HomeMy WebLinkAbout1202 Dutch DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'735
N.
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$
Appfication Number
Application pin number
Property Address
ASSESSOR PARCEL N'UMBER
2a-ooool429 Date
529044
1202 DIIICH DR
06 -30 - 01-8 -0 -0110 -0000 -
ELECTRICAI ONtY
11/ 04 / 2t
ApplicaEion ts)?e descripEion
subdivision Name
ProperEy Use
Propertsy zoning
Application valuaEion
RS9 RESDNTI SINGIE FA}{IIY
0
Application desc
STEPIANIE MARCOTTE
950 ELAINE CT
ROI]NERT PAR(
(707 ) 301-9039
BI,ACK DIAIIOND ELECTRICAL CONTR
502 BI,ACK DIAMOND RD
PORT ANGEI,ES WA 98363
(360) 555 1035
cA 94928
Permit
Additional desc
Peimit Eee
Issue Date
Expiration Date
200.00
aL/ 04 / 2r
s/ 03 /22
ELECTR]CAI, NEW RESIDENTIAL
Plan check Fee
Valuat.ion
.00
0
Qiy
1.00
2 .O0
UniL Charge Per
120.0000 ECH
40.0000 EcH
EL-R-SQET EIRST 13OO
EL R.SQET ADDITIONAI 5OO
120.00
80.00
charged Paid Credited Due
Plan Check ToEal
Grand Total
200
200
2AO
2AO
00
00
00
00
00
00
00
00
00
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM IAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Elecaical Contractor X
DATE INSPECTOR:
DITCH tt)q)zr $D l\L /9n b-,'[
SERVICE lr-zln *-w
ROUGH.IN zlzlzz-NT B.F
FINAL elr)cz +a-/=s-)COMMENTS -T
Date:
IINSPECTION T\?E RESULTS:
I
G:\EXCHANGE\BUILDtNG
I
LP
PLrblic rVr:rks ar.rd []tiIrties Dcpartrlent
-l2l Ir. ith Stleet. Polt Angeles. il,.i 983(rl
16U.:111 .1135 I ,,r,r,vw. c jt,-oflra r.rs I electricllpcr.rnirsr?i.ciLy,olpa.us
!o
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N-$1202 Dutch Drive
Project Address
Project Description:
n Slngle-Family Residential ! Duplex /ARU Building Square footage
Name l\,4ill Creek Email:
Mailing Address:Phone
[.l3ms; Black Diamond Electrical LLC License. BLACKDE79509
Expiration Date:
Phone: 360461-3957
Mailing Address: PO BOX 2335
Email:
Unit Charge
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
ss.00
$75.00
s93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$'120.00
$102.00
$s6.00
Olaatlfy fslErl (Quantity x Unit Charge)
b
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$120.00
owner as defined by RcW.19.28.261: (1) Owner will occupy the structure for two years afler this electrical permit is linalized. (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 compliance with the electrical laws, N.E.C., RCW. Chapter'19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Speciflcations and PAMC 14.05.050 regarding Electricat permit Apptacations.
11-2-2021 Benja min Shamp
Date
[Electrical Permit Applications may be submitted to city Hall or electricalpermits@cityofpa.us]
Print Name Signature 1[Owner ! Electrical Contractor / Administrator)
1 - 2 SINGLE.FAIVIILY
raltMiqiErN|{.ri{ilrfitrN
SIfffiXSXXS)r:xI
i,-0:11S. {q, -. r:':.'..::ri;;t- - -
TOTAL
ftels
Service/Feeder 200 Amp.
Service/Feeder 201-400 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 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp,
Temp. Service/Feeder 601- 1000 Amp.
Portal to Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each addjtional)
Fil€r '1300 Square FBet
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