HomeMy WebLinkAbout624 W 13th ST - Building (2) ELEcriu(CAL P$RNIIT / {�
CITY OF PORT ANGELES � � 1'
31W4174735
Application Number _` 20-00000541 DaREMR12 6 TATE SALES TAX '
Application pin number . . . 744486
Property Address 624 W 13TH ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-9225-0000- to the City of Port Angeles
Application type description ELECTRICAL ONLY
subdivision Name (Location Code 0502)
Property Use . .
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation, 0
Application desc
Garage / Micro,
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,zz� 91
Owners'() L1 � ( � antractor
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MILLER BRUCE A/KRISTIB BLACK DIAMOND ELECTRICAL COMM
624 W 13TH-ST 502 BLACK DIAMOND RD.
PORT ANGELES WA 983627S07 PORT ANGELES WA 98363
(360) 565-1035
--- Fermit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75,00 Plan Check Fee .00
Issue Date . . 5/20/20 Valuation . . . . 0..
Expiration Date 11/16/20
4ty Unit Charge Per Extension
BASE FEE 75.00
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Fee summary Charged Paid Credited Due
Permit Fee Total -75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 •75.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH l IM
SERVICE.
ROUGH-IN 0 1
FINAL
CONMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEGMN
X Date:
Signature of owner or EleCtriOd Contracka 3
i
i
1 - 2 SINGLE-FAMILY
VORTj
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 ; www.cityofpa.us I electrical permits@cityofpa.us
Project Address:624 W 13th
Project Description: Garage power/Micro outlet
Ll Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Fall Email:
Mailing Address:624 W 13th Phone:
ELECTRICAL CONTRACTOR • - •
Name: Black Diamond Electrical License: BLACKEC894D2
Mailing Address:502 Black Diamond Rd Expiration Date:
Email: blackdiamondelectrical@gmail.com Phone:360-461-3957
PROJECTDETAILS
J�gm Unit Charae Quantity ]W(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. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy:5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet' $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $ 75
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.
5-17-2020 Benjamin Shamp
Date Print Name Signature(❑ Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]