HomeMy WebLinkAbout1831 E 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGL,E FAI4ILY
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\+Applicarion Number , .
Application pin number
PropelEy Address
ASSESSOR PARCEI MJMBER.
Application ts)?e descrlption
subdiviEion Name
Property use
Property zoning
ApplicaEion valuation
21- OO0O1554 Date l2/2L/21
436262
1831 E 5TH ST
05 -30- 11- 5 - 3 - 0150 - 0000 -
EI,ECTRICAI ONLY
Application desc
DI]P
SI{AWVER RICI{ARD T
1.831 E sTH ST
PORT ANGEI,ES
BI.ACK DIAMOND ELECTRICAI CONTR
502 BI.ACK DIAMOND RD
PORT ANGEIES WA 98353
(360 ) 55s 1015
wA 983624919
Permil
AddiEional desc
Permit Fee
Issue DaEe .
Expiration Date
63.00
L2 /21/2t
6/1-9/22
ELECTRICAI AITER RESIDEMTIAL
Plan check Fee
Valuation
.00
0
Qty Unir Charge Per
1-OO 53.OOOO ECH EL-R. BRANCI{ CIR WOl SER FEED
Extension
53. 00
Signature of owner or Electrical ConEactor X
GIEXCHANGRBL'ILDINC
Permit Fee Total
Grand Total
5l .00
.00
53 .00
.00
.00
.00
00
00
00
Charged Paid CrediEed
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE DATE:INSPECTOR
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:6,
PERMIT WILL EXPIR.E SIX (6) MONTHS FROM LAST IN ION
Date:
63 .00
.00
63 .00
RESULTS:
IC LP MIT APP
Public Works antl tjtilities Deparlnrent
321 Ir. 5th Sh'eel. Porl Ange )ts. \1,\ 981(rl
160.,117.41135 | rvww.cityoffa us I elec rriciLll;crru ilsrir,cityo t pa. us
'1831 E sth (All Weather)
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3
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I
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Project Address:
Project Description
n Single-Family Residential ! Duptex / ARU Building Square footage
Name.Shawyer Email
Mailing Address:Phone 3604529102
Phone: 360-461-3957Email;
llel!
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 Circuit
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-'t 000 Amp.
Portal to Portal Houdy
Signal CircuiuLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note; 55 for each additional)
Firsr l30O Squsr€ F66t
Eadr Addltlonal 5m squsre fsst"
Each Outbuildng / Dotac+rsd Garag€
Eadr Swimmirg pool / Hot Tt b
12-20-2021
t nit Ch.rge
s120.00
s146.00
s20s.00
$262.00
$373.00
s5.00
$63.00
$s.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
s64.00
$120.00
$102.00
$56.00
S120.OO:.
s40.@
$r4.oo: i'
0r1o.0o
OuaulLity feErl (Quantity x Unit Charge]
1
$
$
$
$
$
$
$
s
$
$
63TOTAL
$
$
$
$
$
5
$
s
E
D
$
3
owner as defined by Rcw.19 28.261: (l ) owner will occupy the structure for two years afrer this electrical permit is finatized. (2) owner isrequired to hire an electrical contractor if above said property is for sale, rent or lease, Permit expires after six months of lasl inspection.
After reading the above statement, I hereby certify thai I am the owner of the above named property or a licensed etectrical conractor. Iam making the eleckical installation or alteration in compliance with the electrical laws, r',r.s.i., icw chapter i9.28, wAc. Chapter 296.468' The City of Port Angeles N4unicipal code, and Utility Specifications and PAMC 14.05.050 regarding Etectrical permit Apptications.
Benjamin Shamp
Date
lEleckical Permit Applicalions may be submitted to city Hall or electricalpermits@cityofpa.us]
Print Name Signature 1!Owner ! Electrical Contractor / Administrator)
t-2
1 - 2 SINGLE-FAMILY
OWNER INFORMATION
ELECTRICAT CONTRACTOR INFORMATION
Name: Black Diamond Electrical LLC L16s6ss. BLACKDE79509
Mailing Address: PO BOX 2335 Expiration Date: _-
PROJECT DETAILS