HomeMy WebLinkAbout520 W 16th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTT SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
5
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Application Number
Appli"cation pin nunber
Property Address
ASSESSOR PARCEL NUMBER:
AppI j.catsion !),.pe descriptsion
subdivision Name -
Propertsy Use
Property zoning
Application valuation
19- oooo124 o Date 8/15/t9
92328O
520 W t 6TH ST
05 - 30 - 00 - 0 -4 -4510 -0000-
EtECTRICA], ONLY
Application desc
DHP
Contractor
ROWLAI\'D BILL D
520 W 16TH ST
PORT ANGELES
136O) 4',71-2282
BI.ACK DIA]VIOND ELECTRICAL COI{TR
502 BI,ACK DIA]VIOND X.D
PORT ANGEIES tiA 98363
(350) s 6s - 103s
wA 94362753 7
Permits
Addi Eionaf
Permit Fee
Issue DaLe
63 .00I/ J-5 /19
2 /aL /2a
ELECTRTCAl- ALTER RESIDENTTAL
desc
Valuation
00
0
Expiration Date
Qty Unit Charge Per
1.00 53.0000 EcH EL-R- BRANCE crR wo/ sER FEED
Extsension
63.00
Charged Paid Credited Due
Permit Eee Totsaf
Plan Check Total
Grand Total
53 .00
.00
53 .00
63 .00
.00
53 .00
00
00
00
00
00
00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM [^A.ST INSPECTION
INSPECTOR:INSPECTION T\?E RESULTS:
DITCH
ROUGH.IN e/o)z P 'sA
FINAI elde #-ff
COMMENTS
TIIIII
Signature of owner or Elecrical Contractor X Date
DATE:
SERVICE
EL1-2 sF
1 - 2 SINGLE-FAMILY
E L ECTRI CAL P E RMI]APPUEAT ION
Public Works and Utilities Department
32 t E. 5th Street. Port Angelcs, WA 98362
360.417.4735 | wwu'.cityofpa.us I electricalpermits@)cityofpa.us
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Project Address 52ow'r6th [Xr)
Project Description:Add circ for ductless
E Single.Family Residential D Duplex i ARU Building Square footage:
OWNER INFORMATION
11smg; Roland Email:
Phone:360477-2282Mailing4661sss. 520 West 16th
ELECTRICAL CONTRACTOR INFORMATION
11emg; Black Diamond Elec'trical License: BLACKEC894D2
Expiration Date
Phone:
Mailing Address:
Email:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
ServiceiFeeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601- l000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit 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 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Houdy
Signal CircuiVLimited Energry - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5l(VA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Eact Additional 500 square ieet''
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
TOTAL 63
Owner as defined by RCW.19.28.261: (1) Ownerwill 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 affer six months of last inspection.
Afrer reading the above statement, I hereby certify that I am the owner of the above named property or a liceosed electrical contractor. I
am making the electrical installation or altelation in compliance 'ryith the electrical laws, N.E.C., RCW. Chapter 19.28, WAC- Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
7 -26-201e Benjamin Shamp
Date Print Name Signature 1!l Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417 -47111
Unlt Charqe
$'r20.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75.00
$9s.00
$110.00
$149.00
$168.00
$96.00
$e.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.O0
Ouanlitv IgEl (Quanlity x Unit Charge)
631
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