HomeMy WebLinkAbout3010 Regent St (2)ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
RS7 RESDNTL S]NGLE FA]VIIITY
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Appfication Number
applicaEion pin number
Property Address
ASSESSOR PARCE]- NUMBER:
Applicalion type description
subdivision Name .
Property Use
Proper:ty zoning
Applicatsion valuation
22 -00000005 Dar:e
505148
3O1O REGENT ST
06 - 30 -15 -5 - 6 - 03 00-0000 -
EI]ECTRICA! ONIY
1/13 /22
Applicatsion desc
DHP
ANGEIA AND MICIIAEL GLORE
3O1O S REGENT ST
PORT ANGEIES WA 983626949
BI.ACK DIA}IOND EIECTR]CAI CONTR
502 BI-ACK DIAMOND RD
PORT ANGEI,ES WA 98353
(350) 555-1035
Addits i,onal
Expiration DaEe
63.00
L/13 /22
7 /12 /22
Pfan Check Fee
valuation
00
0
oly UniL Charge Per
1.OO 53.OOOO ECH EI]-R- BRANC}{ CIR WOl SER EEED 53.00
Charged Credited Due
Permit Fee ToEaf
Plan Check TotsaI
Grand Total
53.00
_ 00
53 .00
53 .00
.00
63 .00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:INSPECTOR;
DITCH
SERVICE
ROUGH-IN
FINAI
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signatur€ ofowner or Electrical Contractor X
CIEXCHANGRBUILDING
ELECTRICAL AITER RESIDENTIAI
RESTILTS:
COMMENTS:
Date:
- 2 SINGLE.FAMILY
RI ER APPLIC
Public Wlrrks and Utilities l)epartnrenr
321 E. sth Slfeet. Porl AngeJes. 'vi-\ 981(rl
36/.).41'7.4,135jr.i,rvw.cityofla-usjelectriculltcrnrirsrTr,cityofpa.us
1 llo
3L
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0.-
3010 S Regent
Project Address
Project Description:
E Single-Family Residential E Duplex / ARU Building Square footage
Name Glore Email:
[/ailing Address P hone:707-218-0510
Name:Black Diamond Electrical LLC License' BLACKDE79509
Itero
Servicei Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 40'1 -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 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. ServicelFeeder 601-1 000 Amp.
Portalto Portal Hourly
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
otei $5 for each additional)
1-4-22
lJr|it Ch.rqe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75.00
s93.00
$1 10.00
$149.00
$168.00
$96.00
$64.00
$120,00
$102.00
$56.00
qurotl&
T
TOTAL
IOlhl (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
Owner as defined by RCw.19.28.26'1: (1) Owner will occupy the structure for two years afler this electrical permit is flnalized. (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 ot the above narned 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 .lg.2g, WAC. Chapter 296-
468, The City of Porl Angeles Municjpal Code, and Utility Specjfications and PAMC 14.05.050 regarding Electrical permit Applications.
Benjamin S hamp
[Electrical Permit Applications may be submitted to city Hall or electricalpermits@cityofpa.us]
Print Name Signature (! Owner ! Electrical Contractor / Administrator)
Mailing Address: PO BOX 2335 Expiration Date: _Email: phone. 3q0-461-3957
DETAILS
Date