HomeMy WebLinkAbout204 S Francis StELECTzuCALPERMIT
CITY OF PORT ANGELES
360417473s
RS? RESDNTI] SINGLE FAMILY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
ot
,s\
Application Nuliber
Application pin number
Proper!y Address
ASSESSOR PARCEI, NUMBER :
Application type description
Subdivision Nanre . .
Property Use
ProPer!y Zolling
ApplicationvafuaEion .
18 - 00001595 Date l0/r2/L8
749892
204 S FR}NCIS ST
06-30-00-?-7-0200-0000-
EI,EC'IRTCAI, ONI,Y
Application desc
Ductless heal pump
Owner Contractor
HELEN G MCCRIMMON
2842 CAROB ST
NEVIPORT BEACH CA
NEIIPORT BEACI{
(352) 809-350?
BLACK DIAMOND ELECTRICAL CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 98353
(350) 565 - 103 5cA 92550
Permi!
Addit ional
Permit Fee
I ssue Date
Expirat ion
EIECTRICAL ALTER RESIDENTIAL
de sc
Date
53 .00
to / t2 /ta
4/aa/t9
PIan Check Fee
Valuation
00
0
Qty UriE Charge Pe!
1.OO 53.OOOO ECII EL.R. BRANCH CIR WO/ SER FEED
Extensioo
53 - 00
Fee suMary Charged Credited Due
Permit Fee Tota}
Plan check ToEal
Graod Total
63.00
.00
63.00
63.00
,00
63.00
00
00
00
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTTON
INSPECTION TYPE DATE:RESULTS:NSPECTOR:
DITCH
SERVICE
ROUGH-IN nL[t*dtr \AP
FINAL rclx,lB #@/
COMMENTS
t
Signaturc of ow:rer or Electrical Contractor X Date:
ELl-2 sF
1 - 2 SINGLE-FAMILY REEHUES
ELECTRICAL PERM IT APPLICATION 0cl
1'o
=
l--
I\N
LD
t-r
F
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us electricalpermits@cityofua.us
2o1 5.4kpus
EIIIIRICAL
INSPECIIONS
Project Address
Project Description Do<--r-w_s./
ngle-Family Residential E Duplex / ARU Building Square footage
OWNER INFORilIATION
Name C- C-a-\ n+ t-" o -t Email
Mailing Address Phone 7 bo-8o1 -)tsz
ELECTRICAL CONTRACTOR I NFORMATION
Name
Mailing Address
Email:
o/-License
Exp iration Date
Phone r
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401€00 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 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 40'1600 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portal to Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Oetached Garage
Each Swimming Pool / Hot Tub
Ouantitv IgE! (Quantity x Unit Charge)
-73--
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
$'168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL
Owner as defined by RCW19.28.261: (1) Owner will occupy the structure for two years afier this eleclrical permat 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 certi{y that I am the f the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in complian cal laws, N.E.C. RCW Chapter 19 28, WAC. Chapter296-
46B, Ihe City of PortAngeles nicipa Code, and Utility and PAMC 14.05.050 regarding Electrical Permit Applications
/o-0
Date Print Name natu Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submi to Hall or epermits@cityofpa.us or faxed to 360.417 .4711)