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Home My WebLink About521 E 11th StELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4',735 RS7 RESDNTIJ STNGI'E FA}I]LY 0 REPORT STATE SALES IAX on your excise tax form to the City of Port Angeles (Location Code 0502) @ -!\rl --0 NApplication Nunrber Application pin numlcer Property Address ASSE.SSOR PARCEL M]MBER: Application L),pe description Subdivision Name Property use Property zoning Appfication valuation 18-00001392 Dare 9/21/t8 571584 521 E ]lTH ST 05 30 00 0 3 3275 0000 ELECTRICAL ONLY Applicatsion desc RUSSELL B CHASE / 521 E 11TH ST PORT ANGELES SUSAN .] REED wA 98352 BLACK DIAMOND ELECTRICAL CONTR 502 BI,ACK DIAMOND RD PORT ANGELES WA 98363 (360) 55s-1035 PermiE Additio[a] desc Permit Eee Issue Datse Expiration Date ELECTRICAL AITER RESIDENT]AL 14 CIRCUITS 75.00 Plan Check Fee 9/A1/ !8 Valualion 3/2s/L9 00 0 Qty Unit Charge Per BASE FEE ExtenBion 75.00 Charged Pa id Credited Due Permit Fee ToEal Plan Check ToEal G]:and Total 75.00 .00 15.00 75.00 .00 75.00 00 00 00 00 00 00 INSPECTION TYPE DATE:RESULTS:INSPECTOR: DITCH SER\'ICE ROUGI{.IN FINAL COMMENTS rr^\ PERMII WILL EXPIRE Stx (6) MONTHS FROM LAST INSPECTION Signatue of owner or Elecaical Contactor X Date EL1-2 sF 1 - 2 SINGLE-FAMILY ELECTRICAL PERIVI IT APPLICATION Public Works and Utilities Department 321 E. 5th Street. Port Angeles. WA 98362 360.417.4735 i www.cityofta.us electricalpermits@cityofpa-us -E o == tsh t [-:*:! NProject Address 571 dLbg 1(T-ul Project Description C-o aLz-C a-rm oJ Single-Family Residential n Duplex / ARU Building Square footage Name lvlailing Address Email Phone )^,7 O\A/NER INFORMATION ELECTRICAL CONTRACTOR INFORMATION Name Mailing Address Email: License Expiration Date Phone .(6 31 PROJECT DETAILS Item Service/Feeder 200Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401600 Amp. Service/Feeder 60'1 -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€00 Amp. Temp. Service/Feeder 6011000 Amp. Portal to Portal Hourly Signal CircuivLimited Energy - l&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/ HotTub Unit Charoe $120.00 $146.00 $20s.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 $120.00 $40.00 $74.00 $110.00 Ouantitv Total louantitv x LJnit Charoe) TOTAL $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $-7f- 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 Iam th of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in an the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296- 468 The City of Port eles icipalCode, and cations and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print N ame Sign Owner ! Electrical Contractor / Administrator) [Electrical Permit Applications may be subm to City Hall or epermits@cityofpa. us or faxed to 360.417.47111 ELECTRICAL INSPECTION WIRING REPORT 417-4735 NOT DITCH ROUGH IN/COVEN )d-- SERVICE tr FINAL (-t> APPROVED n D tr D Y*yt l4, tE- oe€-A L .B# o* 9vWfl-Y-TD u9 1{z-tu = NOTIFY INSPECTOR WHEN CORRECTIONS I l t'z l"'Wloutu*DATE:INSPECTOR@ *vz>>+ TZ-fr-Ej*> OWNEF CONTFACTOB t>-'7 t rlt€* //ADDBESS ARE coMPLErEo wrxn4loavs - oo Nor sguqvE;e coRBEGnoNS NEEDEo. 7rt-a!" r]-- . .-U,ft*6-u) E_4-- €tr>- $LL {y,u*-r trZ,W*.* e€orU - ..#5"1.t""AE-\," ! t(- F rIa Y6X?6'€ ELECTRICAL INSPECTION WIRING REPORT 417-4735 NOT APPROVED DITCH APPROVED tr D tr tr P,COBRECTIONS NEEDED:eG^ 3 ct-*xil l,*P t^2)H Nb )N lE tTrY[V*I <Da^ff-eE NOTIFY IilSPECTOR WHEN COHNEGTIONS ANE COTiPLETED ItrITHIN 15 DAYS - OO NOT REMOVE_ l?,- i392- INSPECTOLffi owN CONTBACTOR ADDRESS .......ROUGH|N/COVER . . . SEHVICE .. .. FINAL E tr. tr. tr. *f-r, pE- F*Th * z*uxt Dn*T A*.1 A,fY Oe-rt€5- q5- a^/ r 6€