HomeMy WebLinkAbout910 Benjamin AveApplicatsion Nu:iber
Application pin number
ProperEy Address
ASSESSOR PARCEL NWBER:
Applicatsion type descripEion
Subdivis ion' Name
Property use
ProperLy zooing
Appl icaE j.on waluaEion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS9 RESDNTL SINGLE FAI4M
0
18 - 00001885 DaLe 1-2/t3/7a
370390
910 BEN.]AMIN AVE
05-3 0 - 15- 6-4 -0050 - 0000-
ELECTRICAI, ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
*
\pt!
\J\
Application desc
Ductless heat pump
ContracLor
BI,ACK DIAMOND ELECTRICAI CONTR
502 BI,AC( DIAMOND RD
PORT ANGELES WA 983 63(150) 55S - 103 s
Permi t
Additional desc
Perhit Fee .
Issue Date
ExpiraLion Datse
63 .00
12/13/18
6/11/te
ELECTRICAL ALTER RESIDENTIAIJ
Plan check Fee
valuat ion
.00
0
Qty Unit Charge Per
1.OO 53.OOOO ECH EIJ-R- BRANCH ClR WO/ SER FEED
Extsension
53.00
Fee aummary Charged Paid CrediEed Due
Permi! Fee Total
Plan Check Total
Grand Total
53 .00
.00
63 .00
63.00
.00
53.00
. o0
.00
.00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
COMMENTS:FzY-
PERMTT WILL EXPIRE SIX (6) MONTHS FROM TNST INSPECTION
Signature of owner or Elecirical Contractor X
CLIIITON C AND SAIA M THOMAS
910 BENJA]IIIN S?
POR1I ANGELES WA 983625720
FINAL
Date:
ELr-2 sF
1 - 2 SINGLE-FAMILY
ELECTRICAL PE PLICATI
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.4t7.4735
?10 Be^lsr-*r
IUED
!o
3
G
co
o$
\
DEC i 2 ?0is
www.cityofpa.us I electricalpermits@cityofpa.us E{ECfmA[
ritsftcnoils
Project Address
Project Description Dvc-4198t
E Single-Family Residential ! Duplex / ARU Building Square footage
O\ANER INFORMATION
Name
Mailing Address
w Email
Pnone: ?6 6 -t-8L7
ELECTRICAL CONTRACTOR I NFORMATION
Name t_License
Expiration Date
Phone.?6o'76 /- ??r?lvlailing Address
Email:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -'1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circurt W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp Service/Feeder 40'1600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portalto Portal Houdy
Signal Circuiulimited Energy - 1&2 DU.
lranufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Farst 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Ouantitv I-Oh! (Quantity x Unit Charge)
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years ater 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 the e lectrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
and PAMC 14.05.050 regarding Electrical Permat Applications.468, The City of Port nicipal Code, a
It-
Date P nt ame Signature (Owner ! Electrical Contractor i Administrator)
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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
t
[Electrical Permat Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.4'17.4711)