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ELEGAL P1 +IIT Q
CITY tZT ANGELES. ... : �-
31417-4735
Application Number . . 20-00001367 Date 12/10/20
Application pin number 577353
Property,Address . . . . 1418 S CEDAR ST
ASSESSOR PARCELNUMBER: 06-30-00-0-4-1780-0000
Application type description ELECTRICAL ONLY
Subdivision Name . .
Property Use . . . . . . . .
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . 0
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Application desc
Ductless
Owner Contractor
JOSS DIAZ BLACK DIAMOND ELECTRICAL CONTR
1418 S CEDAR ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983627518 PORT ANGELES WA 98363
(907) 654-9935 (360) 565-1035
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Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . 63.00 Plan Check Fee . .00
issue Date . . 12/10/20 Valuation 0
Expiration Date 6/08/21
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-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 63.00 .00 .00
REPORT SALES TAX {
on your excise tax form 1
to the City of Port Angeles
(Location Cade 0502)
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN t Zp
FINAL �4 ,
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
S Wture of owner or Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
Project Address: 1418 S Cedar
Project Description: Ductless
Bing|m'FomUyRaaidenda| [] Dup|mx/ARU Building Square footage:
OWNER INFORMATION
Name: Diaz Email:
Mailing Address: phone:8O7~U54-gA35
ELECTRICAL CONTRACTOR INFORMATION
Name: BOE Lioenom: BLACKEC8D4O2
Mailing Address: Expiration Date:
Email: phona:38O-461-3857
PROJECT DETAILS
Item Unit Charae Quantity Total(Quantity x Unit Charge)
Service/Feeder 200Amp $120.00 $_________
Service/Feeder 201-400Amp. $14l00 s_____----
Service/Feeder 4O1-600Amp. $205.00 $________
Service/Feeder OO1'1UOOAmp. $282.00 $______--_
Service/Feeder over 1000Amp. *373.00 $______—_'
Branch Circuit wW Service Feeder *5.00 $_________
Branch Circuit W/O Service Feeder $83.00 � $____—_----
EachAdd|hono|BrnnchCimuir $5.00 $
Branch Circuits 14 $75�00 $________
Temp.Service/Feeder 2O0Amp. $93.00 $________'
Temp. Service/Feeder 2O1-40VAmp. *110.00 $______--_
Temp Service/Feeder 4O1-8OOAmp. $149.00 $
Temp. Service/Feeder 6O1-1OOOAmp. $188.00 $
Portal ho Portal Hourly $96.00 $
Signal Circuit/Limited Energy-1&2 DU. $64.00 $_________'
Manufactured Home Connection $120.00 $________
Renewable Elec. Energy:5PVA System orless $102.00 $______--_
Thermostat(Note:$5 for each additional) $56�00 $_________
. ' Each QAuftit
Gairage .00
TOTAL $ 63______.
OwnerasdafinedbyRCVK1S28281� (1)OwnerwiU occupy the structure fo,mv years after this electrical permit io finalized.(2)Owner is
required 1n hire an electrical contractor if above said property is for sale, rent nr lease. Permit expires after six months uf last inspection
After reading the above statement, |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,TheCityofPort Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
11-25-2020 Benjamin Shamp