HomeMy WebLinkAbout125 E 11th ST - Building tJC
i 7-4735
' Application number . _ . . . 20-00000355 DaREMRPSTATE SALES TAX
Application-pin number 476250
Property Address 125 E 11TH ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06--30-00-0-3-2875-0000- to the City of Port Angeles
Application type description ELECTRICAL ONLY
Subdivision Name (Location Code 0502)
Property Use . . . . .
Property Zoning . . RS7 RBSDNTL SINGLE FAMILY
Application valuation . . 0
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-Application deec
Ductless
Owner Contractor
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ROBERT J AND ANNETTE K STRAND BLACK DIAMOND ELECTRICAL CONTR
138,E Sth ST 502 BLACK DIAMOND RD.
PORT"ANGSLES WA 98362 PORT ANGELES WA 98363
(602) 349-5016 (360) 565-1035
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Peremit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc DUCTLESS
Permit Fee 63.00 Plan Check Fee .00 _
Issue Date - 7/09/20 Valuation . 0-
Expiration Date 1/05/21
Qt-y - 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
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Permit Pee Total 63.00` 63.00 .00 .00
Plan Check Total .00 .00 .00 00
Grand Total 63.00 63:00 .00 .00
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INSPEMON TYPE DATE; RESULTS: INSPECTOR.
D I`CH
SERVICE
ROUGH-IN '
FINAL.
CON ENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
1`s a
REt,EIV ED
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us I etectricalpermits@cityofpa.us
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Project Address:
Project Description:
Single-Family Residential ❑ Duplex/ARU Building Square footage:
GMER INFP® i
Name: S"l'�-a�'o Email:
Mailing Address: Phone: x"3`�g—Ss 1C
Name: L License:
Mailing Address: Expiration Date:
Email: Phone: 3 Go-YCI-J-i S7
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IWM
Unit Charge Siam i y IgW(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 ) $Ise"
Each Additional Branch Circuit $5.00 $
Branch Circuits 14 $75.00 $
Temp.Service/Feeder 200 Amp. $93.00 $
Temp.Service/Feeder 201400 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 $ b
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 S ifica n nd PAMC 14.05.050 regarding Electrical Permit Applications.
3 16-2o 2 6 ,,,,
Date Print Name � igilature M Owner❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits c@cityofpa.us or faxed to 360.417.4711]