HomeMy WebLinkAbout1426 W 11th StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4'735
RS7 RESDMIL SINGLE T'A]VIILY
0
)!,
N.
$J\\I
Applicatsion Number
application pin number
ProperEy address
ASSESSOR PARCEL NUMBER:
Appf icatsion El'pe descripLion
srlbdivision Name -
Property Use
ProperEy Zoning
Applicalion valuatsion
21- 00001653 DaLe L2/27/2t
345309
1426 Vt l1Tt{ ST
06 -30- 00-0 -3 -5730- 0000-
E],ECMICA' ONI,Y
Applicatsion desc
DTIP
MITCI{ELL, JOHN & ANNE
1426 W 11TH ST
PORT ANGEIES
BT.ACK D]AMOND ELECTRICAI CON:IR
502 BLACK DIA}IOND RD
PORT ANGEIES WA 98353
(350) 565-103s
wA 983535510
Permi E
Additional
63.00
L2 /2t/ 2t
5 /!9 /22
EIECTRICAL ALTER RES]DEI{IIAL
Plan check Fee
Valualion
00
0
Qty uniE Charge Per
1-OO 53.OOOO ECH EL.R. BRANCI{ C]R WO/ SER FEED
Extension
63.00
Charged Paid CrediEed Due
Permit Eee Totsa1
Pfan check Totsa1
Gland lotal
63 .00
.00
63 .00
53 .00
.00
53.00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION T\?E DATE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
COMMENTS 6{
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDING
Date
FINAI-
RI E
Public Works and lltilities Dcparlnrent
321 t. 5lh Street. Porl AngeJcs, 1'\.i' 98161
160.111 .4,'135 | rvwrv.cityoflra us I clectrici.tlpctntitsiZr.ciLyolpa.tts
1426 W 1 1th (All Weathe0
Project Address
Prolect Description
E Single-Family Residential E Duplex / ARU Building Square footage
Name Mitchell Email:
Mailing Address:Phone .3607759712
Name:
Mailing
Email:
Black Diamond Electrical LLC License: BLACKDE79509
Expiration Date
Phone;360-461-3957
Address: PO BOX 2335
lslo
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. Servicei Feeder 200 Amp,
Temp. Service/Feeder 20'1-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 60 1 -'l 000 Amp.
Portal to Portal Hourly
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
u'lit Ch.rge
$120.00
$146.00
$205.00
s262.00
$373.00
$s.00
$63.00
$5.00
$75.00
$93.00
$1 10,00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
ouaollly Igllal (Ouantity x Unit Charge)
1
$
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
t
TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is linalized. (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.
Afrer 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 Electrical Permit Applications.
12-19-2021 Benjamin Shamp
Print Name Signature (E Owner ! Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
Date
1 - 2 SINGLE.FAIVIILY !
lD
3
f
l\'.)
IYlsl\n
l\lr
MMNEi:INEEETfiNiffiM
:lNFomffifpN
n; $ r"-tlit"*f t;'rff/&r Kll
$2q,oo
$'.4!.9S
. ,914.00
$110.00