HomeMy WebLinkAbout1022 E 5th ST - Building (3) .Fs
ELECTRICAL PERMIT i
CITY OF PORT ANGELES
3 -417-4735 1
Application Number . . . . 21-00000022 Date 1/ 5/21
Application pin number . . 328084
Property Address . . . . . . 1022 E STH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-9215-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use . . .
Property Zoning RS7 RESDNTL SINGLE FAMILY
- Application valuation . . . . 0
__
Application desc ___ _
DHP
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Owner Contractor
SAMANTHA BUCHIKA/CHRISTIE BUCK BLACK DIAMOND ELECTRICAL CONTR
1022 E 5th ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(928) 699-7322 (360) 565-1035
- Permit . . ELECTRICAL ALTERRESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . 1/1S/21 Valuation . . . . 0
Expiration Date . 7/14/21
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 harm
to the City of Port Angeles
('Locedon Code O502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL Z I
COMMENTS:
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
ELECTRICAL PERMIT APPLICATION
Public Forks and t.1tilities Department N
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us I electric.alperm its(c�cityofpa.us d
N
Project Address: 1022 East 5th (All-Weather) N
Project Description. Ductless
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
Name: Dennis Email:
Mailing Address: Phone:926-699-7322
Name: BDE License:BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone:360-461-3957
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j�gpl Unit Charge , Quantity .Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. ', $120.00. $
Service/Feeder 201400 Amp, $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 60'-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 1-4'; $7500 $
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/Feeder601-1000 Amp. $168 00,.; $
Portal to Portal Hourly $9600;. $"
Signal Circuit/Limited Energy-1&2 DU. $6400 $
Manufactured Home Connection_ „$120.00- $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note: $5 for each additional) $5600 $
TOTAL $ �3
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 j
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.
1-7-2021 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]