HomeMy WebLinkAbout929 E 5TH ST - Building (2) CITY C)F pOI T ANELES
360-417-4735
Application Number . . 20-00001105 Date 9/29/20
Application-pin number . 840945 REPORT SALES TAX
Property Address . . . . . . 929 E 5TH ST on your excise tax fam
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7685-0000 - t0 the City of Port Al19ei@S
Application type description ELECTRICAL ONLY - 1
Subdivision Name . . . (LOCa n QW9 0502)
Property Use . . . .
Property Zoning . . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
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Application desc
i
DHP
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Owner Contractor
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SHANDRA CASAD BLACK DIAMOND ELECTRICAL CONTR
929 -E 5TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983624112 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional dear .
Permit Fee 63.00 Plan Check Fee .00
Issue Date . . . 9/29/20 valuation . . . . 0
Expiration Date 3/28/21
Qty Unit Charge, Per Extension
1.00 63.0000 ECH- EL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
Permit TFee-Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINALsr-s>
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEC11ON
Signau=of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY CD
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us I electricalpermits�z,cityofpa..us
Project Address: 929 E 5th
Project Description: Ductless
n Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Richard Builders Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: BDE License:BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone:360-461-3957
PROJECTDETAILS
11:�J11 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 $
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. $6400 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
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.
9-28-20 Benjamin Shamp
Date Print Name Signature(VI Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]