HomeMy WebLinkAbout526 W 11TH ST - Building (2) M Y OWTM ,�WGELES
341'7-4735
Application Number 18-00001'787 Date 12/13/18
Application gin number . . . 677775 REPORT STATE SALES TAX
Property Address 526 W 11TH ST on your excise tax form
`ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4830-0000-
Application type description ELECTRICAL ONLY to the City'of Port Angeles
Subdivision Name . . . .
Property Use . . . . . . . (Location Code 05f12)
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
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APplication desc
Ductless heat pump
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Owner Contractor
BOBBY E DANIELS BLACK DIAMOND.ELECTRICAL CONTR
526 W 11TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES %A 98363
(360) 504-1143 (360) 565-1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desC ,
Permit Pee 63.00 Plan Check Fee . .00
Issue Date 12/13/18 Valuation . . 0
Expiration Date 6/1l/19
l I
Qty Unit Charge Per Extension
1.00 63.0000 BCH EL-R- BRANCH CIR WO/.SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit .Fee Total 63.00 63.00 .00 .00
Plan Cheek Total ,06 .00 .00 .00
Grand Total 63.60 63.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
CONVENTS:
PERW WILL EXPIRE SIX(6)MObM S FRM LAST tNSPEL'fY K
Signature of owner or Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATION RECEIVED
Public Works 8DdUt } 'es �ot NOV � {}
321 E. 5th Street, Port Angeles, V\A9Q3h2 RECTRUL
360.417.4735 | wwwoitmfpu.uu | e|ectriodpermitsgcitmfpu.u*
Project Address:
Sing le-Family Residential 11 Duplex/ARU Building Square footage:
OWNER INFORMATION
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration
Email: Phone:
PROJECT DETAILS
item Unit ChaEge Quantilk IQ_W(Quanft x Unit Charge)
Service/Feeder 200 Amp, $120.00 $______
Service/Feeder 2O14V0Amp. $146�00 $__________
Semime/Faoder*O1'60VAmp. u305.00 _--_--_ $
Service/Feeder 8O1'1OOOAmp. *282.00 *—________
Service/Feeder over 1O0DAmp. $373.00 $_________
Branch Circuit wW 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 2O0Amp. $93.00 $_________
Temp.Service/Feeder 2O1400Amp. $110.00 *_________
Temp. Smmime/Feedor401-GODAmp. $149.00 $
Temp. Service/Feeder 0O1-1D¢UAmp. *108.00 $_________
Portal tu Portal Hourly $96.00 $______--_
Signal Circuit/Limited Energy-1&2 DU. $64.00 $__________
Manufactured Home Connection $120.00 $
Renewable Elec.Energy:5KVA System o,less *102.00 $__________
Thermostat(0ota:o5 for each additional) $56.00 $—________
First13U0 Square Feet *120.00 $_________
Each Additional OUD square feet" $40.00 $—_______'
Each Outbuilding/Detached Garage $74.00 $_________
Each Swimming Pool/Hot Tub *110.00 $
TOTAL $_-�2��_--_
Owner as defined by RCW.19,28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(o)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{am the of the 4bove named property or a licensed electrical contractor. |