HomeMy WebLinkAbout106 W 6TH ST - Building (2) ELEC'E CAL PERMIT'
CITY PORT ANGELES
360-411-4735
Application Number . . . . 20-00001318 � " Date 11/20/20 tr
Application pin number . . . ,080546
Property Address . . . . 106 W 6TH ST
ASSESSOR PARCEL NUMBER: 06'-30-00-0-1-6515-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . .
Property use . . . . . . .
Property Zoning . . . . . , RESIDENTIAL HIGH DENSITY
Application valuation . . . 0
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Applcation desa
DHP
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Owner Contractor
KATHRYN KAWCZYNSKI BLACK DIAMOND ELECTRICAL CONTR
106 W SIXTH ST 502, BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 670-1636 (360) 565-1035
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Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc : .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . 11/20/20 Valuation . . . . 0
Expiration. Date 5/19/21
Oty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH-CIR WO/ SER FEED 63.00
.--Fee summary Charged- Paid Credited Due
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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 .0.0
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REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Locad n Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
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Signature of owner or Electrical Conbactor X Date:
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1 - 2 SINGLE-FAMILY CD
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1
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 I;. 5th Street, Port Anzeles. 1'A 98 362 '
360.417.4735 1 www.cityofpa.us i electricalpennit��.cityofpa.us W
Project Address: 106 W 6th
Project Description: Ductless MAIR HT
n Single-Family Residential ❑ Duplex/ARU Building Square footage:
77
OWNER INFORMATION
Name: Kawcyzniski Email:
Mailing Address: Phone:360-670-1636
ELECTRICAL CONTRACTOR •R •
Name: BDE License: BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone: 360-461-3957
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&M Unit Charge Quantity 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 $500 $
Branch Circuit W/O Service Feeder $63.00 1 $
Each Additional Branch Circuit $500 $
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- $
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TOTAL $
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 PANIC 14.05.050 regarding Electrical Permit Applications.
11-13-20 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]