HomeMy WebLinkAbout2230 E Lindberg Road - Building 4 `3, 4�'ksc'
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ELA PERMIT
CITY � T ANGELES
7-4'735
Application Number . . . 21-00000482 Date 4/13/21
Application pin number . . . 104746
Property Address . . . . . 2238 E LINDBERG RD
ASSESSOR PARCEL NUMBER: 06-30-13-2-1-0110-1000-
Application type description ELECTRICAL ONLY
Subdivision Name . .
Property Use . . . . . . .
Property Zoning . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . 0
--- ----Application desc
Furnace / HP
Owner Contractor
MANTOOTH.:JAMES/ROBERTA,TRUST BLACK DIAMOND ELECTRICAL CONTR
2230 E LINDBERG RD. 502 BLACK DIAMOND RD
PORT ANGELES WA 98362, PORT ANGELES WA 98363
(360) 565-1035
Permit` . . . ELECTRICAL ALTER RESIDENTIAL
- Additional desc .
` Permit Fee . . . 73.00 Plan Check Fee 00
Issue Date . . . +4/23/21 valuation 0
Expiration Date 10/20/21
• 0ty Unit Charge Per Extension
2.00 5.000o BCH EL-ECH ADDNT BRANCH CIRCUIT 10.00
1.00 63.0000 ECH EL-R- BRANCH CIR NO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
-- - - - -- ----- ----- - - -- -- -
Permit -Fee Total 73.00 73.00 .00 .00
Plan Check Total .00 .00 .00 .00'
Grand Total 73.00 73.00 .00 .00
REMRT SALES TAX
- on your excise tax form
to the City of Port Angeles
jLocadon Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROU1311-IN �e.)
FINAL
COMMENTS: '
PERMrr WILL EXRM SIX(6)MONTHS PROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGIIBUILDING
1 - 2 SINGLE-FAMILY CD
ELECTRICAL PERMIT APPLICATION 3
Public lh'orks and Litilities Department
321 E. 5th Street, Port Angeles, WA.98362 360.417.4735 1 www.cityofpa.us I e I ectric a I perm its&cityofpa.us 1
Project Address:2238 E Lindberg \ ,
Project Description: Furn/HP and HP
n Single-Family Residential O Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Mantooth Email:
Mailing Address: Phone:360-477-0782
�LECTRICAL CONTRACTOR INFORMATION
Name: BDE License: blackec894d2
Mailing Address: Expiration Date:
Email: Phone:360-461-3957
PROJECTDETAILS
UM 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 $500 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 2 $
Branch Circuits 14 $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. $64 017 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note: $5 for each additionai) $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.
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.
4-20-2021 Benjamin Shamp
Date Print Name Signature(;6 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]