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HomeMy WebLinkAbout129 W PARK AVE - Building (2) . ALE 1ITfi WK, CITY Off`0(*T ANGELES K 360 , 17-4' 35 $pplication Number . . . . 19-00001236 Date 8/15/19 ,-Appl#ation pin number 3s159aREPORT STATE Sa4L 7'AX Property Address . . . . . 129 W PARK AVE on your @XClS@ tax form PARCEL NUMBER: 06-30-1)9-5-2-3657-0000- Appi.ication type description ELECTRICAL ONLY to the City of Port Angeles subdivision:Name' Property Use (Location Code 0502) '- Property Zoning;.. RS7 RESDMTL SINGLE FAMILY Application valuation ., 0 Applicai :•ceiC DHP Owner Contractor ---------- ------------- TRACY ALLEN BLACK DIAMOND ELECTRICAL COMM 129 W PARK AVE 502 BLACK DIAMOND 'RI3 PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 417-3113 (360) 565-1035 --- --------------- Permit . . . . ELECTRICAL ALTER RESIDENTIAL 'Additional desc Permit.Fee . . . 63,00 Platin Check Fee .00 Issue Date . . 8/15/19 Valuation 0 Expiration Date 2J11/20 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 Tee Total 63:00 63.00 .00 ---.00 Plan Check Total' D0' .00 .00 .00 Grand Total 63.00 63.00 •00 :00 I INSPECTION TYPE DATE: RESULTS- INSPECTOR: i DITCH SERVICE ROUGH-IN FINAL COh04ENTS PERMIT wiL L EXPIItE six{6)MOMMFRom LAST.NSPwmN Signature of owner of Elwtkatc6obuctor X Date: _. ..� > -., ' '., ,. �.: l II I I I i I � . I { i L: .-.:�' _ ,. 1 - 2 SINGLE-FAMILY OR f ELECTRICAL PERMIT APPLICATION ' E(,Er Public. \Vorks and Utilities DepartmentA Uri 13101 'SJ 3?1 F. nth Street. Port Angeles. SVA 98362 1 360.417.4735 www.citvofpa,Lis electricalpermits« citvotja.us Project Address: 129 W Park Project Description:Add circ for ductless lO Single-Family Residential ❑ Duplex/ARU Building Square footage: OWNER INFORMATION Name: Allan Email: Mailing Address: 129 W Park Phone:360-461-5342 ELECTRICAL CONTRACTOR INFORMATION Name: Black Diamond Electrical License:BLACKEC894D2 Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS ARM Unit Charge Quanft IQW(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 $ 63 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-182 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 $ Fir#1300 Square Feet $120.00 $ E*Additional 500 squame feet" $40.00 $ Each OuttioukroV/Detached Garage $74.00 $ Each Swimming Pool/Hot Tub $110.00 $ TOTAL $ 63 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 afteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296- 466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 8-2-2019 Benjamin Shamp Date Print Name Signature Q Owner ❑ Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111