HomeMy WebLinkAbout1230 Caroline StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
RS7 RESDNTL SINGLE FAMILY
o
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicalion Nuiber
Application pin number
Prope!Ey l\ddress
ASSESSOR PARCEL NWBER:
Application ts)'pe description
Subdivision Name ,
ProperEy Use
Property Zoning
Application valuaEiotr . .
19-00001234 Date e/1s /19
110748
123 O CAROI,INE ST
05 -30 - 00- 5 -3 - 1005- 0000 -
EI,ECTRICAI, ON',Y
Applicat'io alesc
DHP
Contracto!
BAMER, BOS1 ,J
PO BOX 98
JOYCE
(360) 928-3515
BLACK DIAMOND EI,ECTRICAI CONTR
502 BIJACK DIAMOND RD
PORT ANGELES !{A 98363(360) 5 65 - 1035
Pennit
Additional desc
PermlE !'ee -
Tssue Date
Expiration DaEe
53.00
B/1-s/i.e
2 / rt/20
ELECTRICAI- ALTER RESIDEN?TAI,
Pl-an Check Eee
valuation
oty UniE Charge Per1.00 63 . 0000 Ecg EL.R. BRANCH CIR WOl SER FEED
00
0
ExtenBion
53 .00
Charged Paid Credi-ted Due
Permit Fee Total
Plan Check ?oEa1
Grand Totaf
63 .00
.00
63 .00
63-00
.00
63 .00
. o0
. o0
- 00
_ 00
- 00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
q[,ln 4P -va#ROUGH.IN
FINAL dZ/p R d
IIII
T
Signature of owner or Electrical Contractor X Date:
wA 98343
COMMENTS;
1 - 2 SINGLE-FAMILY
ELECTRICAL PER MIT APPLICATION
Public Works and Utilities Department
321 E. 5th Strcct. Port Angeles. WA 98362
360.417.47 35 | www.cityofpa.us I electricalpennrts@cityofpa.us
RECEIVED
AUA 13 20t!
Project Address:1230 Caroline St
Project Oescription:Add circuit for ductless hp
tr Single-Family Residential E Duplex / ARU Building Square footage
OWNER INFORMATION
Name: Bamer Email:
Mailing Address. 1230 Caroline st Phone:2o8-5s74354
ELECTRICAL CONTRACTOR INFORMATION
113yns; Black Diamond Electrical License: BLACKEC894D2
Expiration Date
Phone:
Mailing Address:
Email:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'l -600 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 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Houdy
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet.'
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
TOTAL 63
Owner as defined by RCW.19-28.261: (1) Owner will occupy the strusture for two years after this electical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above stalement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor- I
am making the electrical installation or alteration ifi compliance with the elecfical laws, N.E.C., RCW. Chapte|I9.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05-050 regarding Electical Permit Applications.
8-13-201e Benjamin Sham p
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$'r20.00
$146.00
$20s.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
$s6.00
$rm.00
$40.00
$74,00
$110.00
Ouanlitv I-gEI (Quantity x Unit Charge)
63
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Date Print Name Signature (El Owner I Elecirical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47'11]