HomeMy WebLinkAbout234 E 11th StApplicaEion Nu ber
Application pin number
Property Address
ASSESSOR PARCEL NU}.,lBER:
Application !!.pe descriptsion
subdi.vision Name
Property Use
Property Zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-473s
17-00001461 Date 1A/10/1-"t
164 7 23
234 E 11TH ST
05-30-00 0-3-4210 000 0
ELECTRICAL ONI,Y
RS7 RESDNTL SINGI,E FA],IILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
t
*
Application desc
Dlralr o.s hea! olmp tz-- 9E
Contractor
ERIC AND SMANTHA HfNES
234 E 11TH STREET
PORT ANCELES WA 98362
BLACK D]MOND ELECTRICAL CONTR
502 BI,ACK DIA]VIOND RD
PORT ANGEI,ES WA 98353
(350) 55 5 - 10:5
Pe.IIlit
Additiooal desc
Permit. Fee
lssue Date
Expiration Date
oty Unit Charge
1.00 53 .0000
53 .00
ro/7a/t1
4 / 0a/rB
EI,ECTRICAI, AI,TER RESIDENTIA!
Ptan cneck Fee
Valua! ion
00
0
Per
ECH EL-R BRANCII CIR WO/ SER FEED
Extension
53. 00
Charged Paid CrediEed Due
Permlt l'ee lotaL
Plan Check Total
Grand ToLal
63.00
.00
63.00
53.00
.00
53.00
00
00
00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN rc l,-t )e P -{.F
FINAL I
COMMENTS:ln
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
z
eoat
APPHOVED
ELECTRICAL INSPECTION
WIRING REPORT
4't7-4735
NOT APPROVED
DITCHn
tr
D
CORFECTIONS NEEDEDT
tN a r\_
NOTIFY IIISPECTOR WHEIiI CORHECTTONS
ARE COMPLETED wlTHIN 15 DAYS
- DO NOT REMOVE-
INSPDATEtb\-"-t4L
CONTRACTOR
ADDFESS
.. ROUGH IN/COVER
. . . SEH/ICE,
. . .. FINAL
tr
tr
tr
tr
€""...* fl-o.l FLenrz_ 4d!\f A*EqE;
Crry oF Ponr A,rxcei,rs Prnrurl AppLrcATroN
Building Divisioo/Electrical lnspections
321 East Fifth Street - Port Atrgeles lVashington, 98362
Ph: (360) 417 4735 Fax: (3fi) 417-4711
Date: r/o-Q-/Z (azsingtefamityDweiling
- Plan Review May Be Required Please m Electrical Plan Review Informatron Sheet
J
(
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Job Address
Building Square Footage
Descrjption of above
Owner lnform ationllr ,.te I Co
Name;
Mai{ing
n
Narne
City
Pho
Slate: _ Zip Staie: Z\o
Ph iL\:
License # / Exo.
City:
tl cast E-ctecr
fl Credit Card #
Total (Multiolied b'i Unit Charqe)
ne ax:
License # / Exp
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401 -600 Amp
Service/Feeder 601 -1 000 Amp.
ServicdFeeder over 1000 Anp.
Branch Circrit W Service Feed
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14 only
Temp. Service/ Feeder 200 Amp.
Temp. ServicdFeeder 201-400 Amp.
Temp. Service/Feeder 401$00 Amp.
Temp. ServicdFeeder 601-1000 Amp .
Portal to Porlal Hourly
Signal Circuiu Limited Energy - '1 & 2 Family owelling
Man ufactured Home Connection
Renewable Elecfical Energy - sKVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
UCTIO}I OT{LY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Poftion of
Each Outbuilding or Detached Garage
Each Swimminq Pool or Hot Tub
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
$
q
$
$_
15
q
$_
$
$
$
$
$
$
$
$
$
$ 120.00
$ 40.00
$ 74.00
$ 1'10.00
$
$
$
Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy fre structure for two years after ttris electrical pennit is finalized. (2) Owner is required
to hire an electrjcal contractor if above said prope(y is for sale, rent or lease. Permit expires affer six months of last inspeclion.
After reading the above statement, I hereby cert'ry hat { am the owner of fie above named property or a {icensed electical conracbr. I am makjng
the electrical installation or alteration in compliance with he electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of poi
Angeles IVlunicjpal Code, and Utility Specifications and PA[4C 14.05.050 regarding Electical Permit Applications.
Signature of own electrical contractor or electrical administrator:
X Dated:o -q-
Ule/.1
0210612012
\t E!
tulailing Address:
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