HomeMy WebLinkAbout1122 Olympus AVE - Building ELE�P tmff
CITY OF PORT ANGELES
360-417-4735
Application Number , . . 20-00001302 Date 11/13/20
Application pin number . . . 806304
Property Address . . . . 1122 OLYMPUS AVE
ASSESSOR PARCEL NUMBER: 06-30-14-5-4-0127-0000
Application type description ELECTRICAL ONLY
subdivision Name
Property Use
Property Zoning . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . 0
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Application desc
DHP
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Owner Contractor
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MATTREW /. KIMBERLY LUKER BLACK DIAMOND ELECTRICAL CONTR
141 LAKE DAWN RD 502 BLACK DIAMOND RD
PORT ANGELES WA 983622735 PORT ANGELES WA 98363
(360) 808-7900 (360) 565-1035
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Permit. . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit' Fee . . . 63.00 Plan Check Fee .00
Issue Date 11/13/20 Valuation . . . . 0
Expiration Date . 5/12/21
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 6300 - 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 2
FINAL
COMMENTS:
PERMIT WIU EXPIRE SIX(6)MONI`HS FROM LAST INSPECMN
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY CD
ELECTRICAL PERMIT APPLICATION 3
Public 'Works and Utilities Department
321 E. 5th Street, Port Angeles. 98362 �
360.417.4735 1 wwu,.cityofpa_us I electricalperinits(&cityofpa.us
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Project Address: 1122 Olympus Ave
Project Description: Ductless
n Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Luker Email:
Mailing Address: Phone:=360-808-7900
Name: BDE License: BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone: 360-461-3957
PROJECT DETAILS
Lt!<m wit Charge. 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 addtion8O $56.00 $
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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.
11-10-2020 Benjamin Shamp
Date Print Name Signature(; Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]