HomeMy WebLinkAbout632 Lopez AVE - Building ELEMUCALVERMIT . �
CITY of PmT ANGELES N
360-4174735 - a
Application Number . . 20-0,0001401 Date 12/29/20
Application pin number . . . 751200 4
Property Address . . . . 632 LOPEZ AVE
ASSESSOR PARCEL NUMBER: 06-30-10-5-2-1400-0060-
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
Owner Contractor
--------- - -
LUCAS JAMES DUFFY BURNS BLACK DIAMOND ELECTRICAL CONTR
632 LOPEZ AVE 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(425) -315-2464 (360) 565-1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit; Pee . . . 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 NO/ 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 Total63.00 63.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the Cffy of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH-IN
FINAL a
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department N
31-1 E. 501 Street, Port Angeles, 'WA 983641 1
360.41T4735 1 wwiw.cityofpa.us I clectricalperinits�.cityofl)a.us
Project Address: 632 E Lopez
Project Description: Ductless
1Y] Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Burns Email
Mailing Address: Phone:425-315-2464
Name! BDE License: Blackec894D2
Mailing Address: Expiration Date:
Email: Phone:360-461-3957
PROJECT DETAILS
UM Unit Charge Quantity Tota1(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 $500 $
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 $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)
x
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(VI Owner ❑ Electrical Contractor/Administrator) j
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]