HomeMy WebLinkAbout703 E 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGIE EAMILY
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ItApplicaEion Number -..
Application pin nullber
ProperEy Address
ASSESSOR PARCE! NUMBER:
Appf icatsion Eype descripEion
Subdivision Name
Propertsy Use
Property zonj.ng
ApplicaEion valuaLion
22-AOOoo332 Datse 3 /23 /22
0152 0 0
703 E 4TII ST
06- 3 0- 00 -6- 0 -0054 -0000-
E],ECTRICA! ONI,Y
ApplicaEion desc
IteaE pump
JOSEPH K CHAVEZ
PO BOX 2531
BELLINGIIAM
(360 ) 319-8023
BLACK DIAI,IOND EIECTRICAI CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 98363
(350) s55-1035
wA 98227
Pemil
AddiEional desc
Permit Fee
Issue Date
ExpiraEion Dale
63.00
3 /23 /22
9 /:19 / 22
Plan check Fee
valuation
EI,ECTRICAI, A',TER RESIDENTIA],
00
0
oty Unit. Charge Per
1.00 53.0000 Ecll EIJ-R- BRANC!{ CrR WO/ SER FEED
Extension
53.00
charged CrediEed Due
Pemi! Fee Total
Plan Check Total
Grand Total
53 .00
.00
53 .00
53 .00
.00
63.00
00
00
00
.00
.00
.00
REPORT SALES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
G:\EXCHANGE\BUILDINC
Dat",_
LP P
Public Wurks and Utilities Departnrent
.]21 E. 5th Streel. Porl Angelcs. W;\ 981(rl
160.41'7.4,135 lu.r,vrv.citvofl;a.us lelectricalltr:r'nriisr?r.ciryolpa.us
1'
lD
3
*
IpIN
l.\
I rtsrNAW 703 E 4th
Project Address:
Project Description:
n Single-Family Residential ! Duplex / ARU Building Square footage
Name Chavez Email:
-
P hon e:218-391 -2828[.4ailing Address:
Name:
lilailing
Black Diamond Electrical LLC License: BLACKDE79509
Address: PO BOX 2335 Expiration Date:
Email P hone: 360-461-3957
t.lnit Ch.rge
$120.00
$146.00
s205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$1r0.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
ouaatily
T-
IEllal (Quantity x Unit Charge)
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
$
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-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
3-22-22 Benjamin Shamp
Date Print Name Signature (! Owner fl Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
1 - 2 SINGLE-FAI\4ILY
lelq
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Clrcuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portalto Portal Hourly
Signal CircuiuLimited Energy -'l&2 DU.
Manufactured Home Connection
Renewable Elec. Energy; sKVA System or less
Thermostat (Note: $5 for each additional)
First l3OO Square Fest
Eadl Addltioflal 5OO squarc feet"
.Each Outbuilding / De.ta@d @1q-9e
Each Swimming Pool /Hqt Tub