . . . ELECTRICAL ALTER RXSIDENTZAL
Additional desc
Permit Fee . . . . 63,.00 Plan Check Fee .00
Issue Date . . . . 9/15/19 Valuation . . . . 0
Expiration Date 2/11/20
Qty Unit Charge Per Extension
1.00 63,.0000 SCR� EL-R- BRANCH CIR Wd/ SERFEED 63.00
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Fee summary Charged Paid Credited Due
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Permit Pee Total 63.-PO 63.00 Q0 .00 .
Plan Check Total - .00 .00
Grand Total 63.00 �63.00 .00 .00
INSPEC'nON ME DAM XESWTS: INSPECMR.
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SERVICE
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FINAL
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PERmrr wiLL ExPaE six(6)moms momurr.NsmcmN
Signature of owneror Eketricat Contractor X Date:
EL'-2 SF
1 - 2 SINGLE-FAMILY CD
?0,R,I ELECTRICAL PERMIT APPLICATION 3
PLiblic NVorks and Utilities Depal-tillent
F. 5th Street. Port Angeles. \VA 98162
AU6 'I j 2019
x\w�\.cItv0fPaAIS eleCtl]CI I PCI-111 ItS�0 C ItN�Ofj),I.LIS
;4r-
520 W 16th
Project Address: C A
Project Description:Add circ for ductless
El Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Roland Email:
Mailing Address:520 West 16th Phone:360477-2282____
ELECTRICAL CONTRACTOR INFORMATION
Name: Black Diamond Electrical License:BLACKEC894132
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit ChaM12 Quaaft IqW(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 1 $ 63
Each Additional Branch Circuit $5.00 $
Branch Circuits 14 $75.00 $
Temp.Service/Feeder 200 Amp. $93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.ServicefFeeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuittLimited 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 16et $40.00 $
Each Ouftulding/Dolwhed Garage $74.00 $
Each Swbydr&V Pool I Hot Tub $110.00 $
TOTAL $ 63
Owner as defined by RCW.19.28.261:(1)Ownerwill 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 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 Applications.
7-26-2019 Benjamin Shamp
Date PInt Name Signature(V Owner [-] Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electrical perm its@cityofpa.us or faxed to 360.417.4711]