HomeMy WebLinkAbout1136 E 7th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE FA}'TLY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Jt
\.s+os
Applicat.ion Number
Application pin nunber
Property Address
ASSESSOR PARCEL NUI4BER:
ApplicaCion t],?e descripE j.on
subdivision Name .
ProperEy Use
ProperEy Zo ing
Application valuation
19-00001998 DaLe 12/17 /L9
365486
113 6 E 7TH ST
06 - 3 0- 00- 0 -2 -2100 - 0000-
EL.ECTRICAI, ONLY
Application desc
Heat pump
ConEractor
VANCE AND IIAZEL HEYDORN TTES
113 5 E. 7TH ST.
PORT ANGELES WA 983 62
(928 ) 301-8934
BLACK D]A}.IOND ELECTRICAL COIfTR
502 BI,ACK DIAMOND RD
PORT ANGEI,ES WA 98363
(350) 55s-1035
Pefinit
Addltional desc
PermiE Fee
Issue Date
Expiratlon Date
63 .00
1-2/71/19
5 /14 /20
EIECTRICAL ALTER RESIDENT]A!
.00
0
oty unit charge Per1.OO 63.0000 EcH EL-R- BRANCH CIR Wo/ sER FEED
ExEension
63 .00
Fee summary Charged Paid CrediEed Due
Permi! Fee f'otsa1
Plan Check Totsal
53 .00
.00
53 .00
63 .00
.00
63 .00
.00
.00
.00
.00
.00
. o0
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTION
INSPECTION T}?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN dzz)fl *&xtr
FINAL ,^ ln)n R ^tr
COMMENTS
Signature ofowner or Electrical Contractor X Date
Plan Check Fee
valuation
1 - 2 SINGLE-FAMILY
ELECTRI CAL PERMIT APPLICATION &E
0Et
tlr-r![D
1 0 20tg
1'o
I
+
..)
.\
lr-D
-.6
CD
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, \lA 98362
360.417 .47 35 wuw.ciryofpa.us electricalperm its@c ityofpa.us
tr3r L 1# (j-^)Project Address:
Project Descripti on:W
(Singte-famity Residential ! Duplex / ARU Building Square footage
OWNER INFORMATION
Name
Mailing Address
Email
Phone 11'7-1,{o?
ELECTRICAL CONTRACTOR I NFORMATION
Name
i/ailing Address
License
Expiration Date
Phone: 36 o Ll[l -315'?Email
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1400 Amp
Service/Feeder 401€00 Amp.
Service/Feeder 601- 1000 Amp
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp Service/Feeder 401600 Amp
Temp Service/Feeder 601-1000 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 Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
unit Charoe
$120.00
$146.00
$205.00
$262.00
s373 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
$120.00
$40.00
$74.00
$110.00
Quantitv lqbl(Quantity x Unit Charge)
,---GT
$
$
$
$
$
$
$
$
$
$
$
$
$
$
b
$
$
$
$
s
$
$TOTAL
/ t ---.J Z
Owner as defined by RCW19.28.261r (1) Owner will occupy the struclure for two years after this eleclncal permit is finalized. (2) Owner is
required to hire an electrical contractor if above said prope(y 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 owner of the above named property or a licensed eleclrical contraclor I
am making the electrical installation or alteration in compliance with the electrical laws, N. E.C , RCW Chapter '19.28, WAC. Chapter 296-
468, The City of PortAng eles Munrci pal Code, and Utility ns and PAMC 14.05.050 regarding Electrical Permit Applications.
lz-lL'tq
Date Print Name
[Electrical Permit Applications may
Si re Owner ! Electrical Contractor / Administrator)
be submitted to City Hall or epermits cityofpa.us or faxed to 360.417.471 1l
ELl-2 sF
\^
F
t