HomeMy WebLinkAbout232 W 9TH ST - Building (2) ELEC' AL PERMTT
CITY OF PORT'ANGELES -
360-417-4735
Qd
Application Number . . . 20-00001458 Date 1/15/21
Application pin number 120238
Property Address . . . . . 232 W 9TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9335-0000-
"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
HENNY VAN BREUKELEN BLACK DIAMOND ELECTRICAL CONTR
PO BOX 155 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(303) '909-0815 (360) 565-1035
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'
MPQRT 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 2D 21 CSC
FINAL
COMMENTS:
PERMIT WIU EXPIRE SIX(6)MONTHS FROM LAST INSPWMN
Signature of owner or ElecUical Contractor X Date:
GAEXCHANGSBUILDING
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1 - 2 SINGLE-FAMILY CD
ELECTRICAL PERMIT APPLICATION
Pt.tblic Works and Utilities Department
321 E. 5th Street, Port Angeles. WA 94362 Z
360.417.4735 1 Aww.eityofpa.us I electricalpennits t,cityofpa.us �
Project Address:232 W 9th
Project Description: Ductless
Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Breukelen Email:
Mailing Address: Phone:303-909-0815
CONTRACTOR
e ®R INFORMATION
Name: BDE License:
Mailing Address: Expiration Date:
Email: Phone:360-461-3957
PROJECT
lam unit Charge Quantity Tota1(Quantity x Unit Charge)
Service/Feeder 200Amp. $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 1000Amp. $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.
Portal to Portal Hourly $9600 '' $
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 $
'4 1 �
➢Y
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.
12-28-2020 Benjamin Shamp
Date Print Name Signature(;6 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]