HomeMy WebLinkAbout928 Benjamin AveELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
RS9 RESDNTL SINGI,E FAIV{ILY
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Application Nuniber
Application pin number
ProperEy Address
ASSESSOR PARCEL NUMBER:
applicaEion tsytr)e descriprion
subdivision Name
ProPerty zoning
ApplicaEion valuation
22-Ooooo095 Date 2/02/22
909065
928 BENJAMIN AVE
06-30-15-5-4 0020 - 0000 -
EIECTRICAI ONI,Y
I,iARREN, JR HENRY C
928 BENL'AMIN ST
PORT ANGELES
BI,ACK DIAMO\D ELECTRICAI CONTR
502 BLACK DIA}1OND RD
PORT ANGELES WA 98353
(360) 555-1035
NA 9A3626724
Permits
Additsional desc
Per,nit Fee
Issue Date
53.00
2/02/22
8/01/22ExpiraLion Date
otsy Unil Charge
1- 00 63,0000
ELECTRICAL AIiTER RESIDENTIAI
Plan Check Fee
valuaEion
.00
0
ECII EL-R' BRANCI' C1R WO/ SER FEED 53.00
Perll\it Fee ToEal
Plan Check ToEal
Grand ToEal
53.00
.00
63 .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
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
G:\EXCHANGRBUILDING
Date:
Application desc
DHP
:Y:?:i :ili :::it::i - :::
COMMENTS:
- 2 SINGLE-FAI\4ILY
ELECTRI CAL PERM IT APPLICATION.
Publ ic':: :.r'ks and [, ti I i t-ies I)cpartrnen r
.121 L:. 5Llt Stlce t. Polt ;\irgi:1rs, t-!.: 98162
16()..t17..1"35 il,wr,'.'.cit\'ollta.r-rs electricall:rclnrirsiTr clrvolpa.Lrs
928 Benjamin St (AW)
1
Project Address;
Project Description:
n Single-Family Residential E Duplex / ARU Building Square footage
Name: Warren Email:
Mailing Address Phone:360457-7610
Expiration Date
Phone:360-461-3957
Mailing
Email;
Address: PO BOX 2335
qla0trfy f!]lal (Quantity x Unit Charge)
T
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Benjamin Shamp
Date Print Name Signature (! Owner ! Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.usl
1lo
3
l!{INIr
L.-.D
t\\
I
Name. Black DiamqlllElqqtrical LLC Ljcense: BLACKDE79509
DETAILS
lleE
Service/Feeder 200 Amp.
Service/Feeder 201 -400 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 Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Serv'ce/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portalto Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU-
Manufactured Home Conneclion
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
. . -
FiIsr 1300 Sqilrre Fadt,- .'., . '-.
Eacfi Additioid 500 square teet"
' Eadr SirtbuiLlirriil Detitefued @1a!p
Eadt Swimming Pool / Hot Tub
1-24-22
Uhit ehrrge
$120.00
s146.00
s205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$'110.00
$ 149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00. $12o]ilir.: .'
$4O.OO'r':
$?4-00
, ,,s{1000
TOTAL
$---;:_-
-$, :-':" ::
$ - .-.:-.rt, . :
$p3
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 jnspection.
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 Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Etectrical Permit Applications.