HomeMy WebLinkAbout1503 W 11th Street - Building 77
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AL PERMIT
CITY Of PORT ANGELES
360-4 7-4735
Application Number . . . . . 20-00001206 Date 10/27/20
Application pin number . , . 820694
Property Address. . . , . . 1503 W 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1390-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . , .
Property Zoning , . . . . ' RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application,desc
DHP
Owner Contractor
TAMMY AND DANIEL HARRIS BLACK DIAMOND ELECTRICAL CONTR
1503 W 11TH ST 502 BLACK DIAMOND RD
-PORT ANGELES WA 983635511 PORT ANGELES : WA 98363
(360) 775-9893 (360) 565-1035
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Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . 63.00 Plan Check Fee .00
Issue Date . . . . 10/27/20 valuation . . . . 0
Expiration Date . . 4/25/21
Qty Unit Charge Per Extension
1.00 63.0000 ECH - EL-R- BRANCH CIR WO/ SER FEED 63.00
w- 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
FIEPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location.Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMff WELL EXPIRE SIX(6)MOMM FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCRANGEIBUILDING
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1 - 2 SINGLE-FAMILY CD
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
3?1 T. 5th Street, Port Angeles, N A 98:362
360.417,4735 1 www.cityofpa.us I electric aI perm its L.cityofpa.us N
Project Address: 1503 W 11 th
Project Description: Ductless
n Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Hariis Email:
Mailing Address: Phone:360-775-9893
ELECTRICAL CONTRACTOR •R •
Name: Black Diamond Electrical License: BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone:360-461-3957
PROJECT DETAILS
Jt2m Unit Charge Quantity Total((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 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) $5600 $
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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 PAMC 14.05.050 regarding Electrical Permit Applications.
10-20-2020 Benjamin Shamp
Date Print Name Signature(;6 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]