HomeMy WebLinkAbout330 Vashon Aveo\)
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Appli.cation Nuniber
Applj.cation pin lrufiber
Property Addresa
ASSESSOR PARCEL NUMBER:
ApplicaEion lype description
Subdivision Nane
Property Use
Property zoning
Application valuation
18 00001413 Dare 9/t3/ta
225511
330 VASHON a.VE
06-30 10 - 5 - 0 - 03 0I - 00 0 0 -
EIJECTRICAL ONIY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -473s
RS] RESDNTL SINGI,E FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
Owner ContracEor
DARNELL, JOHN
330 VASHON A!'E
CLEVEIJAND oH 44105391?
BITACK DIAMOND ELECARICA]' CONTR
502 BI,ACK DIAMOND &D
PORT ANGEIES WA 98363
(350) 565 103 s
Permi E
Addiriooaf desc
Permit Eee
Issue Date
Expiration Date
120.00
9/13/18
3/\2/19
Plan check Fee
valuation
EIECTRICAL AITER RESIDENT]AL
0
Qty Unit Charge Per
1.00 120.0000 ECH EL-0-200 sRv FEEDER
Extension
120.00
Fee summary Charged Paid credi!ed Due
Permil Fee To!aI
Plan check Total
Grand Total
724
120
00
00
00
120
120
00
00
00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE ?"t+ t8 /4f @
ROUGH.IN
FINAL ?-/+t I ,4P
COMMENTS:
Signa ture ofowner or Electrical Contractor X Date
,&
ELECTRICAL INSPECTION
WIRING REPOBT
417-4735
NOT APPROVEDAPPBOVED
.D|TCH.......
.... ROUGH IN/COVER . .
SERVICE
. FINAL .
COBRECTIONS NEEDED:fi{:,zzoot:-<-,,)Ec.t €c)
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OWNEF
CONTBACTOR
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ADDRESS
3:io u-*;*o>r "4r8.
a),
4*-,eae 7Z- 4a*tot>*C
{L
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED W]THIN 15 DAYS
- DO NOT REMOVE-
tr.
tr.
D.
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NJ
..15(t"T'EY
lll Ftr6*"M
ELECTRICAL INSPECTION
WIRING REPORT
4174736
NOT APPBOVED
DITCH . . ..... tr
.... o.. ROUGH IN/COVER . ,
SEBV|CE......
.....FINAL
APPROVED
COBFTECTIONS NEEDED:
(eae- ,
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D^T!/8-/INSPECT
..-.1JvHU t)Apq*t-t-
CONTFACTOB
ADDRESS
e
NOTIFY INSPECTOR WHEN CORFECTIONS
ARE COMPLETEDUTHIN
'5
DAYS
- OO NOT REMOVE-
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a
Application Number
Applicatiolr lin nuflicer
Property Address
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 -00001413 Date 9/a)/!8
2255L7
330 VASHON AVE
05 - 3 0 - 10 - 5 - 0 - 03 0 8 - 00 00 -
ETECTRICAIJ ONLY
RS7 RESDNTI] SINGLE FAI.IILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
ASSESSOR PARCEL NUMBER:
ApplicaLion lpe description
subdivision Name
Property use
Property zoDing
Application valuaEion
Owner
DARNEII,, JOHN
330 VASHON A1,46
CLElEI!1ND
BLACK DIAMOND ELECTRICAI CONTR
502 BLACK DIAJ'1OND RD
PORT ANGETES WA 98363
(360) 555 - 1035
oi{ 441063 917
Permit
Addilional desc
Permit Fee ,
Issue Date
E4)iiatioo Da!e
EIECTEICAI A],TER RESIDENTIAL
120 - 00
e/13/18
3 /L2 /19
Plan Check Fee
valuation
.00
0
QEy Unit Charge Per
1 . 00 120. 0000 Ecrr E!-0-200 sRV FEEDER
ExtensioD
120. 00
Charged Credited Due
PermrLE tee 10ta L
Plan check TotaI
crand Total
120.00
.00
120.00
00
00
0o
00
00
00
t2a
L2A
00
00
00
INSPECTION T\?E DATE:INSPECTOR;
DITCH
SERVICE
ROUGH.IN
FINAL
PERMn WILL E (PIRE SIX (6) MONTHS FROM L{ST INSPECTION
Sigmture of owner or Electrical Contactor X Date:
RESULTS:
COMMENTS:
1-2 SFE
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street. Port Angeles. WA, 98362
360.417.4735 www.ciryofpa.us
'
electricalpermits@cityolpa.us
33O E_ L,As ++oJ
PNi\
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x\^)
Project Address
ject Description 1.4ASf rz-LPAlL
O\A/NER INFORMATION
n le-Family Residential E Duplex / ARU Building Square footage
Mailing Address 6f cl vtLcL phone, m l3o_31g-gasn
Name a
ELECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address
License:
Expiratio
Phone:
n Date:?6o4L(*q r ?Email
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 Addilional Branch Circuit
Branch Circuits 1{
Temp. Service/Feeder 200 Amp.
Temp. ServicdFeeder 20'l-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 6011000 Amp.
Portalto Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Addilional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub 7To
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years afrer this electrical permit is finalized. (2) Owner is
required to hire an electrical contraclor iI 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 above named property or a licensed eleclrical contractor. I
am making the electrical installation or alteration in complia llaws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468 The City of Port lvlu n Code. and Util and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print me re Owner ! Electrical Contraclor / Administrator)
uoit Charqe
$120.00
$146.00
$20s.00
5262.00
$373.00
$s.00
$63.00
$5.00
$75.00
$93.00
91.10.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
H Quantiqe( Unit Charge)/z-o
-
Tota I
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
s
IElectrical Permit Applications may be s City Hall or epermits@cityofpa us or faxed to 360.417 .471'11
1 - 2 SINGLE-FAMILY
TOTAL