HomeMy WebLinkAbout1624 W 6th ST - Building (2) n
N
ELECTRICAL PERMIT ,
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 20-00001459 Date 1/15/21
Application pin number . . 245149
Property Address . . 1624 W 6TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-5025-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . . . . . .
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
DHP
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Owner Contractor
MACKINTOSH, JOSE & REBECCA BLACK DIAMOND ELECTRICAL CONTR
565 .W 630 N 502 BLACK DIAMOND RD
HIGHLAND UT 84003 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 . . . . 1/15/21 Valuation . . . . 0
Expiration Date 7/14/21
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
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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 z
FINAL
COMMENTS:
PERMIT WELL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY -
1
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department N
321 E. 5th Street, Port Angeles, WA 98362 G
360.417.4735 1 w�,vw.cityofpa.us I electricalpennitsCacityofpa.us
Project Address: 1624 W 6th
Project Description: Ductless
n Single-Family Residential O Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Mackintosh Email'
Mailing Address: Phone:801-803-2625
ELECTRICAL CONTRACTOR INFORMATION,
Name: BDE License:
Mailing Address: Expiration Date:
Email: Phone: 360-461-3957
PROJECT
1tgID Unit Charge Quantity TD 9(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 $
Each Additional Branch Circuit $500 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $9300 $
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. $6400 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy:5KVA System or less $102.00 $
Thermostat(Note: $5 for each additional) $5600 $
r..
TOTAL $
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.
12-28-202o Benjamin Shamp
Date Print Name Signature(uj Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111