HomeMy WebLinkAbout - Building (28) ]8tketWCAL EER1 T .. .�
CITY OF-PORT ANGELES -
360-417-4735
Application Number 20-00000929 Date 10/29/20
Application pin number . . 807847
Property"Address . . . 734 W 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7335-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . .
Property Use . . . . .
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . 0
----------------------------------------------------------------------------
Application desC
------ ----------- - -- -1 ---------------------
Owner Contractor
KELSI DEBORD BLACK DIAMOND ELECTRICAL CONTR
PO BOX 1143 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-1035
-----------------------------------------------------------------------------
Permit. . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63,00 Plan Check Fee .00
Issue Date 10/29/20 Valuation . . . . 0
Expiration Date 4/27/21
Oty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee summary TChargedw -- Paid - Credited Due
-Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 00
ATPORT SALES TAX
on your excise tax form
to,the City of Port Angeles
(Location Code 0502)
INSFEC TION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN p
FINAL
COMMENTS:
PERMff WILL EXPME SIX(6) FROM LAST INSPECT N
Signatnre of owner or Electrical Contractor X Date:
GAEXCRANGESUMDING
1 - 2 SINGLE-FAMILY -
ELECTRICAL PERMIT APPLICATION 3
Public R/orks and Utilities Department N
321 E. 5th Street, Port:Angeles, NVA 98362 G
360.417.4735 1 v«ww.cityofpa.us I electricalpermitsL.cityofpa..us
Project Address: 734 W 12th
Project Description: Ductless
Ll Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER I ' •
Name: Uavvyer Email:
Mailing Address: Phone:-253-365-0343
ELECTRICAL CONTRACTOR INFORMATION
Name: BDE License: BLACKEC894D2
Mailing Address: Expiration Date:
Email Phone:360-461-3957
PROJECT
ltgm Unit Charge MEW (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. $26200 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/'Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 1' $
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-1&2`DU. $64.00 $
Manufactured Home Connection.• $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00-1 $
Thermostat(Note: $5 for each additional) $56.00 ,_ $
TOTAL $
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 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.
10-28-2020 Benjamin Shamp
Date Print Name Signature(;6 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]