HomeMy WebLinkAbout421 S Jones StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDMTL SINGI,E FA}IILY
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Applicalion Number
ApplicaEion pin number
Property Address
ASSESSOR PARCEL NUMBER :
Applicalron t),pe descriplion
Subdivision Name
Property Use
ProperLy zonj.ng
ApplicaEion valualion
21- 00001614 Date L2 /L3 /2!
446462
421 S .TONES ST
05 -30- 00 -0- r.- 7935- 0000-
ETECTRICAJ, ONI.Y
ApplicaEion desc
DHP
Conl!acto!
RODRIGO AND OLINDA BRENES
421 S JONES ST
PORT ANGEIJES WA 983624432(360) 4 5? - 0306
BIACI( DIAI4OND ELECTRICAI, CONIR
502 BLACK DIA},IOND RD
PORT ANGETES WA 98363
(360) 56s-103s
Permil
AddiEional desc
Permi! Fee
Issue Dale
ExpiraEion Dale
63.00
L2 / L3 /2L
5/LL/22
EI,ECTR ICAT, AI,TER RESIDENTIAL
PLan check Fee
Valuatioa .
.00
0
otsy uni! Charge Per1.OO 53.OOO0 ECI{ Et-R- BRANCH CtR WO/ SER t',EED
ExEension
63-OO
charged Paid C!edited Due
Peinit Fee ToLaL
Plan check ToEal
Grand Total
53 ,00
.00
63 .00
63 .00
.00
63 .00
.00
.00
.00
00
oo
00
REPORTSALES IAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
INSPECTIONryPE DATE:RESUI-TS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:Ek
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
G:\EXCHANGE\BtlILrrlNG
Date'__-
1 - 2 SINGLE.FAIVILY
ELECTRICAL PERM IT APPLICATION
PLrbl i c \r.,'r : rks aird U ti I i Li es l)cpartnren t
l2l [. jtlr SLt'cct. Port ,\ngi:J,:,s. !i.'i 9li.]61
.l(r{l ;117.:1715 u r,,,'rv ciLl'oilra us electricalpi:r'rrritsrTr.ciLi,ol}a.us
42'l S Jones (All Weather)Db -b_oD_o-1- .7n3€- ooD
tlo
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Project Address:
Project Description:
E Single-Family Residential E Duplex / ARU Building Square footage
Name: Brenes Email:
Mailing Address Phone. 3607974833
Name. Black Diamond Electrical LLC License. BLACKDE79509
Expiration Date:
Phone: 360-461-3957
l\ilailing Address: PO BOx 2335
Email:
llnit Charge
$120.00
$146,00
s205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$e.00
$120.00
$102.00
$56.00
qsaoliu I.g]la[ (Quantity x Unit charge)
T
$
$
$
$
$
$
$
u
$
$
$
$
$
$
$
s
$
TOTAL
Owner as deflned 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 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 Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
12-8-2021 Benjamin Shamp
Date Print Name Signature 1! Owner f] Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. usl
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 -600 Arrp.
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 20'1-400 Amp.
Temp. Service/Feeder 40'1 -600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Notei $5 for each additional)
First'1300 SguBrc FB6t
Each Additional 500 square fe€t"
$74.00
$110.00