HomeMy WebLinkAbout222 W 12th St (2)ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4'735
RS? RESDNTL SINGLE EA]VI]IJY
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AppficaLion Number
Applj.caEion pin number
ProperEy Address
ASSESSOR PATCEI, NUMBER :
Application Eype descriptsion
subdivision Name
Properly Use
Property zoning
Applicatsion valuatsion
22 - 00000007 Date t/L3/22
5 905 05
222 W r2T1' ST
06 - 30-00-0 - 3 -7830 -0000 -
EJ,ECTRICAI ON]JY
Applicatsion desc
DIIP
ERIC N AND }ryETTE L,JACOBSON
222 W 12111 S'r
PORT ANGEIES WA 98352
i.350) 775-7A7s
BI.ACK DIAMOND EIECTRICAI CONTR
502 BI,ACK DIAI4OND RD
PORT ANGELES WA 98363(350) 555-1035
Permi L
Additional desc
Permits Eee
lssue Datse
Expiration DaEe
53 .00
!/t3 /22
't /12/22
ELECTRICAI, AITER RESIDENTIAL
Plan Check Fee
ValuaE ion
00
QtsY
1.00 63.OOOO ECH EI,-R. BRANCH CIR WO/ SER FEED 53.00
Charged Paid CrediEed
Permit Fee ToEal
Plan Check ToEal
Grand Total
63.00
.00
63.00
63.00
.00
63.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TD(
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
Signature of ou,ner or Electrical Contractor X
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
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SERVICE
ROUGH-IN al irz=+r €>
FINAL oTt /7-r N<+
COMMENTS
C:\EXCHANGE\BUILDING
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Date:
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222 W 12th (AW')
Project Address:
Project Description:
n Single-Family Residential ! Duptex / ARU Building Square footage
Name: Jacobson Email:
Maiiing Address:Phone .360-775-7875
Name: Black Diamond Electrical LLC Ljcenset BLACKDE79509
Expiration Date
Phone: 360-461-3957
lilailing Address: PO BOX 2335
Email
Urlit ehrrge
$120.00
$146.00
$205.00
s262.00
$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
$s6.00
qlaqtrfy lqllal (Quantity x Unit Charge)
1
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL $63
Owner as defined by RCW.19.28.261: (1) Owner will occupy the skucture for two years after this electical 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. t
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 PortAngeles Municipal Code, and Utility Specifications and PAMC '14.05.050 regarding E,ectricat permit Applications.
Benjamin Shamp
Date Print Name Signature (! Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
.1 - 2 SINGLE-FA|V|[Y
Public W*rks and [Jtilitics Dcpartnrenr
32i F-. sth Street. Port Ange)es. \1.\ 981(r2
160.:l17.4'735 | q,ww.citl,oflra.us lelecr.ricalltcrniirsrZr..oitvotpa.us
PROJECT DETAILS
leltl
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 40'1 -600 Amp-
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
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 additional)
First 13OO Squarc Fe6t
Each Additional 5tlo square leef'
Eacfi OulbuiHing / Detached Ga.age
Each Srryimming Pool / Hot Tub
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