HomeMy WebLinkAbout1117 S Cherry StRS7 RESD1CT], SINGI,E FAI,IILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-$\
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GS
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Application Number
Appficatsion pi nunber:
Pr:operty Address
ASSESSOR PARCEL NUI"IBXR:
Appf ication tlpe alescriplion
subdivision Name
Property use
Property zoning
Appliciltion valuation
19- 0000123 9 DaEe A/15/19
797858
1117 S CHERRY ST
0 6- 30 - 00 - 0- 3 -4555 - 0000 -
ELECTRIC.AL ONI-Y
Application desc
DHP
CAiTER ALBERT L/BETH BI,ACK DIA]VIOND ELECTRICAL CONTR
502 BI.ACK DIAI\.IOND RD
PORT ANGELES WA 98353
(360) 5 65 - 1035
1117 S CHERRY ST
PORT ANGELES wa 98352
Permit
Addilional desc
Issue Date
Expiration Date
63 .00
8/1-5/1-9
2/u/20
ELECIRICAL AI,TER RESIDENIIAI
Plan Check Fee
valuation
00
0
Qty Unit Charge Per
1.00 63.0000 ECH EL-R- ERANCH crR wo/ sER IEED
Extension
53.00
Charged Paid CrediEed Due
Permit Fee Total
PIan Check Total
Grand Totaf
53 .00
.00
53 .00
63 .00
.00
63 .00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE SD( (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN al'n Ifi 4tr >@
FINAL *'lzoln il>HF
COMMENTS
Signature ofowner or Electrical Conkactor X Date
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'735
ELECTRICAL PERM 1T APPLI C lo N
Public Works and Utilities Department
321 E. 5th Street. Pofi Angeles, WA 98362
360.417.4735 | www.cityofpa.us ] electncalpermits@cityofpa.us
RECEIVED
AU6 r3 2019
Project Address . 1117 S Cherry st
Project Description Add circ for ductless
E Single-Family Residential E Duplex / ARU Building Square footage
OWNER INFORMATION
Name: Carter Email:
Mailing 46665s. 1117 S Cherry st p66ns. 36GrZ5{150
ELECTRICAL CONTRACTOR INFORMATION
Name. Black Diamond Electrical License: BLACKEC894D2
Expiration Date
Phone:
Mailing Address:
Email:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 60'1 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit w/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Poftal to Portal Hourly
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy; sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Oulbuilding / Detached Garage
Each Swimming Pool / Hot Tub
lllit.clare
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$s.00
$75.00
$93.00
$110.00
s149.00
$168.00
$96.00
$el.00
$120.00
$102.00
$s6.00
$120.0o
$40.00
$74,00
$110.00
Ouantitv
1
TOTAL
IqEl {Quantlty x Unit Charge)
bJ
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
U
s
s
$
$
b
$63
Owner as defined by RCW.19.28.261: ( l ) Owner will occupy the slructure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical cootractor 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 electric€l 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 Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applicauons.
7-30-2o1e Benjamin Sham p
Date Print Name Signature (El Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricaloermits@cityofpa. us or laxed lo 360.417 -47111
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