HomeMy WebLinkAbout735 W 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
NI
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Application Number
Application pin nuriber
Property Addr:ess
ASSESSOR PARCEL NUUBER :
Application type descriptsion
Subdivision Nane . -
Proper:!y Use
Property zoning
Applicatsion valuation
21- 00001515 DaLe t2/11/27
s40295
735 W 11TI{ ST
06 - 3 0 - 00-0 -3 -214s-0000 -
EIIECTRICAL ONIJY
Application desc
D1{P
MC FARLAND MICHAEL W
PO BOX 2425
PORT ANGETES WA 983520311
BI.ACK DIAMOIID ELECTRICAT CONTR
502 BTACK DIA]VIOND RD
PORT ANGELES WA 98353
(360 ) 565-103s
Permi.E
Additional desc
PermiE Fee
lssue Date
ExpiraLion Date
53.00
12/13 / 2L
6 /tt/22
EI,ECTRICAL AI,TER RESIDENTTAI
PIan Check Fee
Valuatsion
.00
0
oEy Uni! charge Per
t.oo 63.0000 Ecl{ El,-R- BR-LNCH crR wo/ sER FEED 53.00
charged Paid Creditsed Due
Plan Check Total
Grand ToLal
63 .00
.00
63 .00
63.00
.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 RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:6.4
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Conkactor X
G:\EXCHANGRBtJII.DING
Date:
0
DATE:
1 .2 SINGLE-FAMILY
IC PE IT AP
Public slulks and ULilities Departntent
321 E. stlr Street. Port Angeles, *;\ !)8161
160.417 .1'135 l u,wrv.cityoflra.us ] electricalpcrruitstir,cityotpa.us
735 W 1 1th (All Weather)
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3
N)
6.
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Project Address
Ouctless HP
Project Description: - --- _-- ."
E Single-Family Residential fl Duplex / ARU Building Square footage
1rl3;ns; McFarland Email
Mailing Address Phone:3604775414
1rl3mg1 Black Diamond Electrical LLC License: BLACKDE79509
Itelo
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. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
l\,4anufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Noter $5 for each additional)
Unit Ch.roe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5.00
$75.00
$93.00
s110.00
$149.00
$'168.00
$96.00
$64.00
$'120.00
$102.00
$s6.00
queulttl lgltal (Ouantity x Unit Charge)
$
$
$
$
$
I
$
$
$
$
$
$
$
$
$
$
c
$
s110.00
TOTAL
Print Name Signature ([ Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
Mailing Address: PO BOX 2335 Expiration Date: '---E,n"it'
-
Phone; !99:19119!Z-
1
Owner as defined by RCW.19.28.26'1 : (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 inspection.
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 PortAngeles Municipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electrical Permit Applications.
12-8-2021 Benjamin Shamp
Date