HomeMy WebLinkAbout529 E 12TH ST - Building (2) IT
s
ELEC HERMIT
C3 ANGELES -
..
36044 35
Application;Numb6r 20-00000260 Date 2,/21/20
Application pin number . . . 008480 REPORT STATE SALES TAX
Property Address . 529 E 12TH ST On your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-3942-0000-
cation type description ELECTRICAL ONLY to the City of fort Angeles
vision Name (Locafto Code 0502)
Property Use . . .
Prop4xty Zoning . . . . . . - RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application dose
Panel replacement
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Owner Contractor
YUNHANG'CIM AND JIM LTANG , BLACK"DIAMOND ELECTRICAL CONTR
200'COLONIAL HOMES DR 502 BLACK DIAMOND RD
APT 102 PORT ANGELES WA 98363
ATLANTA GA 30339 {360) 565-1035
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Permit . . ELECTRICAL ALT$R,RESIDENTIAL
Additional desc .
Permit Fee . . 120.00 Plan Check Fee .00
Issue Date . .«. 2/21/20 Valuation . 0
Expiration. Date 8/19/20
Oty Unit Charge-',. Per- Extension
1.00 120.0000 BCH EL-0-200 SRV FEEDER 120.00
Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 '120.00 .00 .00
Plan Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00`
INSPECTION TYPE DATE; RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX,(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department x4�/
321 E. 5Lb Street, Port Angeles, WA983b2 ^/
300.4174735 | vv*w.oityoFha.ua | c|ccbicu|perm/itsCa)ci ohpu.uu
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Pn� �� Addneae: ~���~
k,Pro ect Description: PAJ L 'SLI_�
ingle-Family Residential 0 Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Mailing Address:
Email: Phone:
PROJECT DETAILS
item Unit Charae Quantity 191LI(Quantity x Unit Charge)
Service/Feeder 2U1-400 Amp. $146.00 $______
Service/Feeder 4O1-6OU Amp. $20500 $______—__
Service/Feeder 0O1'1OOOAmp. $20200 *_________
Service/Feeder over 1UUUAmp. $373.00 $_________
Branch Circuit wW Service Feeder $5.00 --_---_ *_________
Branch Circuit W/O Service Feeder $6300 $__________
Each Additional Branch Circuit *5.00 $__________
Branch Circuits 14 $75.00 $_______
Temp.Service/Feeder 2UVAmp. $93.00 $_________
Temp. Service/Feeder 2O148UAmp. $110.00 $__________
Temp. Service/Feeder 4O1'8OOAmp. $149.00 $________
Temp. Service/Feeder OO1-1OD0Amp. $108.00 --__--- $_________
Portal tn Portal Hourly $96.00 $_________
Signal Circuit/Limited Energy'1&ZDV. $64.00 *______--_'
Manufactured Home Connection *120.00 $__________
Renewable Elec. Energy:5KVA System orless *102,00 --___— $_______—_
Thermostat(Nota:$5 for each additional) $50.00 $—________
First 13OD Square Feet $120.00 $________
Each Additional 58V square feet" *40.00 $_________
Each Outbuilding/Detached Garage *74.00 $_____--__
Each Swimming Pool/Hot Tub $110.00
TOTAL
Owner as defined by RCW 19.2&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 | ct i l installation or alterationin compliancewith p unicip I Code,and Utilit and PAMC 14.05.050 regarding Electrical Permit Applications.
"a= Print Name ~ siayu*w/e Owner n Electrical Cwnuactv/'Anmm,mramn �
OElecthcm Pern�tApp��Uonamoybenubm�edtoChyHaUor�|a�hd#pennha@cdyofpnuoov faxed boDS0.4174711]