HomeMy WebLinkAbout1119 S Lincoln StELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
RS7 RESDNIL SINGLE I'AMILY
)\
N
&
Application Number
Application pin iunber
Property Address
ASSESSOR PARCEL NI]MBER:
ApplicaEion EyI)e descriptsion
subdivi8ion Name
Property uge
Property zoning
Application valuation
22 - 00000001 Date L/04/22
084201
1119 S LTNCOT,N ST
05 -3 0- 00 - 0-3 -425s- 0000 -
ENECTRICAJ, ON],Y
Application desc
Remodel
NATIIAN ROBBINS/(AT1]RYN M ]-ONG
PO BOX 10 31
PORT ANGELES WA 98352
l.4251 422-513!
BI,AC( DIAMOND EI-ECTRICAI, CONTR
502 BI,ACK D]AMOND RD
PORT ANGEI,ES I,]A 98363
(350) 555-103s
Permit
Addi. t ional
Permi! Fee
Issue Date
EIECTRICAL AITER RESIDENTIAI
1'4 CIRCT'ITS
22O.OO PIan Check Fee
r/04/22 valuaL ion
7 /03/22Expj.ration DaLe
Qry Units Charge
5.00
1.00
5.0000 ECH
120.0000 ECH
BASE FEE
EL-ECH ADDNT BRANCI' CIRCUIT
EI,. O.2OO SRV I'EEDER
Extsension
75.00
25.00
1.20.00
00
0
Per
charged Credited
Plan Check ToLal
Grand Total
224
220
00
00
00
220.40
.00
220.00
.00
.00
.00
00
00
00
PERMIT WILL D(PIRE SIX (6) MONTHS FROM LAST TNSPECT]ON
REPORTSALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature ofowner or Electrical Contractor X
INSPECTION I\?E DATE:RESIJ'LTS INSPECTOR:
DITCH
SERVICE I )r),,a-*7 Vrv
RoucH-rN tlrbilz?._,tinl,t d -sP
'lL)16/le F!N^L geew;f i,),"i2-t-.<--2M "A
COMNlFNTS:
C:\EXCHANGE\BUILDINC
Date:
T PERMIT A
-o
o
3
*
N
N
I
'1119 S Lincoln
Project Address
Project Description:
DEu.grP l1E-!\16DE,\
E Single-Family Residential ! Duplex / ARU Building Square footage:
Name. Kate Email:
Mailing Address Phone:
f.lsrng; Black Diamond Electrical LLC License : BLACKDE79509
Expiration Date:Mailing Address: PO BOX 2335
Email:Phone:360-461-3957
IleB
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-'l 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 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Signal CircuiuLimited Energy - 'l&2 DU-
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each addition
Unit Ch.rge
$120.00
$'r46.00
$205.00
$262.00
$373.00
$s.00
$63.00
s5.00
$75.00
$93,00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
IOErI (Ouantity x Unit Charge)
5 120
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
25
75
TOTAL
Owner as defined by RCW 19.28.26'1 : ('1) Owner will occupy the structure for two years after this electrical permit is finalized. (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 alleration in compliance with the electical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Etectrical Permit Apptications.
Benjamin Shamp
Date Print Name Signature (n Owner f] Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa, us]
1 - 2 SINGLE-FAIVIILY
Public t!r:r'ks and t, tilities Departnrcnt
321 E. 5th Strcet. PorT Angelcs, \\,\ 98162
\60.417.1135 i nrvlv.citlvollla.us clcctriuiLlPclrrrirsrir eitvolpa.us
$--::;-.
e
g ..:,r.l::: i.'
" ))n
qsaqtr&
1
5l-
1-3-2022