HomeMy WebLinkAbout - Building (43) n
AIC"PERMU
00
• 3G��'�-4�'35 �
Application Number . . . : . 20-00000981 Ds,
as� � � Tim
Application pin number 892515 on your eXC/3e,&X form
Property ➢►ddress. . . . . . . 2621 .S LAUREL ST
ASSESSOR PARCEL NUMBER: 06-30-10-5-0-0540-0000-._ to the City of Port Angeles
Application type description ELECTRICAL ONLY (LOCat%0/1 Code 05t1Z)
Subdivision Name . . . .
Property Use
Property Zoning . . . . RS7 RESDNTL"SINGLE FAMILY
Application valuation . . . 0
---------------------------------------------------------------------
Application desc
DHP x 2
----------------------------------------------------------------------------
Owner Contractor
JOSEPH'D ANGELL & MAILASU BAI BLACK DIAMOND ELECTRICAL CONTR
2621 -S. LAUREL ST 502 BLACK DIAMOND RD
PORT ANGELE3 WA 98362 PORT ARMES WA 98363
(720) 260-2190 060) 565-1035
------------ -- -- -
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
`Permit Pee . . . . 68.00 Plan Check Fee .00
sssue Date . . 10 ov& 0 valuation 0
Expiration Date 4/05/21
Qty Unit Charge Per Extension
1.00 5.0000 ECK. EL-E0E AI?DNT BRANCH. CIRCUIT 5.00
100 63.0000 *CFI EL-R- BRANCH CIR WO/ SER FEED 63.00
----^Fee+Summary ------ Charged- - Paid Credited Due
^------------- ---------- --y -----
Permit Pee Total 68 00- 68.00 .00 .00
Plan Check Total 00 -.00 .00 .00
Grand Total 68.00 68.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
i
DITCH
SERVICE
ROUGH-IN �
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX(6)MO�MFROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
'�_,=;„ �' � r"7y'`�,.���� �•`,.;'� X�^t�"�:; c '" "� 'tit�>� x,..: T s �� :
> ,
s �� ;,1
M.
-. M . .
�,
�n.�>�, .. -. e
�,
_ ,: - - ,;
.. _ _
. r. _
l
1 - 2 SINGLE-FAMILY - CD
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department 0
321 E. 5th Street, Port Angeles. NNA 98162
360.417.473-5 1 u-ww.cityofpa.us j electric alpen-nits( cityofpa.us
Project Address:2&1 S Laurel
Project Description: Ductless x2
n Single-Family Residential ❑ Duplex/ARU Building Square footage:
INFORMATION
Name: Angell Email:
Mailing Address: Phone:720-260-2190
ELECTRICAL CONTRACTOR INFORMATION
Name: BDE Licenser BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone:360-461-3957
jYgm Unit Charge Quantity Totai(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 $
Each Additional Branch Circuit $5.00 1 $
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 $
Thermostat(Note $5 for each additional) $56.00 $
AR'"�.` +mow^•,ti, �. � S U �Y�1��� w T �k :s!1 yt,� 1
TOTAL S 6
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.
8-26-202o Benjamin Shamp
Date Print Name Signature(;6 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electrical permits@cityofpa.us or faxed to 360.417.4711]