HomeMy WebLinkAbout1111 E 3rd StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 000 00144 Dare 2/02/tB
74'7472
1111 E 3RD ST
o6-30 00 5-4-043s-0000
ELECTRICAI, ONIJY
RS7 RESDNTI, SINGIJE FAMILY
0
REPORT STATE SALES TN(
on your excise tax form
to the City of PorT Angeles
(Location Code 0502)
so
1
-x-
-L
Application Nudber
Application pin number
Property Address
ASSESSOR PARCEL NUMEER:
Applicatsion t]?e descripEion
Subdivision Name -
Propertsy Use
Propertsy Zoning
Application valuaLion
Application desc
Ducl le s s heat pump
Oune!
HII,I, KENNETE/CT.NDI L
1111 E 3RD ST
PORT ANGELES WA 983524401
BI]ACK DIAMOND EI.ECTRICAL CONTR
502 BI,ACK DIAMOND RD
PORT ANGEI]ES WA 983 53
(350) s55 1035
Permil
Additional desc
Permlf I ee
Issue Date
Expiration Date
63.00
2/02/aB
B/07/tB
ELECTRICAI, ALTER RESfDENTIA!
Plan Check Fee
Valuation
00
0
Qty Unit Charge
1.00 63.0000
Per
ECH EL-R' BRANCH CIR WO/ SER FEED
Extsension
53.00
Charged Credi tsed Due
PermiE Fee Total
Plan Check Total
Grand ToEal
63.00
.00
53.00
63.00
.00
63.00
00
00
00
00
00
00
INSPECTION T\?E DATE:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:Zy.
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST TNSPECTION
Signahrre ofowner or Eloctrical Contractor X Date
RESULTS:
I Oo
I
*D
--J_
Crrv or Ponr Alicnrrs PERx{rr AppLrcATroN
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (!60) 417-4735 Fax: (360) 417-4711
1 & 2 Single Family Dwelling
. Plan Review l\4ay Be Requi red, Please Com plete Electrical Plan Review lnformation Sheetrttt rr ?ajJob Address
L
---
lrl
Building Square Footage
Descriplion of above
Owner
Name:
lnformation
N\ NN
^.'
OTL
Mailing Address
City State: Zip:
Item
SerYice,Feeder 200 Amp.
SerYice/Feeder 201 400 Amp.
ServiceFeeder 401 -600 Amp
ServiceFeeder 601-1000 Amp.
SeNice/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits'14
Temp. Servicei Feeder 200 Amp.
Temp. ServiceEeeder 201-400 Amp.
Temp. Service,Eeeder 401 600 Amp.
Temp. Service/Feeder 601 .1 000 Amp .
Portal to Po(al Hourly
Signal Circuiv Limited Energy - 1 & 2 Family Dwelling
Manufactured Home Connec{ion
Renewable Electical EneEy - 5KVA Syslem or Less
Thermostat
Note: $5.0010r each additional T-Stat
t{Ew coNsTRucItoil ot{LY:
Firsl 1300 Square Ft.
Each Additional500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Poolor Hot Tub
Contractor ln
Name:
[.{ailinq Address
City Sbte:
-
Zip:
-
(
s
s
s
Phone: Fa(
L,cense I i Erp Licens€ # /
su Total (Qtv Multiolied bv Unit Charqe)
$
lJnit Charoe
$ 120.00
$ 146.00
$ 205.00
$ 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
(
s
S
s
s
c
$
$
R
$
$
$
$
$
owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years afler this electrical permit is finalized. (2) Owner is required
to hire an electrical conkactor if above said property is for sale, rent or leas€. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify hat I am he owler ofthe above named property or a licensed electrical contractor. 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 Port
Angeles lvlunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical PermitApplications
Signature ofi oYvner , electrical co electrical administrator:
k
IJ
/"7 /# i6u
Date: l-zq-t8 /
I'<
$__\_.
$ ,' -i
l b:) rotat
I I