HomeMy WebLinkAbout1035 W 12th ST - Building (2) ELECTRICAL PERMIT Q'
CITY OF PORT ANGELES
360-417-4735 �
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Application Number . . . 20-00001271 Date 11/13/20
Application pin number 041176 `—
Property Address 1035 W 12TH ST
ASSESSOR PARCEL NUMBER- 06-30-00-0-3-534570000-
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
KRISTINA ROBINSON BLACK DIAMOND ELECTRICAL CONTR
1035 W, 12TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 461-0009 (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
Oty 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 fax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN ,, %.A h
FINAL
COMMENTS:
PERMrf WILL EXPntE SIX(6)MONTHS FROM LAST INSPWMN
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 C. 5th Street, Port Angeles, WA 98362 ,
360.417.4735 1 wNvvv.cityofpa.us ( electricat perm its L�,cityofpa.us N
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Project Address: 1035 W 12th
Project Description: Ductless
E'-'] Single-Family Residential I] Duplex/ARU Building Square footage:
! INFORMATION
Name: Robinson Email'
Mailing Address: Phone:3604610009
ELECTRICAL CONTRACTOR: INFORMATION
Name: BDE License: BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
1tgln Unit Charge Quantity Tota1(Quantlty xUnit 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 additional), $56.00 $
TOTAL E tj3 w m -r
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.
1 1-2-2020 Benjamin Shamp
Date Print Name Signature(;d Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]