HomeMy WebLinkAbout333 E 9th StApplication Numlrer
Application pin nunlcer
Property Address
ASSESSOR PARCEL NUMBER:
Applicalion twe description
subdivision Name
Property Use
Pr:operty zoning
Application valuation
RS7 RESDNTI. SINGI,E FAMILY
0
18.00C01187 Dale 7/30/18
641116
3]3 E 9TH ST
05'10 00-0 2 7c90 c000
ELECTRICAL ON],Y
REPORT STATE SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
CO't
s
-l
Applica!ion desc
Ductless heat punp
ConLnactor:
JACQUEL]NE BLECK
PO BOX 1358
EORKS
(360) 374-5524
BI,ACK D]AI4OND ELECTRICAII CONTR
502 BIJACK DIA-}4OND RD
PORT ANGEIJES WA 983 63
(350) s5s - 103 5
wA 983 31
Permit
Additional desc
Permit Fee
lssue Date
Expiration Date
Qty Unit Charge
1.00 63.0000
ELECTR]CAL ALTER RES]DENTIAI,
53.00
7/3a/\e
r/20/!9
Plan Check Fee
Valuation
00
0
Per
ECH EL R BRAIiCH CIR wO/ SER FEED
Extensl0n
53.00
Charged Paid Credited Due
Permit Fee Total
PIan Check Total
Grand Totaf
63.00
.00
53 .00
63.00
.00
53.00
00
00
00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAT
COMMENTS:E_v(
PERMTT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
Signaturc of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
Data:
ELl-2 sF 3-
ELECTRICAL PERM IT APPLICATION
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CIYED
Project Address
Public Works and Ut
321 E. 5th Street, Port,
360.4 17.47 3 5 i *rrw.cityofpa.us
333 L 1TL4
ilities Department JUI : ^Angeles. WA 98362 ' t ,
ele-ctricalpermits@cityofpa.us ;itrlffi
Dvg;r.,cJJProject Description
><iQsle-Family R
Name
Mailing Address
esidential ! Duplex / ARU Building Square footage
T>4 Phone (4o - z{zaEmail
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
License:
Expiratio
Phone:
n Datelvlailing Address
Email:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 40'l 600 Amp.
Service/Feeder 601-'l 000 Amp.
Service/Feeder over 1000 Amp.
Branch Carcuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits '1{
Temp. ServicdFeeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Servace/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuivLimited Energy - l&2 DLJ.
Manufactured Home Conneclion
Renewable Elec. Energy: 5KVA System or less
Thermostat (Nole: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool/ HotTub
Quantitv ]gql (Quantity x Unit Charge)
TOTAL
Owner as defined by RCW.19.28.261r ('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.
Afrer reading the above statement, I hereby certify that I am lhe owner of the above named property or a lic€nsed electrical contractor. I
am making the electrical installaiion or alteration in compliance with ectrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468, The City of Port sMu pal Code, and Utility S s and PAI\,C 14.05 050 regarding Electrical Permit Applications.
73o-rl
Date
tL
Print Name Si ature Owner ! Electrical Contractor /Adninistrato0
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$7s.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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$E_
lectrical Permit Applications may be submitted to City Hall or eperm @cityofpa. us or faxed to 360.417.471 1l
1 - 2 SINGLE-FAMILY b{,
ic. i
Name: