HomeMy WebLinkAbout427 Hillcrest DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 N
I-f,o&ApplicaEion Nunrlcer
Application pin number
Propertsy Address
ASSESSOR PARCEL NTN"IBER:
ApplicaEion Eype descriplion
Subdivision Name
ProperEy Use
ProperEy zoning
Applicarion valuaEion
21"-00000481 Date 4 /23 /27
o0 90 93
427 IIIJLCREST DR
05 -30- 15 -5 - 0- 9080 - 0000-
ETECTRICAI ONLY
0
Applicarion desc
Basement remodel
MARY AND BRITEN DORAN
427 HILLCREST DR
PORT ANGEIES WA 98362
BIACK DIAMOND EIECTRICA! CONTR
502 BLACK DIAI{OND RD
PORT ANGEIJES WA 98363
(360) 555-1035
PermiE
Additional desc
PermiE Fee
Issue DaEe
ELECTR]CAL ATTER RESIDENTIAI
1-4 CIRCUITS
95.00 Plall Check Fee
4/23/2L valual ion
10 /20 / 2L
.00
0
E4)iratsion Dale
oty UniE
4.00
Charge Per
5.0000 EcH
BASE FEE
EL.ECI{ ADDNT BRANCH CIRCUIT
Extension
75.00
20.00
Charged Paid credited Due
Pe-nit Fee ToEal
PIan check To!a]
Grand ToEaL
95.00
.00
95.00
95.00
.00
95.00
.00
.oo
.00
.00
.00
.00
REPORT SALES Til(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE:INSPECTOR:
DITCH
SERVICE
ROUGH-IN llzrlzt A w
FINAL
COMMENTS:A'<,
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I-AST INSPECTION
Signah.ue of omer or Electrical Contractor X
G:\EXCHANGRBUILDINC
Date
RESULTS:
ELECTRICAL PERMITA PP ICATION
.I
o
f
I
E
Project Address 427 E Hlllcrest
Project Description Basement Remodel
Name: Mary Email
Mailing Address Phone
ftl3mg BDE 1i666sq blackec894d2
Expiration Date
Phone 360461-3957
Mailing Address
Email:
Item
Service/Feeder 200 Amp.
Serv ce/Feeder 201-400 Amp
Service/Feeder 401-600 Amp
Service/Feeder 601 -1 000 Amp.
Service/Feeder over '1000 Amp
Branch Circurt W/ Service Feeder
Branch Circuit WO Service Feeder
Each Add tional Branch Circ!it
Branch Circuits'1-4
Temp. Service/Feeder 200 Amp.
Temp. Serv ce/Feeder 201-400 Amp
Temp Service/Feeder 401-600 Amp
Terrp Servrce/Feeder 601- 1000 Amp
Portal to Portal Hourly
Signal CircuiyLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 5OO square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
unit Charoe Ouantity fojhl (Quantity x Unit Charge)
$74.00
, . $110.00
TOTAL
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-
46B, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
4-20-2021 Benjamin Shamp
Date Print Name Signature 1@ Owner ! Electrical Contractor / Adminiskator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed lo 360.417.4711]
$120.00
$146 00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75 00
$93.00
$110 00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00.::;' $120.00
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1 - 2 SINGLE-FAIMILY
Public Works and Utilities Depaltment
l2l 1r. 5th Street. Port Angeles. \\A 98362
160.4 I 7.47-15 | n wr.r,.cit1-olpa.us I clcctricalpcrmits@cityolla.us
E Single-Family Residential E Duplex i ARU Building Square footage:
-
OWNER INFORMATION
ELECTRICAL CONIRACTOR IN FORMATION
PROJECT DETAILS
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