HomeMy WebLinkAbout1324 Samara DrApplication Number
Application pin nulrber
Property Address
ASSESSOR PARCEL NUUBER r
Applicatsion tsype descripEion
subdivision Nane
Property Use
ProperEy zoning
Appficatsion vafuatsion
20-00000107 Date L/24/20
504192
13 24 SA]VIARA DR
06-30-01 5-8-0060 0000-
ELECTRICAT, ONLY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
RS9 RESDNTL STNGLE FAIyIIIY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application desc
Panel replacement
WII,I,IAM E AND FELICIA R MONET?
1324 SAMATA DR
PORT ANGEI,ES WA 98]631446(360) 640-5131
BI,ACK DIAMOND ELECIRICAL CONIR
502 BTACK DIAMOND R.D
PORT ANGELES WA 98363
(350) s55-1035
Pel:mit
Additsional desc
Permit Eee
Issue Datse
Expiratsion Date
120.00
a/24 / 20
't /22/2a
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
00
0
Qry
1.00
Unic Charge Per
120.0000 ECH ET, O 2OO SR17 FFFDEF
Ext.ension
120.00
Fee summary Charged Paid Cr:edited Due
o0
00
00
120 _ 00
.00
120.00
120
724
00
00
00
00
o0
o0
INSPECTIONTr?E DATE RESULTS:INSPECTOR:
DITCH
110,,[l?-D Q *
ROUGH-IN
FINAL t lqlzo N s
COMMENTS:
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signa ture ofowner or Electrical Contractor X Date:
Per-mit Fee Total
Plan Check TotaI
Grand Total
SER\'ICE
ELl-2 sF
ELECTRICAL PERM IT APPLICATION
Public Works and Utiiities Departmcnt
321 E. 5th Street. Port Angeles. WA 98362
i60.4 1 7.47i5 www.cityofpa.us I electricalpcrmitsl@cit,,*ofpa.us
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Project Address
l\ilailing Address Phone )
EL ECTRICAL CONTRACTOR INFORMATION
fr,J,
[,lailing Address
Email:
License
Exoiration Date;pnon.,i6oler -ii4
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp
Service/Feeder 401.600 Amp.
Service/Feeder 601-1 000 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 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder601-'1000Arnp.
Portal to Portal Houdy
Srgnal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connectaon
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 / Hot Tub
unit Gharqe
$120.00
$146.00
s205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$'120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Quantitv Total (Ouantitv r t,nit Charoel
t/$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261; (1) Owner will occupy the struclure for two years after this electrical permit is finalized. (2) Owner is
required to hire an elec{rical contractor if above said property is for sale, rent or lease. Permit expires afrer six months of last inspection.
After reading the above statement, I hereby certiry that I am the owner of the above named property or a licensed electrical contraclor I
am making the electrical installation or alteration in comp liance I laws, N.E.C., RCW Chapte|l9 28, WAC. Chapter 296-
468, The City of Port unicipal Code. and Utility PAMC 14.05.050 regarding Electrical Permit Applications
-23-2oz
Date nt Name Owner I Electrical Contraclor / Administrator)
IElectrical Permit Applications may be submitted to City ll or electricalpermits@cityofpa. us or faxed to 360.417.47'11]
1 - 2 SINGLE-FAMILY
Project Description : PN L C .*+ rZ. C
'P S ng e-Fa-rly Res'oertral f Duplex / ARL/ Bui,ding Square 'ootage. _/\\
Name: Email:
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Name:
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
APPROVED
DITCH..,
ROUGH IN/COVER
SERVICE F-
FINAL n
CORRECTIONS NEEDED, gg-YLS LZ- €XII.ED E'g--
9>*ur*
NOTIFY INSPECTOR WHE}I COBBEGT]OHS
ARE COMPLETED wlTHIN 15 DAYS
_DO NOT REMOVE-
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