HomeMy WebLinkAbout2619 S RACE ST - Building (2) WALTERM ,
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Application Number 3.9-00001237- Date 8/IS/19
"Application pin number . . . 517014
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Address . . .. . . . 2619 S RACE ST
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AS=-PARCEL NUMBER: 06-30-10_5�1-0745-0000- on your excl a.tax fom
Application typedescription ELECTRICAL ONLY to the UY of Port AngeleS.
Subdivision Name . . . . . .
Property use (Locadon Code 0502)
Property Zoning RS7 RSSDNTL SniGLE FAj4jLY
Application valuation 0
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Application-ftec
DHP x2
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Owner Contractot
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Katie R,0szatycki_: BLACK DIANOW ELECTRICAL CONTR
2619 S RACE ST S02 BLACt-VIAMOM RD
PORT ANG91,8S NA 01067 T AXGSW� WA 98363
03 FoR
(366) 565�-,103S
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,Permit. . . . . . . ELECTRICAL ALTER kESIDENTI"
Additional desc
Permit Fee . . . . 68.00 -Plan Check Fed .00
Issue Date . . . . 8/15/19 Valuation . . . . 0
Expiration Date 2/11/20
Qty unit Charge pet Extension
A-"
1.90 S.000b Eck- CIR=_T_ S.00
1.00 63.0000 BCH Z'L-J�- B CXR W01 63.00
SSR
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7-7------
Fee summary Charged Paid Credited Due
----------------- -------- --- ---------- ---------- ---------- -
Permit Fee Total 68.100 68.010 .00 .00
Plan Check Total .00 .00 .00 .0,0
Grand Total 68.0110 68.00 00 .00
INSPECnON TYPE DATE. ROULTS: INSPECrOR:
DrrCH
SEPWICE'
ROUGH-IN
4,
FINAL
W�6)MONTHS'PROK tAST 24SPWnON
Date:
_,VOVW or Electrical Contractor X
-7,
TWA
-2 SF
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
PUblic Works and Utilities Department
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'-"1 1-1. 5th Strcct� PortAn-cle-s. NVA 98'0') AUs
)60.41'.475 \\,w.c1-t,,'ofPaJ1S :, C1CCt1-1C,1111C1-1111tS'0 C1tV0t'11aA1S
Project Address:2619 S Race
Project Description:Add circ for ductless x2
In Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Roszatycki Email:
Mailing Address:2619 S Race Phone:360-461-6463
ELECTRICAL CONTRACTOR INFORMATION
Name: Black Diamond Electrical License:BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
item JQW(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 1 $ 5
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 CircuittLimited 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 Squam Feet $12D.00 $
Each Addititinal 500 square feet" $40.00 $
Each Ojftj"V I Detached Garage $74.00 $
Each Swirnming Pool I Hot Tub $110.00 $
TOTAL $ 68
Owner as defined by RCW.1 9.28.261:(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.
8-2-2019 Benjamin Shamp
Date Print Name Signature(JZ Owner [-] Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalperm its@cityofpa.us or faxed to 360.417.4711]