HomeMy WebLinkAbout1234 E 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGIE FAMILY
0
Application Nuni.er
Application pin number
Proper!y Addr:e s s
ASSESSOR PARCEL NTIYBER:
applicaEion t),pe descriplion
subdivision Name
Propertsy Use
ProperEy zoninq
Applicatsion valuaEion .
22 - 0 0000488 Date 4/26/22
429776
1234 E 4Tg ST
06 -3 0-00 - 0-1-7900 -0000 -
EIEC?RICAI ONLY
ApplicaEion desc
IIeats pump
ANGEI]ES DEVELOPMENT I]LC
13 71 3 CRABS ROAD
SEQUTM WA 98382
\36A) 610-662',1
BIACK DIAI,IOND ELECTRICAL CONTR
502 BLAC( DIAJ\4OND RD
PORT ANGELES WA 98353
(350) 565-1035
PEIMi E
AddiE ional
74 .00
4 /26 /22
to /23 /22
ELECTRICAL ALTER COMMERCIAL
Pfan Check Fee
valualion
Permit Fee ToLal
Plan Check Total
Grand Total
't4 -00
.00
74.00
'74.44
.00
74 -AA
.00
.00
.00
00
00
00
00
0
ExpiraEion DaEe
oly unit Charge Per
1.00 74.0000 Ectl Et-coMM BRANCH crR wo/ s/F
Extension
14.O0
Charged Due
REPORTSALES IAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE
ROUGH-IN alea )*z d
FINAT t,lw 1z>JN?
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signahrre of owner or Electrical Contractor X
G:iEXCttANGRBUILDINC
Date
Paid Crediled
INSPECTOR:
.BP
tsD
MULTI-FAM ILY / COMMERCIAL
ELECTRICAL PE MIT APPLICATION
Public Works and Utilitics Dcpartnrcnr
-12I E. 5th Street. Porl r\ngeles, WA 9ll-162
.160.417.4735 rvrvrv. c ityo l'pa. us lelecrricall:elmiLslTr,ciryr-rfpa.us
!of
==
Nt
--Es
Mair 1234 E 4th
Project Address
HPProject Description:
E Multi-Family Residential ! Commercial / lndustrial / Public Buttding Square footage:
Name:Anqeles Developrnent Email;
Mailing Address Phone:360-670-6627
ELECTRICAL CONTRACTOR INFORNfATION
Name: Black Diamond Electrical License:BLACKDE79509
PROJECT DETAILS
IIeE
Service/Feeder 200 Amp.
Service/Feeder 20'1 -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 'l-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Servicei Feeder 401-600 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuivlimited Energy - Multi-Family
Signal CircuiULimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy; sKVA System or less
Thermostat (Note: $5 for each additional)
unlt Charoe Ouantltv Ighl(Ouantty x Unit Charge)
t 74 roral
Owner as defined by RCW19.28.261: ('1 ) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contfactor if above said property is for sale, rent or lease. Permit expires after six months of lasl 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 compliance with the electrical laws, N.E.C., RCW. Chapte||9.28, WAC- Chapter 296-
468, Ihe City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
4-22-2422 Benjamin Shamp
$132.00
$160.00
$225.00
$288.00
M10.00
$5.00
$74.00
s5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
U
Date Print Name Signature (D Owner ! Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
OWNER INFORT\'ATION
Mailing Address: Expiration Date: _Email: Phone 360-461-3957
1
ApplicaLion Number
Applicalion pin number
Pr:oper:Ey Address
ASSESSOR PARCEL NUMBER:
ApplicaEion lype descripEion
Subdivision Name
Property Use
Property zoning
Applicatsion valuaEion .
22-00000488 DaEe
429',776
L234 E 4TH ST
05 -3 0-00 - 0 -1-7900 - 00 0 0 -
EI,ECTRICA.L ONLY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINS],E FAMII,Y
0
4 /26 /22
ApplicaEion desc
HeaE punp
Contractor
ANGELES OEVEI,OPME.IT LLC
13 71 3 CRABS ROAD
SEQUIM WA 98382
{360) 67A-6621
BI.ACK DIAMO\D EIJECTRICA.L CONTR
502 BI,ACK DIAMOND RD
PORT ANGELES WA 98363
{350) s6s-103s
PermiE
Additional desc
Issue DaEe
Expiration Dale
7.1 .00
4/26/22
ro /23 / 22
BI,ECTRICAL AITER COI4}IERCIA.IJ
Plan Check Fee
valuation .
.00
a
Qly Unit cbarge Per
1.00 74.0000 EcE EL-colol BRANCII CrR WO/ S/F
Extena ion
?4.00
Charged Paid c!ediled Due
PefiriE Fee Total
PLan check Tot.al
74 .00
.00
74,O0
74.40
.00
74 .00
.00
.00
.00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORISALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE DATE RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN alu)p-N -sP
FINAL t,lt* lzz-JN?tsD
COMMENTS:
Signature ofowner or Electrical Contractor X
CIEXCHANGE\BT]ILDtNG
Date
I