HomeMy WebLinkAbout102 Old Joe RdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Application Number
Appllcation pin nurn3er
Property Address
ASSESSOR PARCEL NUMBER:
ApplicaEion t,?e description
sulcdivisioo Name
Propertsy Use
Property zoning
Application valuation
19- oo0oo2 90 Datse 2/28/t9
466710
102 OI,D .JOE RD
06 -3 0 - 08-4 -4 - 00s0 -0000 -
ELECTRTCAI ONLY
UNIO{OWN
Owner
0
Contsractor
BI.ACK DIAMOND ELECTR]CAI CON'IR
502 BLACK DIAMOND RD
PORT ANGELES WA 983 53
(350) s55-r035
wa 983 53 83 01
Permits
Additsionaf desc
Issue Date
Expiration DaEe
ELECTRICAL AI,TER RESIDENTIAL
A,DDITION 1_4 +2 CIR
85. o0 Pfan Check Fee
2/28/19 valuat ion
8/2'7/19
otsy Unit Charge Per
00 63 .0000 ECH
.00
0
BASE FEE
EI, R BRnNcH CIR wo/ sER FEED
Extension
85. O0
.00
Charged CrediEed Due
Permlt. Fee ToEal
Plan check Total
Grand Total
85. 00
.00
85.00
85 .00
.00
85. O0
.00
.00
.00
.00
.00
.00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESTILTS:
DITCH
SERVICE
ROUGH-IN t^, /,c #
FINAL /t
COMMENTS Lp;tufi€-V f Jrs /n
PERMII WILLEXPIRE SIx (6) MONTHS FROM LAST INSPECIION
Sigrrature of owler or Electrical Contractor X Date
CONNELY THEODORE E
102 OIrD .'OE RD
PORT ANGEI,ES
INSPECTOR:
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 wvw.cityofpa.us I electricalpermits@cityofpa.us
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Project Address
Project Description N$,-ar..-
Single-Family Residential E Duplex / ARU Building Square footage:
C-*t-ocv Email:
Mailing Address Phone
ELECTRICAL CONTRACTOR INFORMATION
lvlailing Address
Email:
License
Expiration Date:
Pnone: 46( -?4 rt
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1600 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. Servic€/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. ServicdFeeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - '1&2 DU.
Manufu ctured Home Conneciion
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feef'
Each Outbuilding / Deiached Garage
Each Swimming Pool / Hot Tub
lhilelaIce
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
$120_00
$40.00
$74.00
$1'r 0.00
Quantitv
t-*
Igb! (Quantity x Unit Charge)
2-
7T
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
s
$
$
$
$
$
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical 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 statement, 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 in compliance the electrical laws N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468, The City of PortA eles nicipal Code, and uti ns and PAMC 14.05.050 regarding Electrical Permit Applications
L-2d-t\
Date ignature (r E Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitte to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
ELl-2 s
1 - 2 SINGLE-FAMILY 1'o
==
s
Name:
O\ryNER INFORMATION
Name:
PROJECT DETAILS
Print Name
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
DITCH
...ROUGHIN/COVER
.5t A.:P*ae-t-sERVrcE
FINAL
CORFIECTIONS NEEDED:
,4D /z*rr C-
NOTIFY INSPECTOR WHE}I CORRECTIOiIS
ARE COMPLETED WIT}IIN 15 DAYS
- OO NOT REMOVE.
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APPBOVED
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DATE:2 L1 7r-r**/eL NSP
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