HomeMy WebLinkAbout1324 E 2nd StApplication Number
Applicatsion pin number
Property Address
ASSESSOR PARCEL NUMBER:
ApplicaEion t),pe descripEion
Subdivision Name
Property Use
Propertsy zoninq
Appficatlon valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE FAT4IIY
0
19- 00000906 Date 6 /1-3 /1-9
921346
1324 E 2ND ST
06-30 - 00 - 8 -0 -0210- 0000-
ELECTRICAI ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
au*eT4
Application desc
Purnace and HP
DEIITERMANN, ST'EPHEN W & (ATY S
13 24 E 2ND ST
PORT ANGELES WA 983 62
BI,ACK DIAMOND ELEC]RICAL CONIR
502 BLACK DIAIIOND RD
PORT ANGELES I^IA 983 53
(360) s55-103s
Permi ts
Additional desc
Permit Fee
Issue Datse
Expiratsion Date
68 .00
6/13 /19
a2 /to / t9
ELECTRICAL ALTER RESIDENIIAI
Plan Check Fee
vafuaLion
00
Qtsy Unit Charge Per
1.00 5.0000 EcIl EL
1.00 63 - 0000 EcH EL
ECII A.DD}II BRANC:] CIRCUIT
R- BRANCH crR wo/ sER FEED
Charged Paid Credited Due
Permat !ee l'otaI
Plan Check Total
Grand Totsa1
68 .00
.00
58 .00
68. 00
.00
58.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE
ROUGH-IN zlzl fi LA Btr
FINAL il"l**F -YAF
COMMENTS:
Signature of owner or Electrical Contractor X Date
rO
--5o
s'-
o
ExEension
5.00
53.00
INSPECTOR:
I
OV1/}.IER INFORMATION
ET 1.2 SFLL
,ta
1-2StN GLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, 'vlA 98362
360.417.4735 | www.cityofpa.us I electricalpermits@cityofpa.us
3 xto
Fv*l o.)
ngle-Family Residential n Duplex / ARU Building Square footage
Email
RECEIYED
JUil lz 2019
1'ol
5
F\S)o
0-.
Project Address
ect Description
Name
Nilailing Address:Phone ,t7?- 21L3
FI-ECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address:
License
Exoiration Oate.
pnon..36o - 7(7)31 I7------------...-Email:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 60'1 -1 000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portalto Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbualding / Detached Garage
Each Swimming Pool / HotTub
468, The City of Port Angeles nicipal ode, and tjtility S
0-l
Date
Quantitv Total {Ouantitv x Unit Charoe)
nd PAMC 14.05.050 regarding Electrical Permit Applications.
unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5.00
$7s.00
$93.00
$'1r0.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
$
$
$
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261r ('1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electncal 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 own of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance I laws, N.E.C , RCW Chapter'19.28, WAC. Chapter 296-
Print Name Owner ! Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to ity Hall or ep @crtyofpa us or faxed to 360.417.47111
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