HomeMy WebLinkAbout1408 E 3rd ST - Building (2) ELLW MwAL PEA"
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CITY 0#PORT ANGELES
36()-417-4735
Application Number 20-00001366 Date 12/10/20
Application pin number . . 497194
Property Address . . . . . 1408 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-6-0041-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . I . . .
Property Zoning . . RS7,RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Ductless
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Owner Contractor
LAWRENCE,MARY BLACK DIAMOND ELECTRICAL CONTR
1408 E 3RD ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983622513 PORT ANGELES WA 98363
(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
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
Z'C 7,J
COMMENTS:
PERMIT WILL,EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
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Signature of owner or Electrical Contractor X Date:
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iii=1 1-2 SF
CTRICAL PERMIT APPLICATION
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Public Works and Utilities Department
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Project Description: Ductless
m� Sing|e'Fomi|yRaoidonda| [] Oup|ex/ARU Building Square footage:
OWNER INFORMATION
Name: Laurence Email:
Mailing Address: phonu:3GO-457-5QG4
ELECTRICAL CONTRACTOR INFORMATION
Name: BDE License: 8LACKEC894O2
Mailing Address: Expiration Date:
Email: phone: 30O-461-3S57
PROJECT DETAILS
Item Unit Charge Quantily Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. m20�00 $_____
Service/Feeder 2O1-4OU Amp, *14I00 $___-___-_
Service/Feeder 4O1-60OAmp. $205.00 $_____----
Service/Feeder 0O1'1O0UAmp. $262.00 $
Service/Feeder over 1O0OAmp. s373.00 $______--_
Branch Circuit Vm Service Feeder $5.00 $-_____---_
Branch Circuit W/O Service Feeder $63.00 � $
EachAddihona|0nonuhCinouh *5�00 $________'
Branch Circuits 14 $75.00 $______--_
Temp.Service/Feeder 2OOAmp. $93.00 $
7emp, Service/Feeder 20140OAmp. $110.80 $__-_____
Temp. Service/Feeder 401-GDD Amp. $148.00 $______-__
Temp Service/Feeder 6O1'1OODAmp. $160.00 *________
Portal ho Portal Hourly $96.00 $______-__
Signal Circuit/Limited Energy-1&2 DU. *04.00 $___--____
Manufactured Home Connection $120.00 $
Renewable Elec. Energy:5KVA System o,less $10Z00 $
Thermostat(Note:$5 for each additional) $58.00 $_____---_
Fimst4300,Squawamewt �
EackAddiltimal 5W square feet" . � $4D.Oq
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TOTAL $ 6��______
Owner as defined by RCW.19.28,261:il)Ownerwill occupy the structure for two years afterthis 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-
466, The City of Port Angeles Municipal Code. and Utility Specifications and PAMC 14O5O5O regarding Electrical Permit Applications.
Benjamin11-25-2020 Shamp
Date Print Name Signature(V owner [:] Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]