HomeMy WebLinkAbout2802 S Laurel Street - Building ELECTRWAL PERMIT
CITY OF PORT ANGELES
360-417-4735 GI
Application Number 20-00001316 Date 11/20/20
Application pin number . . . 735052
Property Address . . . 2802,S LAUREL ST
ASSESSOR PARCEL NUMBER: 06-30-16-5-0-0600-0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
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Owner Contractor
GRUVER, RAYMOND A & PENELOPE BLACK DIAMOND ELECTRICAL CONTR
2802 S LAUREL ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983626909 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 . . . . 11/20/20 Valuation 0
Expiration Date . . 5/19/21
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 tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL 2�
COMMENTS:
PERMrr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEMON
Signature of owner or Electrical Contractor X Date:
WEXCHANGEWILDING
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1 - 2 SINGLE-FAMILY _ CD
ELECTRICAL PERMIT APPLICATION -
Public Works and Utilities Department
Q
321 E. Sth Street, Port Angeles, WA 98362 �
360.417.4735 1 www.cityofpa.us 1 electricalpermits,�citvofpa.us
Project Address:2802 S Laurel
Project Description: Ductless
Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Gruver Email:
Mailing Address: Phone:3604602356
CONTRACTOR INFORMATION
Name: BDE License: BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone: 3604613957
PROJECT DETAILS
lfgro 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 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;D0 $
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 $
> m µ
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.
11-13-20 Benjamin Shamp
Date Print Name Signature(;6 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]