HomeMy WebLinkAbout1203 S Cherry StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4r'.7-473s
RS7 RESDNTI, SINGIJE FAMILY
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ApplicaEion Number
Application pin nulnber
Property Address
ASSESSOR PARCEIJ NUMBER :
Application tl4)e description
Subdivision Name -
Property Use
ProperEy zoning
Application valuation .
1"9 oooo123 5 Datse 8/15/t9
246r',7 0
1203 S CHERRY ST
06-3 0 -00- 0 -3 - 78s0 - 0000 -
ELECTRICAL ON]JY
Appfication desc
DHP
Oirner Contractor
STEWA.RT AND SARAH A.DA]VIS
I2O3 S CHERRY ST
PORT ANGEIES WA 98362
\a41) 6st-7621
Permits
Additional desc
Permit Fee
Issue Date
Expiration Date
53 .00
e/ts/19
2/Lt/20
ELECTRICA! ALTER RESIDENTIAL
Plan Check Fee
Valuation
00
0
Qty Unit Charge Per
1.00 63.0000 EcH E!-R- BRANCH CfR WO/ SER EEED
Extension
53 .00
Fee s\rmmary Charged Paid credited Due
Plan Check Totaf
Grand 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-A.ST INSPECTION
INSPECTION TYPE DATE:RESLILTS INSPECTOR:
DITCH
SERVICE
dzpJfi P r*/
FINAL s/2il.o €SD-?
Signa ture of owner or Electrical Conaactor X Date:
BI,ACK DIA]"1OND ELECMTCAL CONTR
502 BI.ACK DIAI'4OND RD
POR? ANGELES WA 983 53
(350) s65-1035
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
ROUGH.IN
COMMENTS:
ELECTRICAL PERMITAPP LICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles. WA98362
360.417.4735 ] wrarr,.cityofua.us I electricalpermits@cityofpa.us
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HECEIVETJ
AU6 i 3 20i9
--ti-g\
RProiect Address .'t203 S Cherry
Project Description:Add circ for ductless
E Single-Family Residential E Duplex / ARU Building Square footage
OWNER INFORMATION
1r;2ms; Adams Email
Mailing 4661ss5. 1203 S Cherry p1pna;847-651-7627
ELECTRICAL CONTRACTOR INFORMATION
Name. Black Diamond Electrical License. BLACKEC894D2
Expiration Date
Phone:
Mailing Address:
Email:
PROJECT DETAILS
ftem
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 40'1S00 Amp.
Service/Feeder 60'l -1 000 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 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Firsl '1300 Square Feet
Eacfi Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unft Chame
$120.00
$146.00
$205.00
$262-00
s73.00
$s.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.0O
$96.00
$64.00
$120.00
$102.00
$s6.00
$120.00
s4o.00
$74.m
s110.00
Quantitv lqtrl (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1 63
TOTAL $ 63
Owner as defined by RCW.'1S.28.26'1: (1) Owner will occupy the structure for two years affer this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said proper9 is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certi{y 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 wilh the el€ctrical laws, N.E.C., RCW. Chapte||9.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
8-e-201s BenjaminShamp
Date Print Name Signature (E! Owner I Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hallor electricalpermits@cityofpa.us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY