HomeMy WebLinkAbout611 E Front StApplication Nusiber
Applicalion pin Dumber
Property Address
ASSESSOR PARCEL NI]MBER:
Appl j.cation tl'pe deac!iptsion
Subdivislon Name
Property Use
Property Zoning
Application valuaLion
ELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-417-4735
COMMERCIAL ARTERIAI
0
19- 00001654 DaEe LO/24/t9
o92334
511 B rROlfT ST
05 -3 0 - 00- 5- 1-4055 - 0000-
EI.ECIRICAI ONI,Y
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
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Applicatioa desc
DHP
STEPHEN & SARAII METHNER
1042 STRAIT VIEW DR
PORT ANCEI,ES WA 9a3529157
/.360) 451-6456
BI.ACK DIAMOND ELECTRTCAi COT TR
502 BLACK DIAMOND R.D
PORT ANGEIJES WA 98363(350) S55 - 103 s
Permi t
Additional desc
Permit Fee
Issue DaEe
Expiration Date
'/4.40
ta /24 /t9
4 /2r /2a
ELECTRICAL ALTER COMMERCTAI
00
0
oty Uait Charqe
1 .00 74 .0000
Per
ECH EL-COMM BRANCH CIR WOl S/F 74.00
Fee summaay charged Paid Credited Due
Permi! Eee Total
Plan Check Tot'al
'74 .00
.00
-14 .oa
14.04
.00
74.04
.00
.00
.00
00
o0
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULl'S:INSPECTOR:
DITCH
SERVICE
ROUGH.IN nla lfi .'AF nb!/
FINAL i);/n dtr d
COMMENTS:
Signa ture of owner or Electrical Contractor X Date
Plan Check Pee
valuation
MULTI-MILY / COMMERCIAL
ELECTRI AL toN
Public Works and Utilities Department
32i E. 5th Street, Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address
Project Description (l /P p,-t <-7-v( t !
E Multi-FamilyResidential Commercial / lndustrial / Public Building Square footage:
Name ,!*ff- f/*t 1 lrlt t4+-Email
lvlailing Address
Name
Mailing Address
Email:
Phone: Yf,7-L'(51
License
Expiration Date
Phone f
OWNER INFORMATION
Item
Servicei Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Servic€/Feeder 401600 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 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuiULimited Energy - Multi-Family
Signal CircuiULimited Energy/First '1500 sf - Commercial
(Note: $5.00 foreach additional 1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each addilional)
Quantitv Total louantitv x unit CharoelUnit Charqe
$'r32.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$s.00
$86.00
$102.00
$121 .00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
-7 "/TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this elec{rical 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 ofthe above named properly or a licensed electrical contractor I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapte l9.28, WAC. Chapter 296-
458, The City of Port Angeles Municipal Code, and Utility Specifi NS PAMC 14.05.050 regarding Electrical PermitApplications.
to -?)'t
Print Name nature Owner I Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .4711]
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ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Date