HomeMy WebLinkAbout2213 W 14th St:J.\J
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-473s
ApplicaEion Number
ApplicaLion pin number
Property Address
ASSESSOR PARCEI NUI4BER:
application t).pe descripti.on
subdivision Name
Property Use
Properly zoning
Applica!ion valuation .
21-ooooo9s9 DaEe 8/o9/2L
4 003 a3
2213 W 14TH ST
06 -3 0-01-5 -4- 0150 - 0000-
ELECTRICAI ONIJY
RS9 RESDNTL SINGIE PAI'IILY
SOEIE MICIIAEL H
2213 W 14TIt ST
PORT ANGELES
BI'1CK DIAMOND ETJECTRICA'' CONTR
502 BI.ACK DIAMOND RD
PORT ANGELES WA 98363
(l5o) s6s-1035
ltA 983631501
PermiL .
Additional desc
Issue Date
Expiration DaEe
53 .00
a/ 09 /2t
2/ os/22
Plan Check Fee
valuation
EL.R- BRANCE ClR IiO/ SER FEED
0
otsy UniE charge Per
1.00 63 .0000 EcIt
Extension
53.00
Charged Credited Due
Plan Check Total
erand Tota1
53 .00
.00
63 .00
63.00
.00
53 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST I
REPORT SALES TN(
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
INSPECTION TYPE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH-IN
FINAL
tu
Signanre ofowner or Elecaical Coutractor X
C:\EXCTTANGRBUILDING
S ION
Date
Applj.cation desc
DIIP
ELECTRICAL .B],TER RESIDENTIAI,
- 00
I DATE:
I
II
I
COMMENTS:
1 - 2 SINGLE-FAMIIY
ELECTRICAL PERM IT APPLI ATI N
Public trlbrks and Utilities X)epartment
-121 E. 5th Stleet, Port Angeles, \trA 98362
36A.417.1735 | wrvw.cityofpa.us I electricalpennits@cityofpa.us
1lo
3
1+
Project Address 2213W 14th
Project Description Ductless
[rl2ms; Sofie Email
p66ns. 360-457-5063Mailing Address
trlgrns BDE License: blackec894d2
Expiration Date
Phone 360-461-3957
l\4ailing Address
Email:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-4OO Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. ServiceiFeeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp
Signal CircuiVLimited Energy -182 DU
Manufactured Home Connection- ..
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charoe
$'120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s 00
$75.00
$93.00
$ 110 00
$149.00
g168.OO
$96.00
$64.00
$120.00
$102.OO
$56.00
tity x Unit Charge)
$_
$
$
$
$
Owner as defined 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.
8-5-2021 Benjamin Shamp
Date Print Name Signature (p Owner ! Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711|]
lssl\H
Fs
ESingle-FamilyResidentiaIEDuplex/ARUBUildingSquarefootage:-
.-ELECT]TIOAI;CO NTRAETO.KII{FOR MATI&N
1
$_
c
r$.i',r
-$:':.'
$40.00
$74.00
TOTAL