HomeMy WebLinkAbout212 W 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RESIDENTIAI H]GH DENSITY
0
N
15
l
$
0s
Applica!ion Number
Appf ication pin nuniber
Property Address
ASSESSOR PARCEL NUMBER;
Application twe description
Subdivision Name
Property Use
Property zoning
Applicatsion valuaEion
22 -00000008 Date \/13/22
674864
212 W 5TII ST
05-3 0- 00 -o- 0 - 92 05-0000-
EIJECTRICA! ONIJY
ApplicaLion desc
DHP and kiEchen
NILS 7 SOPHIA ROGNIIEN
212 W sTI{ S?
PORT ANGE].ES WA 98362
\35A) 52t-5248
BI,ACK DIAMOND ELECTRICA]- CONTR
502 BIACK DIAMOND RD
PORT ANGEIES WA 98353(360) s6s 1035
Addi E lonal
Issue Date
Expi rat ion Da Le
68.00
t /13 /22
7 /12/22
Plan Check Fee
valuation
.00
o
ory unit Charge Per
1.00 5 .0000 EcH
1.00 53 . 0000 ECH
Extension
5.00
53. 00
EL-ECH ADDNT BR.ANCH CIRCUIT
EL-R- BRANC}I CIR WO/ SER FEED
EI]ECTRICAI, AI,TER RESIDENT]AL
Charged Paid Credited Due
Pemi! Fee Total
Plan Check Total
Grand Total
68 .00
.00
68.00
68.00
.00
68.00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of PorT Angeles
(Location Code 0502)
INSPECTION TYPE DATE;RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN drlzz 4V -w
FINAL
I
I *
PERMIT WILL EXPTRE SLX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:\EXCHANCE\BUILDING
Date
COMMENTS:
1 - 2 SINGLE.FAMILY
CAL PE o
Public $/,:rks and titilities Dcparrrnenr
321 [.. sth Stleel. Port Ange]cs, il,,\ 98..t(rl
\60.417.413i l rvu.w.cityoljta.us ] electrii;alpcrrnirstTr.cityolpa.us
212 W 5th (Pen Ht)
Project Address
Duclless HP KIchen plug Kd.he. cans
Project Description
E Single-Family Residential ! Duplex / ARU Buitding Square iootage: _
Name ' Nils Roonlein Email:
Mailing Address Phone .360-521-6248
Expiration DateMailingAddress: PO BOX 2335
Email:Phone;360-461-3957
lle4.
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder ove|I 000 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 -1 000 Amp.
Portal lo Portal Hourly
Signal CircuiULimited Energy -'l&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Notei $5 for each additional
$
$
$
$
$
$
$
$
$
b
$
$
$
$
$
$
$
$
1
Ouadilt IO[al (Quantity x Unit Charge]
TOTAL 68
Thermostat
$
Owner as defined by RCW'19.28.26'1; (1) Owner will occupy the structure for two years after this electrical 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 prope(y 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 PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Etectrical Permit Applications.
1-4-22 Benjamin Sham p
Date Print Name Signature (n Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
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113rns; Black DiaMldElectrical LLC License: BLACKDE79509
Uyiir Charge
$120.00
$146.00
s205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$1 10.00
$ 149.00
$168.00
$96.00
$64.00
s120.00
$102.00
$56.00, $i?ii,oo.,r'i'.$40.@,,,;,'.
$74,00 : '':
$110.00, -'.-