HomeMy WebLinkAbout2135 W 6th StApplication Number
Applicalion pin :lumber
Property Address
ASSESSOR PARCEL NUMBER:
Application ty'pe description
subdivision Name .
Property use
Property Zonlng
Application valua!ion
20- ooooo181 Date 2 /12 /2O
258705
2t 35 W 5TH ST
05 - 3 0 - 00 - 9-4 - 0096- 0 000-
EIJECTRICAL ONIJY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'1473s
RS7 RESDN , SINGLE FAMII,Y
o
REPORT STATE SATES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
Applicat.ion desc
DHP
CLINE .'AY R
213 5 W 5TH ST
PORT ANGELES wA 983631613
BLACK DIAMOND ELECTRICAL CONTR
502 BLACI{ DIAMOND RD
POR? ANGELES WA 9A353
(360) 565-1035
Pernit
Addit.ional desc
Permit Fee
Issue DaEe
Expiration Date
63 .00
2 / 1-2 /20
I /t0 /20
ELECTRICAL AITER RESIDENTIAL
Plan check Fee
valuaE ion
00
0
Qty Unit Charge Per
r.00 53.0000 EcH EL-R- BRANCH crR wol sER FEED 53.00
Fee summary Charged Paid crediled Due
Permrc !'ee 'r-otar
Plan Check Totsal
Gland Totaf
63 .00
.00
53 .00
53 .00
.00
53 .00
.00
.00
.00
.00
.00
.00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN zlplzo N
FINAL ,4i)no &
COMMENTS
f 'l
iDs
Signature of owner or Electdcal Contractor X Date:
EL{-2 sF
ELECTRICAL P E RMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street. Port Angeles. \!A 98362
360.417.47 35 ; wra'w.cityofpa.us electricalpermits@cityofpa.us
2 | 3S 4) 671't
;:::;,::i
Prolect Address
Project Description bucrLES-f
I Single-Family Residential E Duplex i ARU Building Square footage
OV1/NER INFORMATION
Name 1L,r-'e Email.
2l 3f t^)G77t Phone t(
ELECTRICAL CONTRACTOR INFORMATION
Name License:
Mailing Address
Email:
Exoiration Date.
ei.n" 360V7/- 6t-\
Item
Service/Feeder 200 Amp
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Servicei Feeder 601-1000 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. Servace/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp
Temp. Service/Feeder 401400 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to 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 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 fgla! (Quantity x unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
U
$
$TOTAL
Owner as defined by RCW 19.28.26'1 r (1 ) Owner will occupy the structure fo. two years after thls electrical permit is finalized. (2) Owner is
required to hire an electrical contraclor 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 certify that I am the owner of the above named prope rty or a licensed electrical contrac,tor. I
am making the electrical installation or alteration in compliance with the e laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468, The City of PortAngeles Municipal , and Utility S 14.05.050 regarding Electrical Permit Applications-f-7p
Date ntN ame r ! Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to C Hall or electricalpe rmits@cityofpa.us or faxed to 360.417.47'l1I
1 - 2 SINGLE-FAMILY no
=
$t\t\,./
Ir
trt-
I
Mailing Address
PROJECT DETAILS