HomeMy WebLinkAbout2109 W 14th Street - Building y _ IMP 271
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fiL CAL PFR,Mr ,'
CrTY DE PORT ANGELES Q
360-417-4735 4
Application Number . . . . . 20-00001054 DaCWFORT26"TATESALES TAX
Application pin number . . 291928 r+ �j)(CS@X7f/17(//"
Property Address 0on. . . . . . 2109 W 14TH ST y
ASSESSOR PARCEL NUMBER: 06-30-01-6-0-3200-0000- to the City of Port Angeles "
Application type description ELECTRICAL ONLY Subdivision Name . . (Location Code 02)
Property Use . . . . . . . .
Property Zoning . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . 0
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Application desc
DHP
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Owner Contractor
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NEIL A / JENNA K CRUKLEY BLACK DIAMOND ELECTRICAL CONTR
2109 W:14TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983635120 PORT ANGELES WA 98363
(360) ,640-2207 (360) 565-1035
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w Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee, 63.00, Plan Check Fee .00 .
Issue Date . . . . 9/18/20 Valuation . . . . 01
Expiration Date . 3/17/21
Qty • 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 _a_Paid_ - Credited TDue
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Permit Fee 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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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
i
SERVICE
ROUGH-IN
FINAL
CON ENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY w
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street. Port Angeles, 98362
360.4l 7.47.35 1 A,-w tir.cityofpa.us 1 electricalperinits a,cityofpa.us
Project Address: 2109 W 14th
Project Description: Ductless
n Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Crumley Email
Mailing Address: Phone:360-477-6889
CONTRACTOR • " ' •
Name: BDE License: BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone:360-461-3957
PROJECT
1WM Unit Charge Quapjjly jQW(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 1 $
Each Additional Branch Circuit $5.00 $
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 $9600 $
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) $5600 $
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TOTAL m$ 6
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.
8-28-20 Benjamin Shamp
Date Print Name Signature(;6 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]