HomeMy WebLinkAbout1818 E 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE FAI4ILY
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\ApplicaLion Nurirer -
ApplicaEio! pin numlcer
Property Address
ASSESSOR PARCEL NUMBER :
Applicatsion twe deecription
Subdivision Name
Property use
Property Zoning
Application valuation
22-00000385 Dat.e
643050
1818 E 4Tt{ ST
06 - 30- 11- s-3 - 0105 -0000 -
EI]ECTRICAI ONIJY
4/06/22
applicat.ion desc
Boiler
JAY ( MONROE
1818 E 4TH ST
PORT ANG!LES wA 983524915
BI,ACK DIAMOND EIECTR]CAI, CONTR
502 BLACK DIA]VIOND RD
PORT ANGELES WA 98353
(350) 565-103s
Pemit
Additsional desc
Issue DaEe
Expiratsion Date
53.00
4/06/22
L0 / a3 /22
EI,ECTRlCAL ALTER RESIDENTIAI,
00
0
Qty Unit charge Per
1.00 63.0000 EClr EL-R- BR.ANCII CIR WO/ SER FEED
Exteas ion
53.00
Charged Paid Cr.edited Due
Plan Check ToLal
Grand ToEal
53 .00
.00
53 .00
63 .00
.00
53.00
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 Port Angeles
(Location Code 0502)
Signature ofowner or Electrical Contractor X
INSPECTION T\?E DATE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN elt[*t-N adP
FINAL e)ilzz N :*
COMMENTS:
G1EXCHANCE\BUILDINC
Date:
Plan Check Fee
Valuatsion
1 - 2 SINGLE-FAMILY
ERMIT A
PLrblic Wrirks and Utilities Departnrent
321 L. 5th SLleel. Polt Angeles. \1,{ 981(:2
160.417.4735 | n,r,vw.cit-Vu lfa-us ] elt'utric,rlPr:rrrritsrir cityotpa.us
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PEN l\.4oran
Project Address:
Prolect Description:
E Single-Family Residential E Duplex / ARU Building Square footage
Name: Moran Email:
-
P hon e:360-809-1009Mailing Address:
Name: Black Diamond Electrical LLC License : BLACKDE79509
Expiration Date
Phone: 360-461-3957
Mailing
Emaili
Address: PO BOX 2335
Uhil Cheroe
$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
$102.00
ss6.00
Ouaqtl$ fglal (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
s
$
$
$
$
$
s
$
TOTAL
Owner as deflned by RCW.19.28.261: (1) Owner will occupy the structure for two years after 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-
46B, The City of Port Angeles Municipal Code, and Utility Specilications and PAMC 14.05.050 regarding Electrical Pemit Applications.
44-22 Benjamin Sham p
Date Print Name Signature (! Owner I Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
[ee
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 20'1 -400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portalto Portal Hourly
Signal CircuiULimited Energy - 1&2 DU-
Manufaclured Home Conneclion
Renewabie Elec. Energy: sKVA System or less
Thermostal (Note; 55 for each additional)
First '1300 Square Fe€t
Eacfi Additlonal 5{D square feef'
Esdt OutbuiHing / Dela;had carag€
Each Swimming Pool / Hot Tub
1