HomeMy WebLinkAbout717 E 11th ST - Building (2) 7-
E XCTRICALPERMIT �.
CITY OF PORT.ANGELES
16G 417-4735
Application Number 21-00000521 Date 4/30/21
Application pin number 660321
Property Address . . . 717 E 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-W-0-3-3470-0000-
Application type deecription ELECTRICAL ONLY
Subdivision Name . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7-RESDNTL SINGLE FAMILY
Application valuation . . . 0
- Application desc
Heat pump
Owner Contractor
---__� --_- _
CRAIG AND MERARI ALMONT BLACK DIAMOND ELECTRICAL'CONTR
16415'270TH AVE E 502 BLACK DIAMOND RD
BUCKLEY WA 98321 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 63.00 Plan Check Fee .00
Issue Date . . 4/30/21 valuation 0
Expiration Date 10/27/21
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 check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN jAgo4 1 AP
FINAL
COhMEENTS:
i
PERMIT WILL ExputE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANG&BUILDING
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EL'
1 - IN LE-FAMILY '
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department �
321 E. -501 Street, Port Am4eles, V4:A 98362
360.417.4735 1 xvww.cityofpa.us j eiectricalpermits(cityofpa.us N
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Project Address: 717 E 11 th
Project Description: HP
Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Almont Email
Mailing Address: Phone: 503-269-6070
ELECTRICAL CONTRACTOR INFORMATION
Name: BDE License: blackec894d2
Mailing Address: Expiration Date:
Email: Phone:360-461-3957
PROJECT •
112M Uw Gharae Quantity Total(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 $
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-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 $
i
3xi?A t kz
TOTAL $ 6�
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.
4-29-2021 Benjamin Shamp
Date Print Name Signature(;6 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]