HomeMy WebLinkAbout1324 Samara Dr (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
RS9 RESDNTL SINGLE EA,IV]I],Y
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REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
3
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N)s\l
ApplicaLion Nudber
Application pin numtrer
Propertsy Address
ASSESSOR PARCEL NUMBER:
Applicatsion ts)?e descripEio!!
Subdivision Name
Property Use
Property zoning
Application valuatsion
19- 00 002 0s3 Date a/o2/2A
425984
1324 SAMARA DR
06-30- 01-s- I - 0050 - 0000 -
ELECTRICAL ONLY
Application desc
DHP
WILLIAIII E AND FELICIA R MONETT
1] 24 SAMARA DR
PORT ANGELES WA 943531445
(350) 540-s131
BLACK DIAI'IOND ELECTRICAI CONTR
502 BI.ACK DIAIVIOND RD
PORT ANGELES WA 98353
(350) s 6s- 103 5
Permit
Additional desc
Permit Fee
Issrie Dale
ExpiraEion Date
63.00
1-/02/20
6 /3a /20
Plan Check Fee
Valuation
Permit Fee Total
Plan Check Total
Grand Total
63 .00
.00
53.00
53 .00
.00
53 .00
00
00
00
ELECTRICAL ALTER RESIDENT]A!
00
0
oEy Unit Charge Per1.00 63.0000 ECH EL R BLAICH CIR WOl SER FEED
Extension
63.00
Charged Pa id Credited Due
00
00
00
PERMIT WILLDGIRE SIX (6) MONTHS FROM I-AST INSPECTION
DATE:RESULTS:NSPECTOR:
DITCH
SERVICE
ROUGH.IN t /z.z /zo X w
FINAL t bze'/oo dF':s
COMMENTS:
Signature ofowner or Electrical Contractor X Date
INSPECTION TYPE
ELECTRIC AL PERMITAPPLICATION
Public Works and Utilities Department
321 E,. 5th Street, Port Angeles, WA 98362
360.41 7.4135 wt'w.cityofpa.us electricalpermi ityolpa.us
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3
PEcOic.
oit 3 t i;;i.-a
t-\O$\$lPOect Address
Project Description D.-., c-'r-'rf-C J
Single-Family Residential E Duplex / ARU Building Square footage
Name Email
Mailing Address Phone:Lo -6 e
Name:License
Mailing Address:
Email:
ExDiration Date:
pi.n 36u -r
Item
Service/Feeder 200 Amp.
Service/Feeder 20 1-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -'1 000 Amp.
Service/Feeder over'1 000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Themostat (Note: $5 for each additional)
First '1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Ouantitv lqE! (Quantity x Unit Charge)
TOTAL
Owner as defined by RCW19.28.261 : (1) Owner will occupy the structure for two years after this electrical permit is flnalized. (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 statement, 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 comp liance with llaws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468, The City of Port nt Code, and Utility PAN/IC 14.05.050 regarding Electrical Perm it Applications.
lz-7 1-
Print Name Owner E Electrical Contractor /Administrator)
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$'r10.00
$'149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
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[Electrical Permit Applications may be submitted to City H or lpermits@cityofpa. us or faxed to 360.4'17.47111
Lr-2 sF
1 - 2 SINGLE-FAMILY
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OWNER INFORMATION
CAL CONTRACTOR INFORMATIONr
r PROJECT DETAILS
Date