HomeMy WebLinkAbout226 W 2nd St 4ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RESIDENTIAI- HIGH DENSfTY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
u
I
s
NApplicaEion Number
Application pi.n number
Propert.y Address
ASSESSOR PARCEL NUI4BER:
Applicatlon t)'pe descri-ptio
Subdivisior Name - .
Propert.y Use
Property zoning
Applicalion valuation .
2t-00001082 Date 9/03/2t
7'70444
226 W 2ND ST 4
0 5-30- 00 - 7-4 -0000 - 3 04 0 -
ETECTRICAIJ ONIJY
ApplicaEioo desc
Fhrnace / Heat pump
Contrac!or
,]ANDERS, GEORGE
225 w 2I!'D S" *4
PORT ANGELES
& SHIRLEY A
wA 98352
BLACK D]AMOND ELECTRICAIT COI{]R
502 EI.ACK DIAI"IOND RD
PORT ANGE',ES WA 98363(350) s6s - 103s
Permi !
Additional desc
PermiE Fee
lssue Dat.e
Expiraiion Date
68.00
9 / a3 /21-
3/a2/22
ELECTRICAI, ALTER RESIDINTIAL
Plan Check Eee
Valuat ion
00
0
oly uniE Charge Per1.00 5.0000 EcH1.00 53.0000 EcH
EL.ECH A'D\TT BRANCH CIRCUTT
EL-R- BRANCH crR wo/ sER EEED
Exlensioo
5.00
63 .00
Fee summary Charged Paid Credited Due
Permit Fee TotaI
PIan Check Total
Gra.d Total
58 .00
_ 00
68. 00
68 .00
.00
58.00
00
00
00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS ft;l
PERMIT WILL EXPIRE SIX (6) MONTHS FROM T-A.ST INSPEC|ION
Signature ofowner or Electrical Contractor X Date
I
I
ELEC TRICAL PERTUITAPPLIC ATION
Public Vr'orks and Utilities Department
321 E. sth Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us I electricalpermits@cityofpa.us
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o
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c\GN
Proj ect Address: 226 Vl 2nd #4 (all weather
Proiect Descripti on. Reconnect Furn/HP
n Single-Family Residential E Duplex / ARU Building Square footage
11s6e.Janders Email
Mailing Address p6q6s.360-
113mq BDE 1;gsnss. blackec894d2
Mailing Address
Email:
Expiration Date
phone.360-461-3957
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401€00 Amp.
Service/Feeder 601- l000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Servic€ 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. Servicei Feeder 601-1000 Amp.
Portal to Portal Hourly
Srgnal CircurvLimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
Unit Charoe Ouantitv (Quantity x Unit Charge)
$120.00
$146 00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110 00
$149.00
$ 168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$
$
$
)
$
$
$
$
$
$
$
$
$
$
$
$
1
1
TOTAL
Owner as defined by RCW.'19.28.261: ('1) Owner will occupy the structure for two years after this electrical pe.mat is finalized. (2) Owner is
required to hire an electrical contractor if above said property as 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 Cjty of PortAngeles iilunicipal code, and Utility Specifications and PAMc '14.05.050 regarding Etectrical permit Applications.
8-23-2021 Benjamin Sham p
Date Print Name Signature (E Owner ! Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
1 - 2 SINGLE-FAMILY
OWNER INFORMATION
ELECIRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
$_
$_
$68
First 1300 Square Feet
Each Additional 500 square tuet '
Each Outbuilding / Detached Garage