HomeMy WebLinkAbout1735 W 6th - Building ELECT&W,CAL PERMt r O�
CITY OF PbRT ANGELES
360,417-4735
Application Number . . . . 18-00001561 Date 10/16/18
Application pin number . . . 976120 REPORT STATE SALES TAX
Property.Address . . . . 1735 W 6TH ST on your eXClSe tax form
ASSESSOR PARCEL NUMBER, 06-30-00-0-1-4255-0000-
Application type description ELECTRICAL ONLY t0 the Cityy-of Port Angeles
Subdivision.Name
Property Use . (Location Code 0502)
Property Zoning . . UNKNOWN
Application valuation . . . . 0
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Application desc
Ductless heat pump
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Owner Contractor
TINA GALLON AND KURT R LAUBENH BLACK DIAMOND.ELECTRICAL CONTR
1735 w 6th $02 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 808-9225 (360) 565-1035
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Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . 10/O5/18 Valuation 0
Expiration Date 4/03/19
Qty Unit Charge Per Extension
1.00 63.0000 BCH RL-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 63.0.0 .00 .00
INSPECTION TYPE LATE. RESULTS. INSPECTOR
DITCH
SERVICE
ROUGH-IN
FINAL.
CON04ENTS:
PERMrf WILL OTME SIX(6)MMMM FROM LAST INSPWMN
Signature of own-or or Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
32| E5dh Street, Port Angeles, WA903h2
360.4174735 | p/*w.olhxofpauo I e|cch|ua|pernnitsCachvofa.us
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Project Address: /
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p�a�De�h�m : a e- v
EJ Single-Family Residential >1,Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration
Email: Phone:
PROJECT DETAILS
Unit Charce Quantify Total(Quantity x Unit Charge)
Service/Feeder 20Amp, $120VO _ $_____
Service/Feeder 20-400 Amp� $146,00 $______
Service/Feeder 401-B]0Amp. $20500 $_________
Service/Feeder O01'1OOOAmp. $202.00 $_________
Service/Feeder over 1000Amp. $375.00 $
Branch Circuit NKService 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 2OVAmp. $3100 $_________
Temp,Service/Feeder 201-4O¢Amp. $110.00 $_________
Temp.Service/Feeder 401-G0AAmp. $149.00 $_________
Temp. Service/Feeder 001'1DOOAmp. *168.00 $_________
Portal to Portal Hourly $96.00 $_________
Signal Circuit/Limited Energy'1&2DU. *6400 $_________
Manufactured Home Connection $120M $_________
Renewable Elec Energy:6RVA System urless $102.00 $_________.
Thermostat(Note:$5 for each additional) $56.00 $____
Finst13O0 Square Feet $120.00 $_~________
Each Additional 5O$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 afterthis electrical permit is finalized.(3)Owner is
required hu hire an electrical contractor if above said property is for sale,rent ur lease, Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that h licensed electrical contractor. i
46B,The City of Port Angele nicinabCode,and Utility ecifi i s d PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Name tu re Owner M Electrical Contractor/Administrator)
PIN\
[Electrical Permit Applications maybe sub�tted/ityH Ilorepermits@cityofpa.usorfaxedto360.417.4711]
am making the electrical installation or alteration in complia itht eles-lelcal laws,N.E.C.,RCW Chapter 19.28,WAC.Chapter 296-
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