HomeMy WebLinkAbout1206 S Vine St 1Applical:ion Number .
Applicalion pin nunber
Property Address
ASSESSOR PARCEI, NUMBER:
Application trce description
subdivision Name
Property Use
Pr:operty Zoning
Application valuatsion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
18-00001391 Date 9/o//L8
497432
1205 S VINE ST 1
06-u0 0 0 - 0 - 3 - I3 0 0 - 0 0 0 0
ELECTRICAIJ ONLY
LNiIKNOWN
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
q6'/1
N
\$
.tD
Applicalion desc
Ductless heat pump
PARRISII RONAI]D D
1205 S V]NE ST APT 1
PORT ANGEI,ES NA 983521955
BLACK DIAI,IOND ELECTRICAL
502 B!AC( DIAl,loND RD
PORT ANGEIES WA
(350) s65-1035
CONTR
98353
PermiE
Additional desc
Permit Fee
Is sue Date
ExpiraLion Date
63 .00
9/o'7/L8
3/06/a9
Plan Check Fee
vafuaEion
00
0
Qlry Unit Charge Per
1.OO 63,OOOO ECH EL.R- BRANCI] CIR I,IOI SER FEED
Extension
63.00
Charged paid Credited Due
PEIMi L FCC TCLA]
Plan Check ToLal
Grand Total
5:.00
.00
63 .00
63.00
- 00
63.00
00
00
00
00
00
00
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
A*\
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
ELECTRICAI. AI,TER RESIDENTIAL
DATE:
COMMENTS:
EL1-2 sF
I ELECTR CAL P ERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us electricalpermits@cityofpa.us
-o
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3
CD
I
\N*aProject Address /2ob 5 ()lr*tc I
ect Description c-'nf,SJ
Single-Family Residential E Duplex / ARU Building Square footage
Name
Mailing Address
Email
Phone ?6/-2,{/S-
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Name
lvlailing Address
Email:
License
Exorration Date:
Pnon., J6o 'Y6t- z7 97
PROJECT OETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 600 Amp.
Service/Feeder 60'l -1 000 Amp.
Service/Fe€der over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1{
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201 -400 Am p.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Houdy
Signal Crrcuiulimited Energy - 'l&2 DL.
Manuhctured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square fe€t"
Each Outbuilding / Deiached Garage
Each Swimming Pool / Hot Tub
ll[il-C[elle
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5.00
$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
Ouantitv lglEl(Quantity x Unit Charge)
$
$
I
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years afrer this electncal 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 tast inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a ticensed electrical contractor I
am making the electrical installation or alteration in compliance the electrical laws, N. E.C., RCW Chapter 19.28, WAC. Chapter 296-
tions and PAMC 14.05.050 regarding Electrical Permit Applications.46B, The City of PortAngeles Municipal Code, and
?-{.
Date Print Name Signature er E Electrical Contractor / Administrator)
[Electrical Permit APplications may be submitted to City Hall or epermits@cityofpa us or faxed to 360.417.47111
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