HomeMy WebLinkAbout1125 E 5th StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
RS7 RESDNTI SINGIE FA,!'II],Y
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NApplicaEion Number:
AppficaEion pin nunicer
Proper.Ly Address
ASSESSOR PARCEL NUIIIEER I
ApplicaEion type descriptsion
subdivision Name
Properly use
Property zoning
Application valuaEio]1
22-aoaaa182 DaEe 2 /22 /22
546806
112 5 E 5',Ill ST
05-30 00-0-1-7880 0000 -
ELECTRlCAL ONLY
applicaLion desc
D1]P
ROGERS RCNALD L
]O1T S I,AUREL ST
PORT ANGELES
BLACK DIAMOI\.D ELECTRICAL CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 98363
(360) s5s-103s
wA 983626912
Pe rmi t
Additional desc
Permit Fee
Issue Date
ExpiraEion Date
63.00
2/22/22
a /2t/22
EIECTRICAL AITER RESlDENTIA!
Plan Check Fee
Valuarion
.00
0
Qty Unit Charge Per
1.00 63.0000 EcH EL-R-BRANCH CIR WO/ SER FEED 53.00
charged Pa id Credited Due
Permit Fee ToEal
Plan check Total
Grand Total
53 .00
.00
53.00
,00
.00
.00
63.00
.00
63 .00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESULTS:
DITCH
SERVICE
ROUGH-IN s lrl zz R '@L
FINAI 2.L ?sr\
COMMENTS:
v--
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
C:\EXCHANGRBUILDING
Date
INSPECTOR:
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1 - 2 SINGLE-FAMILY
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N(AW)1 125 E sth
Du.rres
Project Description
E Single-Family Residential ! Duplex / ARU Building Square footage: ____
Name: &g ers Email
Mailing Address:Phone .360-808-8675
Name. Black Diamond Electrical LLC li6s65s; BLACKDE79509
Expiration Date:
Phone: 360-461-3957
l\ilailing
Email:
Address: PO BOX 2335
lelo
Service/Feeder 200 Amp.
Service/Feeder 20'1-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 60'l -1 000 Amp.
Service/Feeder over 1000 Anrp-
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuil
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 Arn p.
Portal to Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufaclured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Notei $5 for each additional)
First 1300 Square Feet
Each Additlonai 500 square f€ef'
... . Each Outbuitding./ Deiached Ga.aEs
Eadr Slvimming Pool I Hol Tub
uhit Chrrge
s120.00
s146.00
s205.00
$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
$56.00
$rt,iriir',,'1
Ouaolw f!]lal (Ouantity x Unit Charge)
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$
$
1
TOTAL
Owner as defined by RCW.19.28.261 : (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owner is
required to hire an electrical canlractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above staten'rent, I he.eby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installaljon or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter'19.28, WAC. Chapter 296-
468, The City of Port Angeles N,lunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
2-18-22 Benjamin Shamp
Print Name Signature ([ Owner ! Electrical Contractor / Administrator)
IElectricat Permit Appiications may be submitted to City Hall or eleckicalpermits@cityofpa.us]
Date
Project Address: