HomeMy WebLinkAbout221 N Race ST - Building (2) ELEC M.CAL PEPMT
CITY Of MRT.ANGELES
� I'�-4735
Application Number . 21-00000480 Date 4123/21
Application pin number . . . 913440
Property Address . . 221 N RACE ST
ASS$SSOR PARCEL NUMBER: 06-30-00-6-1-0314-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . .
Property Zoning . . . . . COMMERCIAL OFFICE
Application valuation 0
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-Application desc
Washer / Dryer
Owner Contractor
DANA L-ALDEN WE BLACK DIAMOND ELECTRICAL CONTR
3189%KAOHINANI DR 502 SLACK DIAMOND RD'
HONOLULU HI 96817 PORT ANGELES WA 98363
(360) 4521-2443 (360) 565-1035
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Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional. desc 1-4 CIRCUIT&
Permit Fee 75.00 Plan Check Fee .00
Issue pate . . . . 4/23/21 Valuation . . 0
Expiration Date 10/20/21
Qty 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
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 EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEBUILDING
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ELECTRICAL PERMIT APPLICATION 3
Public �N-"orks and Utilities Department
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Project Address: 221 N Race
Project Dryer/Wash Misc
r] Single-Family Residential 13 Duphex/ARU Building Square footage:
OWNER INFORMATION
Name: Mantooth Email:
Mailing Address: � , ~ * ^ " ` Phone:360'477'0782
ELECTRICAL CONTRACTOR INFORMATION
Name: BDE License:blackec894d2
Mailing Address: Expiration Date:
Email: Phone:360-461-3957
PROJECT DETAILS
Branch Circuit W/Service Feeder 15.00 $
Branch Circuit W/O Service Feeder $63,00 $
Each Additional Branch *5OO $ � ~
' '- �
Branch Circuits 14 � �
^ ~ ~-,�-_
Temp.Service/Feeder 2VUAmp. $93O� *
^ � ' � -
Temp. Service/Feeder 2O1'4O0Amp. $110.00' $'--_—____—'
Temp. Service/Feeder 4O1~G0OAmp.
Temp. Service/Feeder 601-1000 Amp. "$168.00
Portal xo Portal Hourly ,� ° ' ^� ��� � p�'° �� ��� '.��
SignalQrcuit/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) $
TOTAL $75
Ownoroo defined byRCVV1S28.2U1:(1)OwnerwiUuncupythe structure hvtwmyeors afterdhio electrical permit is finalized.(2)Owneris
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-
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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]