HomeMy WebLinkAbout219 E 8th St!
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Application Nu ber ....
Application piu numlrer
ProperCy Address
ASSESSOR PARCEL NUMBER:
Application type descrip!ion
subdiwision Name -
Property Use
Property zoning
Application valuat j.on
21- 0OOOO958 Dare S/O9/2L
3092E6
219 E 8Tl{ ST
05 - 30 - 00-0 -2 - 3072 - 0000-
ETECTRICAL ONLY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
COMMUNITY SHOPPING DISTR
o
Applicalion desc
DHP
PIERCE IJEONARD
PO BOX 1.001
PORT ANGELES
BI-1CK DIAMOI!'D EI,ECIRICAI, CON?R
502 BLACK DIA}IOND RD
POR? ANGEIES I{A 98353
1360 ) 56s - 103s
vrA 983620174
Permit
AddiEionaf desc
PermiL Eee
Issue Date .
Expirat ion Date
79. 00
s /09 /21
2 /05/22
ELECTRTCAI, AJ,?ER COMMERCIAI,
valuation
.00
0
oly Unj.t ctarge Pet1.00 74 . 0000 Ectt1.00 5-0000 EcH
EIJ-COMM BRSNCn CrR WOl S/r'
EI.ECII A.DDNI BRANCH CIRCSIT
Extsension
74.O0
5.00
charged Paid crediled Due
Permi! Fee Totai
Plan Check ToLal
Grand ToEal
79.00
.00
79.00
79.00
.00
79. 00
.00
.00
.00
.00
.00
.00
REPORT SA,LES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI
COMMENTS a^
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
G:\EXCHANGRBUILDING
Date:
N/l ULTI-FAMILY / C IV t\/ER c IAo
ELECTR IC A L PERIUITAPPLICATION
Public \Vorks and Utilities Department
321 E. 5th Street, Port Angetes, WA 98362
360.4 I 7..1715 | wrrv.cityofpa.us j electricalpermits@cityofpa.us
!o
3
\J
1\p$\u$Proj ect Address: 219 E Bth
Project Descrip 1;en. Ductless x2
E Multi-Family Residential O Commercial / lndustrial / public Building Square footage
Name: PBH Email
Mailing Address P hone
Name: BDE License: BLACKEC894D2
Expiration Date
Phone: 3604613957
Mailing Address
Email:
Item
Service/Feeder 200 Amp,
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp
Service/Feeder 601-1 000 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 201-400 Amp.
Temp. Service/Feeder 40'1-600 Amp.
Temp. Service/Feeder 60'1 -1 000 Amp
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuiULimited Energy - Mutti-Family
Signal CircuiVLimited Energy/First 1500 sf - Commercial
(Note $5.00 for each addrtional '1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note. $5 for each additional)
Ouantitv f-elal (Quantity x Unit Charge)Unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
I
1
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$88.00
$96.00
$113.00
$56.00
$ 79 rorAL
owner as defined by RCW 19 28.261: (1) owner will occupy the structure for two years afrer this electrical permit is flnalized. (2) Owner is
required to hire an electrical contractor if above said propedry is for sale, rent or lease. Permit expires after six months of lastinspection.
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 N4unicipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electricat permit Applications.
8-5-2021 Beniamin Sham p
Print Name Signature (g Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submifted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417 .4711|1
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
Date