HomeMy WebLinkAbout111 Apple Ln (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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AppllcaEion Number
Application pin nudoer
ProperEy Address
ASSESSOR PARCE! }.TUMBER:
Application lwe descriptsion
Subdivision Name
Property Use
ProperEy Zoning
ApplicaEion valuation
22 - OOOoo394 Date 4/08/22
123808
111 APPIE IJN
05 - 30- 15'2-2 - 01s0- 0000 -
ETECTRICAI] ONIY
RS7 RESDIII! SINGLE FA],IILY
0
Application desc
Eeat pump
Owner
BRYAN STONE AND JILLIAN MARTI
111 APPLE L.N
PORT ANGELES WA 98352
(253 ) 499-3040
BI,ACK DIAIIOND ELECTRICAL CONTR
502 BIACK DIA]IIOND RD
PORT ANGELES WA 98363
(350 ) 555-103s
PermiL
AddiEioRal desc
Permit Fee -
Issue Datse
Expiration Date
53.00
4/As/22
la / a5 /22
ELECTRTCAI, ALTER RESIDENTIAI,
QEy uniE Charge Pex
1. 00 53 . 0000 EcH
.00
0
SL-R- BRANCE C1R WO/ SER EEED
Extsension
63 .00
charged Paid creditsed Due
Permits Fee ToEal
Plan Check TolaL
Grand TotaI
53 .00
.00
63 .00
.00
.00
.00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
Signature ofowner or Electrical Contractor X
INSPECTION T\?E DATE:INSPECTOR:
DITCH
SERVICE
ROUGH-IN *)z\ct.4P atJ
FINAI "ir)zi ,4F -mu>
COMMENTS
G:\EXCHANGRBUILDTNG
Date:
Plan Check Fee
ValuaEion
63.00
.00
53.00
RESULTS:
1 - 2 SINGLE-FAN/ILY
ELECTRICAL PERMIT APPLICATION
Public Wurks and titiljties Departnrent
321 i;. 5dr Stleel. Porr n ngelrs. V;,\ 98](r2
l6().:117.4735 rvrvrv.cityo 0tu -us ] rleurrrc,rlPr:rruirs,ir uiryotp;r.us
AW 1 11 E Apple Lane
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Project Address
Project Descriptioni
E Single-Family Residential ! Duplex / ARU Building Square footage
Name Stone Email:
Mailing Address:Phone:2534993040
1r16rns; Black Diamond Electrical LLC License' BLACKDE79509
Expiration Date
Phone:360-461-3957
Mailing Address: PO BOX 2335
Email:
[e!o
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. Se.vice/Feeder 401-600 Amp.
Temp. Service/Feeder 60 1 -1 000 Amp.
Portalto Portal Hourly
Signal CircuiULimited Energy - '1&2 DU-
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Notet $5 for each additionat)
Uhit Ch.;ge
$120.00
$146.00
$205.00
$262.00
$373.00
$s.oo
$63.00
$5.00
$75.00
$93.00
$110.00
$'149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
Olautl& Igllel (Ouantity x Unit Chargs]
s
$
$
$
$
$
$
t
$
$
$
$
$
$
$
$
!
$
TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years afier this electrical permit is linalized. (2) Owner is
required to hire an electrical contractor il 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 owne. of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration n 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 Electrical Permit Applications.
Benjamin Sham p
Print Name Signature (! Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
.iN FOR li/&snoNa1 lrri,,
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,$11o.oo
Date