HomeMy WebLinkAbout2103 W 12th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS9 RESDNTL SINGIJE FAUILY
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ApplicaLion Nuniber
Applicatsion pin number
ProperLy Address
ASSESSOR PARCEL NI]]VIBER:
ApplicaEion E}1)e descriptsior
sl$division Nane .
Properly Use
Propertsy zooing
Appl-ication valuatsi.on -
22- O00OO4rr Date 4/26/22
295762
2103 W 12?E ST
06-30 - 01-5 - 0 - 02 80- 0000 -
EIJECTRIC.AI ONIJY
ApplicaEion desc
Heat pump
JANET ISETT
PO BOX 2661
PORT ANGELES
BI.ACK D]AMOND EIECTRICAI CONTR
502 BI.ACK DIAI4OND RD
PORT ANGELES WA 98353
(350 ) s5s - 103 s
wa 98362
Permib
Additiona] desc
PermiE Fee
Issue Dale
Expiration Date
53.00
4/26/22
L0/23 /22
E]-ECTRICAI, AI,TER RESIDENT]AT,
.00
0
oEy
1.00
uniE Charge Per.
53.O0OO ECH EL-R- ARANCI] CIR WO/ SER FEED
Exlension
63. 00
Charged Paid crediEed Due
Permit Fee TotaL
Plan Check ToLal
Grand ToLal
63 .00
_ 00
53 .00
53.00
.00
63 .00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTION
REPORTSALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
ROUGH-IN tlzz)-'-+F -ph'
FINAL t lzdz2-*F -Btr>
Signature ofowner or Electrical Contractor X
G:\EXCFIANGRBUILDING
Plan Check Fee
Valuation
SERVICE
COMMENTS:
Date:
E IT APP
Public Works and lJLiljties Departnlent
121 [. 5Llr Slrcet. Polt Angelcs, \'iA 9836]
360.zl17 .4135 l ,,r,rvrv.ciiyo flra,us ] clectrrurilPr:r'r u its12i..uityo tpa.us
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AW 2103 W '12rh
Project Address;
Project Descriptionl
E Single-Family Residential ! Duplex / ARU Building Square footage:
Name lsett Email:
Mailing Address Phone:360-460-8181
Name. Black Diamond Electrical LLC Llcense: BLACKDE79509
Expiration Date:
Phone: 360-46'l-3957
Mailing Address: PO BOX 2335
Email:
UeE
Service/Feeder 200 Amp.
Service/Feeder 20'1-400 Amp.
Servicei 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.
Portalto Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU-
Manufactured Home Conneclion
Renewable Elec. Energy: sKVA System or tess
Thermostat (Note: $5 for each additional)
Urdt-Glarga
$120.00
$146.00
$205.00
$262.00
s373.00
$s.00
$6s.00
$s.00
s75.00
$93,00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
s102.00
$s6.00
Arleqtrfy Iellal (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL
Owner as deflned 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 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-
468, The City of PortAngeles Municipal Code, and Utility Specificatjons and PAMC 14.05.050 regarding Electrical Permit Apptications.
4-11-22 Benjamin Sham p
Date Print Name Signature 1! Owner I Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cjtyofpa.us]
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