HomeMy WebLinkAbout1704 Melody CirELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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\Js\Iapplication Number
Application pin number
ProperEy Address
ASSESSOR PARCEL NUMBER:
Applicalion t).?e descriptsion
Subdivision Name
Property Use
ProperEy Zoning
Applica!ion vafuatsion
19 - 00001233 DaEe a/15/19
975326
1704 MELODY CIR
o5-30-14-6-6-0030-0000-
ELECTRICAIJ ONITY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicatsion desc
RoofEop uniEs x2
Contsractor
HIGHI.AND COURT I'OLDING COMPANY
2O3OO S SOUTH END RD
OREGON CITY OR 9704 5
BLACK DIAMOND ELECTRICAI COI{IR
502 BI,ACK DIAMOND I{D
PORT ANGEI,ES WA 98353(350) 555-1035
Permit
Additional
Permit Fee
lssue Date
desc
ELECIRICAL ALTER COMMERC]AL
14 CTRCU]TS
86.00 Plan Check Fee
a/ )5/-19 valuaE i on
2 /tt/20Expirat.ion Date
Qry Unir Charge
0
BASE PEE
ExEension
86.00
Fee summary Charged Credited Due
Permit Fee TotaI
Plan Check TotaI
crand Total
85.00
.00
85.00
00
00
00
00
00
00
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPEC'IION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN 9)zt tfr dR ct
ela n ffi vr
COMMENTS:
Signature of owner or Electrical Contractor X Date
. o0
86 .00
.00
85 .00
FINAL
ELcoM MULTI-FAM I LY / COMMERCIAL
RI T PLICATI
Public Works and Utilities Department
-321 E. 5th Sh'eet. Port Angelcs. WA 98362
360.417.4735 | www.cityofpa.us electricalpermits@cityofpa.us
CEIVED
6 lJ 2019
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3
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Project 4661sss. 1704 E Melody Lane
Projeat Descriplion . Alter rooftop unit x2
E Multi-Family Residential E Commercial / lndustrial / Public Building Square footage
OWNER INFORIVATION
Name: Highland Ct Email
Mailing Address:1704 Melody Lane p6sns. 36G452-9086
ELECTRICAL CONTRACTOR I NFORMATION
Name: Black Dimond Electrical License: BLACKEC894D2
Expiration Date:
Phone:
Mailing Address:
Email:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
SeMce/Feeder 201-400 Amp.
Servic€/Feeder 401S00 Amp.
Seryice/Feeder 601-1 000 Amp.
Service,/Feeder over 1000 Amp.
Eranch Circuit W/ Service Feeder
Branch Circuit WO ServiG€ Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. SeMce/Feeder 200 Amp.
Temp. Service/Feeder 201 -40O Amp-
Temp. Service/Feeder 401$0O Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuitlimited Energy - Multi-Family
Signal Circuiulimited Energy/FiGt 15O0 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec- Energy: sl(VA System or less
Thermostat (Note: $5 for each additional)
Ouantitv IOEI (Quantity x Unit Charge)Unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$1M.00
$185.00
$96.00
$88.00
$88.00
$96.00
86
$
$
$
$
$
$
$
$
!
$
$
$
$
$
$
$
$
$
$
$
$'r 13.00
$56.00
86 TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the slructure for two years atter this electrical permit is fnalized- (2) Owne. 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 statement, I hereby certify that I am the owner of the above named property or a licensed electical contractor. I
am making the electrical 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 Applications.
8-e-201e Beniamin Sham p
Date Print Name Signature (gl Owner ! Electrical Contractor / Administrator)
lElec'trical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47t"11
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