HomeMy WebLinkAbout619 S Albert ST - Building 7-7
ELECT OGA PERMIT F
CITY OF'PORT ANGELES
360-417-4735
Application Number 20-00001400 Date 12/29/20 V
Application pin number . . . 680000
Property Address . . . . 619 S ALBERT ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-0535-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . . . . . .
Property Zoning . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . 0
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Application desc
DHP
Owner Contractor
Mark R and Leilan3 J Sundt BLACK DIAMOND ELECTRICAL CONTR
444 Taylor Ranch Rd 502 BLACK DIAMOND RD
SEQUIM WA 98382 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 . . . 12/29/20 Valuation . . . . 0
Expiration Date . 6/27/21
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 63400 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Part Angeles
(Locadon Cade 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
I
FINAL I Z
COMMENTS;
PERMIT'WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of Owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
1 - 2 SINGLE-FAMILY CD
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. Sth Street, Port Angeles, W-k 98362
360,417.4735 1 A,ww.cityofpa.us ! electric alpermits(q-�cityofpa.us
—L
Project Address: 619 Albert Q
Project Description: Ductless
in Single-Family Residential ❑ Duplex/ARU Building Square footage:
• • ` i
Name: Suot Email:
Mailing Address: Phone:
i • , • i • . i
Name: BDE License: Blackec894D2
Mailing Address: Expiration Date:
Email: Phone: 360-461-3957
JYgm Unit Cbarae Quantity j[4W(Quantity x Unit Charge)
Service/Feeder 200Amp. $120.00 $
Service/Feeder 20i'-400 Amp., $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1006 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'les $102.00 $
Thermostat(Note: $5 for each additional) $5B.00
§ s
S
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.
12-8-2020 BenjaminShamp
Date Print Name Signature(V Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]