HomeMy WebLinkAbout1334 W 5th Street - Building r 3 J:
Et E AL PERIVIT '
CITY C3 pon ANGELES
360-4174735
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Application Number . . . . .: 20-00000974 batREPAOMSrATE'iSALES TAX
Application pin number . . . 857714 on our excise tax form
Property Address . . . . 1334 W 5TH ST y
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2035-0000 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 desc
DHP
Owner Contractqr
ROBIN E TRENT BLACK DIAMOND ELECTRICAL CONTR
1334 W STH ST 502 BLACK DIAMOND-RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(206) 707-1534 (360) 565-1035
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Permit . . ELECTRICAL ALTER RESIDENTIAL
'Additional desc .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 8/31/20 Valuation 0`
Expiration Date 2/27/21
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R BRANCH CIR NO/ 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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL110
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 CD
ELECTRICAL PERMIT APPLICATION 3
Public 1N'urks and. Utilities Deplartment >v
"'."I F:. 5,01 Street. Port .Angeles. WA 9U62 t
360,417.4735 1vtti��-.Gii ��t�<t.ea� electricali�ciinit 'ti`ciI�ofPa_us
Project Address: 1334 W 5th
Project Description: Ductless
K'] Single-Family Residential ❑ Duplex/ARU Building Square footage:
Name: Email:
Mailing Address: Phone:360-461-5951
Amd rr r d
Name: BDE License:BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone: 360-461-3957
VOW . . d
&M 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 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 $ 63
Each Additional Branch Circuit $5.00 $
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 $
1=frsi 1Q$qa� ;Feetq QM"" $12t}t0Q
Each Additional 56;square:feei ' $40€)0
acl E?i IIifding 1 Detedheri Garage "$74 f}0.
Each Swimmfrfg P0Q1/.Hotleib: $11U'-;0t1
TOTAL $ 63
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.
8-24-2020 Benjamin Shamp
Date Print Name Signature(V Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electrical perm its@cityofpa.us or faxed to 360.417.4711]