HomeMy WebLinkAbout1301 Samara DR - Building 57
ELE T CAL.PERMIT ..
` CITY OF#ORT ANGELES
360-417-4,735 - -
Application Number . . 19-00001932 Date 12/06/19
Application pin number 583900 REPORT STATE SALES TAX
Property Address . . . 1301 SAMARA DR on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-01-5-8-0150-0000
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . (Location Code 0502)
Property Use . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . 0
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Application desc.
DHP--------------------------------------------------------------------
Owner Contractor
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DANIEL R AND DEBRA J MANGANO BLACK DIAMOND ELECTRICAL CONTR
1937 E MADDOCK 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 452-2082 (360) 565-1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 63.00 Plan,Mick Fee +. .00
Issue Date 12/06/19 Valuation 0
Expiration Date 6/03/20
Qty Unit Charge Per Extension
1.00 63..0000 ECH EL-R- BRANCH CIR WO/ 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 Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY *1 (Dr ,
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 F. 5th Street, Port Angeles, WA 98362
(FBI 360.417,4735 i www.cityofpa.us? electricalpermits@cityofpa.us ► 1
Project Address: V J Or S? I t A-A.A, N
Project Description. VUC-TZ-Ess *Ae
Single-Family Residential ❑ Duplex/ARU Building Square footage:
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Name: Email:
Mailing Address: Phone: 3140_71-7
Name: 'L- License:
Mailing Address: Expiration fi 0,Date:
Email: Phone: Z6/�—�-?'Tr7
PR
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Unit 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 $
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 Circuiftimited 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 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet` $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $
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 Mu ' ipal Code,and Utilit p ifi tions and PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Kame '�7Signature to Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electrica permits@cityofpa.us or faxed to 360.417.4711]