HomeMy WebLinkAbout3208 Maple StEI,ECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDNTL SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
J
I
\n
Applica!ion Nuhber
ApplicaEion pin nudber
Property Addreas
ASSESSOR PARCEL NUMBER:
Application tlpe description
Subdivision Name
Property Use
Property Zoni.ng
Application valuation
1? - 0 0000103 DaEe 1/30/71
5S0312
3208 I'{APLE Sr
06-30-15-5-0-1200-0000-
E],ECTRICAI, ON],Y
ApplicaEion desc
Duclfess heat pump
Olrner ContracCor
JESSICA RANCOURT
3208 S MAPLE ST
PORT ANGELES
BI,ACK DIAI4OND ELECTRICA! CONTR
502 BI]ACK DIAMOND RD
POR? ANGELES WA 98363
(360) s55-1035
wA 943623126
Permit
Addiliona1 deEc
Permit Fee
Issue Date
Expiratsion Da!e
53.00
1/3a/L7
"1/29/t7
ELECTRICAI ALTER RES]DENTIAL
Pran cnecl< !'ee
Valuation
00
0
oty Un j-! Charge Per1.OO 53.OOOO ECH EI,.R- BRANCII CIR WO/ SER FEED
Ex!ensi.on
63.00
Charged Paid Credi t ed Due
PeImlE lee IoEaL
Plan Check Total
Grand TotaI
53.00
.00
53.00
53.00
.00
63.00
.00
.00
.00
00
00
00
INSPECTION T\?E DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI
COMMENTS
PERMN WILL EXPIRE SIx (6) MONTHS FROM I-AST INSPECTION
Signature ofowner or Electrical Contractor X Date
f(lRr
Crry or Ponr Ar,scEr,ns PERNrrr Appltcarroru
Building Division/Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 4t7-4735 Fax: (360) 417-4711
o",",f:27'/6 (. t e z singb ramily Dwelling
' PIan Review May Be Required, Please Com pl ete Electrical Plan Review lnformatlon Sheet
-J
(
D
#
Job Address
Building Square Footage
LC JT
Description of above
Owner lnformation Contractor
Name
ln n
Name oo
lvlailing Address:
City:State: _ Zip City State: _ Z p
Phone axl
License # / Exp
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401S00 Amp
Seryice/Feeder 601 -1 000 Amp.
Service/Feeder over 1 000 Amp.
Branch Circuil W Service Feed
Branch Circuit W0 Service Feeder
Each Additional Branch Circuit
Branch Circuits 14 Only
Temp. Service/ Feeder 200 Amp.
Iemp. Service/Feeder 201-400 Amp.
Temp. Seryice/Feeder 401-600 Amp.
Temp. Service/Feeder 6011000 Amp .
Portal to Portal Hourly
Signal Circuiv Limited Energy - 1 & 2 Family Dwe ing
Manufactured Home Connection
Renewable Electrical Energy - sKVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
NEIY CONST RUCTION ONLY
First 1 300 Square Ft.
Each AdditionalS00 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Phone
License # / Exp
@Unit Charqe
$ 120.00
$ 146.00
$ 205.00
$ 262.00
$ 373.00
$ 5.00
$ 63.00
$ 5.00
$ 75.00
$ 93.00
$ 110.00
$ 149.00
$ 168.00
$ 96.00
$ 64 00
$ 120.00
$ 102.00
$ 56.00
S
$
$
s
$
$
$
$
$
$
$
$
$
s
S
s
s
$
$'120.00
$ 40.00
$ 74.00
$ 110.00 $ ;2 -$ 1q / lotat
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finatized. (2) Owner is required
to hire an electrical contractor if above said prope(y is for sale, rent or lease. Permit explres after six months of last inspection,
After reading the above statement, I hereby ce fy that I am the owner of the abo-venamed 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 i9.28, wAc. chapter 296-468, The city of poi
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical iermit Applications.
Signature of , electrical contractor or electrical administrator
x 02106t2012ated/-zz-t 7
/%3f i
-RECEIt,ED
Mailing Address:
Total (Qtv Mulliplied bv Unit Charqe)
q
E cash Rch.ck
tr c@dit cld # _=--
3or'3