HomeMy WebLinkAbout - Building (100) ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number 21-00000080 Date 2/22/21
Application pin number 674240
Property Address . . . . 1530 W 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2620-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . .
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
_y-Appl,ication desc
DH
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Owner Contractor
THOMSEN MARCUS L BLACK DIAMOND ELECTRICAL CONTR
1530-W. 4TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98363 PORT ANGELES WA 48363
(360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 2/22/21 valuation . . . . 0
Expiration Date . . 8/21/21
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 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
to-the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL '
COMMENTS:
PERMIT WILL E"M SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor Date:
GAEXCHANGE\BUILDING Y
1 - 2 SINGLE-FAMILY CD
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department N
321 E. 5th Street, Port Angeles, NVA 98362.
360,417.4735 1 wtivw.cityofpa.us ` electricalpermits(i4.cityofpa.us O
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Project Address: 1530 w 4th All Weather
Project Description: Ductless
n Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Thomsen Email:
Mailing Address: Phone:360-808-0979
ELECTRICAL CONTRACTOR • ' •
Name: BDE License- blackec894d2
Mailing Address: Expiration Date:
Email: Phone: 360-461-3957
PROJECT
&M Unit Charge Quantity Total(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 $
Branch Circuits 1-4 $7500 $
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=l&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.Qt) $
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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.
1-14-2021 Benjamin Shamp
Date Print Name Signature(;f Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
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