HomeMy WebLinkAbout1821 W 11th St (2)NN
I
N
N
\,{
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
ApplicaLio. Number
application pin number
Property Address
ASSESSOR PARCEL NUMBER
22-ooooo223 Datse 3/02/22
15 g 113
1821 W tlTH ST
06 - 3 0- 00-0 - 3 -1053 -0000 -
ELECTRICAI ONLYApplication E]'pe description
Subdivision Name
Propertsy Use
Property zoning
Application valuaEion
RS? RESDNT], SINGI,E FAMILY
0
Applicarion desc
Furnace / HeaE pump
JENN]FER N DEMOTT
1821 W E]-EVENTH ST
PORT ANGELES
l36Al 451-2'744
BLACK DINY1OND ELECTRICAI CONTR
502 BI,ACK DIAMOND RD
PORT ANGEITES WA 98353
(350) 555-1035
wA 98353
Additional
ExpiraLiolr
58.00
3 / A2/22
I /29 /22
EI]ECTR]CI\L ALTER RES]DEIiI'TIA!
Plan Check Fee
valuation
.00
0
Qtsy Unit Charge Per
1. 00 5.0000 EcH
r. 00 53 .0000 EcH
5.00
63.00
EL-ECH ADDNT BRANCH CIRCU]T
EI]-R- BRANC]I CIR WO/ SER EEED
Charged Paid Credited Due
PemiE Fee Total
Plan Check Total
Grand Total
68.00
.00
68.00
68_00
.00
68_00
00
00
00
REPORTSALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE;RESULTS:lNSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE STX (6) MONTHS FROM LAST INSPECTION
Date:
.00
.00
.00
Signature ofowner or Electical Contmctor X
1 - 2 SINGLE-FAMILY
TRI LP
-D
o
3r
I$N
\
t)
^{cr
PP
Public *'r;rks and t.ltilities Dcpartnrent
.lll E. 5th Stleet. Polt z\ngelts, \'\," 98-1(rl
16{!.,117.4135 i u,rvlv.cityofira us I electrrciLllrclrnitsiTr.cityotpa.us
(AW) 1821 w 11th
L
Project Address:
Prolect Description
E Single-Family Residential E Duplex / ARU Building Square footage:
Demott Email:
Mailing Address
Name. Black Diamond Electrical LLC Lice nse: BLACKDE79509
Expiration DateMailingAddress: PO BOX 2335
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Arnp.
Service/Feeder 40 1 -600 Amp.
Serulce/Feeder 601 -1 000 Amp.
Seryice/Feeder over 1000 Arn p.
Eranch Circuit 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.
Ter.p. Serv celFeeder 401-600 Amp.
Temp. Service/Feeder 60'l-'1000 Amp.
Portal to Portal Hourly
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Honre Conneclion
Renewabie Elec. Energy: sKVA System or less
Thermostat (Nole $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / DetacfEd Garags
Each Swimming Pool / H6t Tub
Unit ChrrgA
$120.00
$146.00
s205.00
$262.00
$373.00
$5.00
$63.00
$s.00
s75.00
$93.00
$110.00
$'149.00
$168.00
$96.00
$64.00
$120.00
$102.00
ss6.00
$,120.00
$40.00
t74.00
s110.00
ouaolily Igal (Ouantity x Unit Charge)
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
b
$
$
TOTAL
Owner as deflned 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 lasl lnspection.
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 lhe electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
3-1-22 Benjamin Shamp
Print Name Signature 1[ Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
Date
1.2 SF
SII/NER.INFORMATION
Name:
Ph6ns' 425-2314437
ETECTRICAL CONTRACTOR INFORMATION
Email: Phone: !99191:99!Z__
PROJECT DETAILS
1
1
