HomeMy WebLinkAbout1120 1/2 Water StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Go
Application Number .
Applicaiion pin nulllber
Property Address
ASSESSOR PARCEIJ NUIAER:
ApplicaLion type descrj.ptioll
subdivi.gion Name - . . . .
Properly Use
Property Zoning
Applj.cation valuation
21-0ooo14 80 Date LL/I6 /2t
006800
1120 1/2 I{ATER ST
o5-30-oo-5-3-0220-0000-
EIJECIRICAI, ONI'Y
0
Application desc
remodel
WAT'I.JE E MEIQUIST
1120 1/2 WATER ST
PORT ANGELES
1208) 7s5 - ?551
BIACK DIAMOND ELECTRIC'\I CONTR
502 BLACK DIAMOND RD
PORT ANGEI,ES WA 98363
(350) s55-1035
wA 98362
Permi!
AdditiobaL desc
Permit Fee
lssue Dat,e -
Expi.ralion Date
ELECIRICAI A TER RESIDENTIAI
1-4 CIRCUTTS?5-00 Plan Check Fee
Lt/f6/2t valuaLion
s/Ls/22
00
0
Qtsy Uait Charge Pet
BASE EEE
Extension
75.00
Fee sunfiary Charged Paid Credi!ed Due
Pemit Fee Total
Plan Check ToLaI
Grand ToEal
?5 .00
.00
?5 .00
75 .00
.00
75 .00
. o0
. o0
.00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE
ROUGH.IN iln[z:N w
FINAL
COMMENTS 6,Y
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST TNSPECTION
Signature ofo$,ner or Electrical Contractor X
G:\EXCHANGE\BUILDING
Date:
INSPECTOR:
I
I
I
- 2 SINGLE.FAMILY
CAL PE PLI
Public Works antl tjLiljties Departnrent
32I Ir. 5th Slreet. Polt Angeles. !!.{ !18362
360.117.4'735 l u,,,yrv.cityoila.us l elecrricalperrnitsrir,ciryolpa.us
1 1'o
3
*
E
{-\
B1QO*Narer st
Project Address:
Project Description:
n Single-Family Residential E Duplex / ARU Building Square footage:
Name Wayne Melquest Email:
Mailing Address Phone .208-755-7561
Name: Black Diamond Electrical LLC l-i6gnsg; BLACKDE79509
Expiration Date:
Phone: 360461-3957
Mailing Address: PO BOX 2335
Email:
l!e![
Service/Feeder 200Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -'l 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.
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional
Uhil eh.roA
$120.00
$146.00
$205.00
$262.00
$373.00
ss.00
$63.00
$5.00
$75.00
$93.00
$'1 10.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
quadtfy lglla! (Quantity x unit charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
s
$
$
$
$
TOTAL $75
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after 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 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.
11-1',t-2021 Benjamin Sham p
Print Name Signature (! Owner I Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or eleckicalpermits@cityofpa.us]
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