HomeMy WebLinkAbout1534 W 5th StELECTRICAL PERMIT
CITY OF PORT ANCELES
360-4174735
RS7 RESD}ITI, SINGI,E FAMILY
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ApplicaEion Number
Application pin nurT cer
Properly Address
ASSESSOR PARCEL NTIMBER :
ApplicaEion lype description
subdivision l{ame . - .
ProperLy Use
ProperLy zoning
Application valualion
22 - 00000490 DaEe 4/26/22
958550
153{ }r 5TH ST
06 -30- o0-0 -1- 2?40- 0000-
EI,ESIRICAJ. ONI,Y
ApplicaEion desc
ConEractor
RUSSELL AND BONN]E J,ONG
1534 W 5TH ST
PORT ANGELES WA 98353
(360) 582-5739
BLACK DIAMON'D EIECTRICAL CONTR
502 BIIACK DIAMOND RD
PORT ANGE],ES WA 98353
(360) 55s-r035
Permil
Additsionaf desc
Permit. Fee
Issue Datse
ELE TRICAI, A',TER RESIDENTIAI
1-4 CrRC-trlTS75.00 Plan Check Fee4/26/22 valualion
LO /23 / 22Expiratsion DaEe
Qty UniE
00
0
Charge Per
BASE FEg
Extersion
75 .00
Fee sutrunary charged Paid credited Due
Permit Eee ToLal
Plan check Totsal
Grand Total
75 .00
.00
75.00
75.00
.00
75.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
REPORTSALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN ,th-blzL-dA-/w
FTNAI
COMMENTS:
Signahrre ofowner or Electrical Contractor X
GIEXCHANGABUILDING
Date:
I
L PER IT APP
Publis lVorks and tJtilities Dcpartnrent
321 E.. 5th Stlccl. Polt r\nge Irs. W,\ 98.]62
160..117.4735 i r.vwrv.citvofla.us J elecrrictlpclnltsfu.ciryotpa.us
!q
3F*
N
N
Project Address
Project Descriptionj
E Single-Family Residential ! Duplex / ARU Building Square footage
Name: Longs Email:
Mailing Address P hon e:360-582-6737
113rns1 Black Diamond Electrical LLC License:BLACKDE795O9
Expiration DateNiailing
Email:
Address: PO BOX 2335
Phone:360-461-3957
Item
Service/Feeder 200 Arrp.
Service/Feeder 201400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -l 000 Amp.
Service/Feeder over 1000 Arnp.
Branch Circult W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuil
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Servlce/Feeder 401-600 Amp.
Terrp. Servrce/Feeder 601-1000 Arrp.
Portal to Portal Hourly
Signal CircuiVLimited Energy - '1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Squara Feet
Eadr Addluqlal 500 square feel"
Eacn Outbuilding / DetactEd Garage
Eact Swimming Pool / Hot Tub
Unit ehrrge
$120.00
s146.00
s205.00
$262.00
$373.00
$s-00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$'102.00
$56.00
$120-00
$40.0o
s74.00
E110.(n
Ouaollw fgllAl (Quanllty x Unit Charge)
1
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
U
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TOTAL s 7C,
Owner as defined by RCW19.28.261: (1) Owner will occupy the skucture lor two years after th js electrical permit is finalized. (2) Owner is
required to hare an elecirical 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 installaiion or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 29&
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Benjamin Sham p
Date Print Name Signature ([ Owner I Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
1-?] - 2 SINGLE-FAMILY
1534 W sth
OWNER INFORMATION
ELECTRICAL CONTRASTOR INFORMATION
PROJECT DETAILS