HomeMy WebLinkAbout405 S Jones StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDNTL SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
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Application Numbe!
Application pin nu$er
Property Address
ASSESSOR PARCEI, NUMBER:
Application type descriptioa
Subdivision Name . .
Property Use
Property Zoning
ApplicaLion valuation . .
20 - 000000 95 Date )-/24/20
65728s
405 S JONES ST
05 -3 0- 00- 0 - 1- 793 0 - 0000 -
EIJECTRICAI' ONLY
Applicatsion desc
DHP
AMY MILLER
405 S ,IONES ST
PORT ANGEIES
( 7r.9 ) 439-7055
BLACK DIAMOND ELECTRICA]. COI{TR
502 BLAC( DIAITIOND RD
PORT ANGELES WA 983 53
(350) s55 - 1035
wA 993624432
Permit
Additioral desc
Permit Fee
Issue Datse
Expiration Date
63 .00
L/24/20
i /22 / 20
ELECTRICAL ALTER RESIDENTIAI
Plan Check Fee
Valuation
. o0
0
oty unii charge Per1.00 53.0000 EcH EL-R- BR-A.NCIi CrR WO/ SER FEED
Extension
61 .00
Charged Credited Due
PermiE Fee Total
Plan Check Total
Grand ToEal
53 .00
.00
63 .00
63-00
.00
63 .00
_ 00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN z lzclz.o &*-Ym.tJ
FINAL z-lz-t/za s .YSF
COMMENTS:
Signature ofowner or Electrical Contractor X Date
1 - 2 SINGLE-FAIUILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
3 60.4 I 7 .47 3 5 www.cityofpa.us electricalpermits@cityofpa. us
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Project Address
Project Description:Pdc_T-t.G s-,
n Single-Family Residential E Duplex / ARU Building Square footage
Email
Phone
-7R-q37-7d-L
EI ECTRICAL CONTRACTOR INFORMATION
Name:
l\ilailing Address
Email:
License:
Expiratio
Phone:
n Date
c,o -c.t
Item
Service/Feeder 200 Amp.
Service/Feeder 20'l-400 Amp.
Service/Feeder 401600 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 401$00 Amp.
Temp. Service/Feeder 60'1 -1 000 Amp.
Portal to Podal Houdy
Signal CircuiULimited Energy - 1&2 DU.
iranufactured 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 Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$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
Ouantitv IEb! (Quantity x Unit Charge)
$
$
$
$
$
$
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$
$
$
$
$
$
$
$
$
$
$
$
$
$
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$TOTAL
Owner as defined by RCW 19.28.26'1: (1 ) Owner will occupy the structure for brvo years afier this electrical permit is finalized. (2) Owner is
required to hire an electric€l contractor if above said property is for sale, rent or lease. Permit expires after six months of last jnspection.
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 compliance with the e llaws, N.E.C., RCW Chapter 19.28, WAC Chapter 296-
46B, The Caty of Port Angeles cipal C , and Utility S 14.05.050 regarding Electrical Permit Applicatjons
'?-- l"at 0
Date Pri ame Owner ! Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417 .47111
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OWNER INFORMAT ON
Name:
l\ilailing Address: