HomeMy WebLinkAbout829 Georgiana StCOMMERCTAL OFFICE
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-9
N$)os
Application Number
Application pin numt'er
Property Address
ASSESSOR PARCEL NUMBER:
Application t).,pe description
su-bdivision Name
Property Use
Propertsy zoning
Application valr.ratsion
19- 00001238 Dare A/15/L9
552436
829 GEORGIANA ST
06- 30- 00 -5 - 1-3790 - 0000 -
ELECTRICAL ONIY
Application desc
DHP
contsractsor
Margaret Baker & Ann Rosecrant
832 Georgiana St
PORT ANGEIES WA 983 62
(350) 4 61- 0860
BI,ACK DTAMOND ELECTRICAI CONTS
502 BI,ACK DIAIV1OND RD
PORT 'NGEI,ES WA 98353
(350 ) s5s-1035
Permit
Additional
Permit Fee
Issue Date
Expiration
desc
Date
53 .00
B/rs/te
z/tt/20
ELECTRICAL ALTER RESIDENTIAl,
Plan Check Fee
Valuation 0
Qty Unit Charge Per
1.OO 53.OOOO EC}I EL R BRANCH cTR Wo/ sER FEED
Extension
63-00
charged Pa id Credited Due
Permit F'ee Total
Plan Check Total
cr:and Total
63 .00
.00
63 .00
63 .00
.00
63.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I-AST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN ola)fr gF EP
eli)D F ffi
COMMENTS:
Signature of owner or Electrical Contmctor X Date
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
.00
FINAI
EL1-2 sF
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM !T APPLICATION
1'o
f
*
Public Works and Utilities Department
I E. 5th Strcct. Port Angclcs. WA 98-162
rvwu,.cityofpa.us I electricalpermits@tcityoi'pa.us
RECT]VED
AU6 13 20t9
t--D
\=.1
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tDProject4661gss. 829 Georgiana St
Project Description Add circ for ductless
E Single-Family Residential E Duplex / ARU Building Square footage:
OWNER INFORI\,lATlON
Name. Rosecrants Email:
Mailing 4661sss. 829 Georgiana St p1pn6. 36G461{861
ELECTRICAL CONTRACTOR INFORMATION
Name: Black Diamond Electrical License:BLACKEC894D2
Expiration Date
Phone:
Mailing Address
Email:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 20 1 -400 Amp.
Service/Feeder 401$00 Amp.
Service/Feeder 601-'l 000 Amp.
Service,/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional BEnch Circuit
Branch Circuits 'l-4
Temp. SeMce/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 60'1 -1000 Amp.
Portal to Portal Hourly
Signal CircuiVLimited Energy - 'l&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 130O Square Feet
. Each Additional 50O square fu€t"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charqe
$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
$s6-00
$ 120.00
$40.00
$74.00
$110.00
Quantitv Iglal (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
I
1 63
rorAL $ 63
Owner as defined by RCW19.28.261: (1) Owner will occupy the structure for two years afrer this electical permit is finalzed. (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 statemenl, 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 compliance with the el8ctrical laws, N.E.C., RCW. Chapler '19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 ragarding Electrical Permit Applicatons.
8-2-2o1e BenjaminShamp
Date Prinl Name Signature (E! Owner fl Electrical Contractor /Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
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