HomeMy WebLinkAbout829 GEORGIAMA ST - Building T 1�AIGELES
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Application Number . . 19-00001238 Date 8/15/19
Application pin number 652436 REPORT STATE SALES TAX
Property Address . . . . 829 GEORGIANA ST on our excise tax form
ASSESSOR PARCEL NUMBER: 06-39-00-5-1-3790-0000- y
Application type description ELECTRICAL ON;.Y to the City of Port Angeles
Subdivision Name .
Property Use . . (Location :ode 0502)
Property Zoning . . . -. . . COMMERCIAL OFFICE
Application valuation . 0
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Application desc
DHP
Owner Contractor
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Marga
- ----- ------
Margaret.Baker & Ann Rosecrant BLACK DIAMOND ELECTRICAL CONTR
832 Georgiana St 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 461-0860 (360) 565-1035
°t Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 63.00 Plan Check;Fee .00
Issue Date . . . . 8/15/19 Valuation 0
Expiration.Date 2/11/20
Qty Unit Charge Per Extension
1.00 63.0000 BCH BL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee
- ------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-
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INSPECTION TYPE DATE. RESULTS: INSPECTOR:
DITCH
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SERVICE
ROUGH-IN
FINAL
COMMENTS: '
PERMff WILL EXPIRE six(6)moNTHs FROM LAS'r.wgmcnON
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY CD
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department �E�,E1VE
32 1 t=. 5th Street. Port Anodes. WA 98')6-1 all( ?: 201Y 1
360.417.4715 ' � �«,.CW,.0fpa.us electricalpermitsiu citv0fpa.us �
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Project Address:829 Georgiana St (�3
Project Description:Add Circ for ductless
In Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Rosecrants Email:
Mailing Address:829 Georgiana St Phone:360461-0861
ELECTRICAL CONTRACTOR • ' •
Name: Black Diamond Electrical License:BI ACKEC894D2
Mailing Address: Expiration Date:
Email: Phone:
PROJECT-DETAILS
Rom Unk ChargeQuantity JgW(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 201400 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 Additiona1500 square feet" $40.00 $
Each Outtx"v/Detadted Garage $74.00 $
Each SvAmrn1ng 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-
466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
8-2-2019 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)