HomeMy WebLinkAbout1116 Eckard AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
RS9 RESDIITL SINGLE FNqILY
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Applicalion Nunber
Application pin nunber
Properly Address
ASSESSOR PARCEL NU}IBER:
Applicalion t,?e descrlp!ion
subdivision Name
ProperLy Use
ProperEy zoning
Application valuation
21-00001412 Date
5692'76
11].6 ECNARD AVE
06 -3 0- 14 -5 -4 - 0412 - 0000-
EIECTRICAI ONTY
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Applicalion desc
WAITER F & AMBER L MOZINGO
1116 ECXARD AVE
PORT ANGETES WA 983529347
BI,ACK DIAMOND ELECTRICAL CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 98363
(360 ) 555-1035
Permi!
Addilional desc
Permit Fee
Issue Date .
EIJECTRICAL A1TER RESIDENTIAL
BRANCH C]RCOITS 1.4
75. o0 Pl,an Check Fee
LL/Lo/2r valuation
s /09/22Expiration DaEe
QEy Units Charge Per
BASE !'EE
.00
0
Exteosion
75.00
charged Paid crediEed Due
pemir Fee'Ioral
PIan Check Total
Grand Tolal
?5.00
.00
75.00
75 .00
.00
75 .00
00
00
00
.00
.00
.oo
REPORT SALES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXI'IRE SIX (6) MONTHS FROM tAS N
INSPECTION T\?E DATE RESULTS INSPECTOR:
DITCTI
SERVICE
ROUGH-tN uholzr P &L o rruJ
FINAL
qL
Signahrre ofowner or Electrical Contractor X Date
C:\EXCHANGE\BtllI-DINC
COMMENTS:
I II
1 - 2 SII(GLE-FAIVILY
I-ECTRICAL PERM IT APPLICATIO
11 16 Eckard Place (All Weather)
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FProject Address
Pro;ecl Descriptron ou"o"""t
E Single-Family Residential E Duplex IARU Burlding Square toolage
Name Wheeler _ Email:
l/ailing Address. ___-* Phone
Napre Black Diamond Electrical LLC L,,rense BLACKDE79509
_ Expiration DateMailln
Email
|:ACdress PO BOX 2335
IleE
Service/Feeder 200 Amp.
SetvicelFeeder 201-400 Amp
Se.vice/Feeder 401 -600 Amp.
Seriice/Feeder 601 -1 000 Amp.
Se.vice/Feeder over 1000 Amp.
Branch Circult W Service Feede.
B.anch Circuit WO Serrice Feeder
Each Additional Branch Circuit
Eranch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. ServicelFeeder 401-600 Amp.
Temp. Servrce/Feeder 601 -1000 Amp.
Porta, to Portal Hourly
Sqnal Ci,c!iULimlted Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostal (Note $5 for each additional)
FiISt 1300 Square Feet
Each Additjo.ai 500 square ,eet''
Each Oulbuilding I Detsct€d ea.age
Eadr sl/limming Pool / Hoi Tub
tlnit ah+ge
512C.00
$146.00
s205.00
$262.00
$373.00
$5.00
s63.80
$s.00
$75.00
$93.00
$11o.oo
$149.00
$168.00
$96.00
$120.00
$102.00
$120.00
$40.00
$74.00
$110.00
Ouaolity Iglal {Quartity r UEit Cha.ge)
$
$
$
$
$
$
$
$
$
$
$
$
$
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$
$
$
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$
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1
75IOTAL
Owner as defi.ed by RCU/.19.28 251 : (1) Owner wii' occupy ihe sttucture for two years after this electricat permlt ls inalized. {2i Owner is
required to hire an electrical contractor if above said prope.ly is for saie, .ent or lease. Pe.mil expires afler six monlhs of tast inspection.
After teading ihe above stateme.t, I he.eby certily that I afi the owner of lhe above narned property o. a Iicensed e ectrlcal conkactor. I
am rnaking lhe eleclrica, insta,latron or afte.ation in con]pljance with the electricat laws. N.E.C., RCW. Chapter 19.2g. !yAC. Chapter 296-
468, The City cf Po.l Angeles Municlpal Code, and Utilly Specificatrons and PAlvlC 14.05.050 .egarding Eiecirtcal pe.rrit Apglications.
11-1-2021 Benjamin Shamp
Print Name Signature {n Owner I Electrical Contractor I Administrator)
lEleclrical Permit Applications may bs subrnitted to City Hall or elecrncalpermrts@crtyofpa. us]
Dale
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OIIVNER INFORMATION
ELECTRICAL CONTRASTOR INFORMATION
phone 360461-3957
PROJECT DETAIS