HomeMy WebLinkAbout715 W 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
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Application Nuribe!
Application pin nu ber
Property Address
ASSESSOR PARCEL tlUl4BER:
ApplicaEion tsype descriPtion
sutdivision Name
Propeity ose
Property Zoning
Application valuaEion
21- oooool?1 Datse 2/22/2!
247736
?15 W 4TH ST
05-30-99 -0- 0- 9810 -0000 -
EI,ECTRICAI, ONLY
0
application alesc
BaEh remodel
KAREN L UNGER PS
332 E STlt ST
PORT ANGELES
BI,ACK DIAMOND ELECTRICAI, CONTR
502 BI.ACK DIAMOND RD
PORT ANGEIES WA 98353
(350) 565-103s
wA 983523207
PermiE
Addiliooa1 desc
Permit Fee
Issue Dale
Expiralion Date
ELECTRI C]\IJ AITER RESIDEMT]AIJ
1-4 CrRCU:TS
?5.00 Plan Check Fee
2/22/2L ValuaL.ion
8/2L/2t
00
0
Qty unit charge Per Exlension
75.00
Charged
PERMTI WILL EXPIRE SIX (6) MONTHS FROM
PermiE Fee Total
Pfan check Total
Gr:arld ToLal
75.00
.00
75 .00
75.00
.00
75.00
00
00
00
.00
.00
. o0
crediEed Due
Signa ture ofowner or Electrical Cootractor X
REPORTSALESTAX
ut your excise tax form
to the City of Port Angeles
(Location Code0502)
INSPECTOR:INSPECTION TYPE DATE;RESULTS
DITCH
SERVICE
ROUGH.IN
FINAI-
*.COMMENTS:
CIEXCHANGRBUILDING
INSPECTION
Date
E LECTRICA L PERMIT A PPLICATION
Public Works and Utilities Deparlment
321 E. -5th Street. Port Angeles, WA 98,162
160.4 I 7.4715 | wrvw.cityofpa.us I electricalpennits@cityofpa_us
ProjectAddress: 715 W 4th (All ln One)
Project Descript 16n. bath remodel
!o
3
*
t\r
\a
{
E Single-Family Residential E Duplex / ARU Building Square footage
Name Karen Unger Email
Mailing Address P hone
Name: BDE License. BLACKEC894D2
Expiration Date
Phone:
Mailing Address
Email:
Service/Feeder 200 Amp.
Service/Feeder 201-4OO Amp.
Service/Feeder 40't -600 Amp.
Service/Feeder 60'l-'l 0OO Amp.
Servjce/Feeder over 10OO Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-4OO Amp.
Temp Service/Feeder 40'1-600 Amp.
Temp Service/Feeder 60'1-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
lvla"rufactured Home Connecuon
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each addition
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63 00
$5.00
$7s.00
$93.00
$110.00
$149.00
$'168.00
$96.00
$64 00
$120.00
$102.00
$56.00
ntity x Unit Charge)
1
$
$
$
o
$
$
$
$
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$
$
$
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owner as defined by RcW'19.28.261: ('l) owner will occupy the structure for two years after this electrical permit is finalized. (2) owner isrequired to hire an electrical contractor if above said property is for sale, rent or lease. permit expires aftei 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 Iam making the electrical installatjon or alteration in compliance with the electrical laws , N.E.C., RCW Chapter 19.28, WAC. Chapter 296-468, The City of PortAngeles t\4unicipal Code, and Utiljty Specifications and PAMC 1 4.05.050 regarding Electrical permit Applications
2 -12-2021 Benjamin Sham p
Date Print Name Signature 1p Owner ! Electrical Contractor / Admanistrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or fa xed to 360.4n7 .4Z 11l
1 - 2 SINGLE-FAMILY
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Item
New
.Corstruction
Only
Quantitv
$-.-
q
First 1300 Square Feet
Each Additional 500 square feet-
Each Outbuilding / Detached caiage
Each Swimming Poot / Hot Tub
TOTAL