HomeMy WebLinkAbout1230 CAROLINE ST - Building (2) Zz
ELECTRICAL PERMIT � _. .�. �
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Application Number 19-00001234 Bate 8/15/19
Application pin number . . 110748 - REPORT STATE SALES TAX
Property Address . . . 1230 CAROLINE ST onOUC eXC/Se tax form
PARCEL NUMBER; 0630-00-5-3-1005-0000-
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Application type description ELECTRICAL ONLY to the City of Pott AngeleS
Subdivision Name . . . . . .
Property [Tse. . . . . . . (Location Code 0502)
Property Zoning . . . . RS7 RBSDNTL SINGLE'4N MILY
Application valuation . . . O
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Application desc
DHP -
owner Contractor
-- -- --- ------ -- ---
BAMER, BOBI.J BLACK DIAMOND BECTRICAL CONTR
PO BOX 98 502 BLACK'DLAMONbiRD
JOYCE WA 98343 PORT ANGELES WA 98363
(360) 928-3615 (360) 565-1035
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Permit . . ELECTRICAL ALTER RESIDENTIAL- - ----
Additional desc .
Permit Fee . . 63.00 Elan Check Pee .00
Issue"Date . . . 8/15/19 Valuation0
Expiration_Date 2/11/20
Qty Unit Charge Per - Extension
1:00 63.0000 BCH EL-R- BRANCH CI& WOO SRR P= 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 _
10 SERVICE
ROUGH-IN
FINAL
CONS�S•
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST.INSPECTION
Sim of owner or Eie�Contractor% Date:
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y_
ELIT
1 — 2 SINGLE—FAMILY CDs
ELECTRICAL PERMIT APPLICATION � ` �'vE�%
Public Works and Utilities DepartmentU�' 101
'21 F. 5th Street. Port Angeles, WA 98')6-1
,60.417.4715 �ywvy.eitvofpa.us 1 elect ricaIlie rmits(acityot}Ia.us W
Project Address: 1230 Caroline St
Project Description:Add circuit for ductless hp
111--Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Bamer Email:
Mailing Address: 1230 Caroline st Phone:208-597-4354
ELECTRICAL CONTRACTOR • ' •
Name: Black Diamond Electrical License:BLACKEC894132
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charas Ql!>tnft Totaf(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 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-182 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 OuftA&9/Detected Garage $74.00 $
Each Swkm*ig Pool/Hot Tub $110.00 - -, $
TOTAL $ 63
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 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.
8-13-2019 Benjamin Shamp
Date Print 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]