HomeMy WebLinkAbout536 W 11TH ST - Building (3) ELEctwm PERmrr
CHY OF.PORT ANGELES
360417-4735
Application Number . . . . . . 17-00000847 - Date 6/23/17
Application pin number . . . 037975
Property Address . . . . . . 536 W 11TH ST REPORT STATE SALES T"
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4840-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Locadon Code 0502)
Application valuation . . . . 0
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Application desc
New home
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Owner Contractor 4 i
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ERIC J AND JILLIAN MUNGER BLACK DIAMOND ELECTRICAL CONTR
536 W ELEVENTH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . . . ELECTRICAL NEW RESIDENTIAL
Additional desc . .
Permit Fee 160.00 Plan Check Fee 100
Issue Date . . . . 6/23/17 valuation . . . . 0
Expiration Date 12/20/17
Qty Unit Charge Per Extension
1.00 120.0000 BCH tL-R-SOFT FIRST 1300 120.00
1,00 40.0000 BCH EL-R-SQFT ADDITIONAL 500 40.00
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Fee summary charged Paid Credited Due
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Permit Fee Total 160.00 160.00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 160.00 160.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR;
DITCH
SERVICE'
ROUGH-IN
FINAL
CONIN[ENTS: Ze
PERMIT WILL EXPIRE SIX(6)MONIM FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
?OR
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections I wc-
321 East Fifth Street— Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711
Date: (,'-2,o -
-V eK, &2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Information Sheet
Job Address: tS t-� t
Building Square Footage:
Description of above J
Owner Infporrpation Contractor Infpspatiot
Name:— NAAJ. :(Nj LZ 2WI Name:
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone: Fax: Phone: Fax:
License#/Exp.— License#/Exp. ;?(AnCeLf�EC M"VZ
Item Unit Charg QtV Total(Qty Multiplied by Unit Char-ge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201400 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 VV/Service Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $ ---
Branch Circuits 14 Only $ 75.00 $
Temp.Service/Feeder 200 Amp. $ 93.00 $ 1 -7
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 Houdy $ 96,00 $—
Signal Circuit/Limited Energy-1 &2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $—
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 Y 0
Each Outbuilding or Detached Garage $ 74.00 $—
Each Swimming Pool or Hot Tub $110.00 s-
Total �Oelo
Owner as defined by RCK 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 296-468,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit AWlications.
Signature of o�pVr,e[�trlcal contractor or electrical administrator: 0 Cash heck
0 Credit Card#
x Dated: 7 0210612012