HomeMy WebLinkAbout811 W 14th StApplication Nu ber , -Application pin nuniber
Property Address
ASSESSOR PARCEL NUI4BER:
Application tsype descliption
Subdivision Name - -
Plopertsy Use
Propertsy zoaing
Applj.cation valuati-on
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDNTL SINGLE FAI.IILY
0
19 - 00000285 Dare 2/28/19
993205
811 W 14TlI ST
05- 3 0 - 00 - o - 3 - 9488 - 0000-
ELEC?RICAIJ ONLY
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Cont.racEor
MARCY AND .JAMES BOIES TTES
6180 N Cami.no Almonte
TUCSON Az 85718
l'520) 9'15-32s4
BLACK DIA.!4OND ELECTRICAL CONTR
502 BI.ACK DIAMOND RD
PORT A}JGELES WA 98363
{360} s6s - 103 s
PermiE
Additional desc
Permit. Fee
fssue Date .
Expiration Datse
ELECTRICAL AITER RESIDEN?IAL
I'PSTAIRS BATIIROOI.] ADDITION
63.00 PIan Check Fee
2/2A/79 Valu.rrion
8/27 /)"9
00
0
Qty Units Charge
1.00 53 .0000
Per
ECI{ EL.R- BRANCH CJR WOl SER FEED
Extension
63 .00
Fee summary Cha!9ed Paid Credited Due
Permit Fee Total
PIan Check Total
Grand Total
53 .00
.00
63.00
63.00
.00
53 .00
00
00
00
00
00
00
REPORT STATE SATES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN >/o /,r 1+;d- )
FINAL ,{tdit a
COMMENTS:
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owtrer or Electrical Contractor X Date :
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ELl-2 sF
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us electricalpermits@cityofpa.us
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Project Address
P Oescription:v I //flr+ -/rD$l?r<> -
Single-Family Residential n Duplex / ARU Building Square footage
L sr -Orw
OV1n\lER INFORMATION
Name
Mailing Address
Email
Phone: '{6 o - 71o t
ELECTRICAL CONTRACTOR I NFORMATION
Name License:
Expiration Date
Phone: 36 " ''/L( -J t f 7
i/ailing Address:
Email:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp
Service/Feeder 401S00 Amp
Service/Feeder 601 -'1 000 Amp
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp
Temp. Service/Feeder 201 400 Amp
Temp. Service/Feeder 401600 Amp
Temp. Service/Feeder 601 -1 000 Amp.
Portalto Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec Energy 5KVA System or less
Themostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
lJnit Charoe
$120.00
$146.00
$20s 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
$s6.00
$120.00
$40.00
$74.00
$110.00
Quantitv
TOTAL
Igltr! (Quantity 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 above named property or a licensed electrical contraclor. I
am making the electrical installation or alteration in compl !ance laws N.E C. RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port t\,luni al Code. and Util s and PAMC 14.05.050 regarding Electrical PermitApplications.
l- Lf -t\
Date Print Name Signature (r E Electrical Contractor / Administrator)
IElectrical Permit Applications may be subm to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
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