HomeMy WebLinkAbout2139 W 7th St (2)N
N$
\N
ApplicaLion Number
Application pit number
Propertsy Address
ASSESSOR PARCEL I,IUMBER:
ApplicaEion ts)'pe description
subdivision Name
ProperEy Use
Propertsy Zoning
Application valuaEion
22 - 00000288 Date 3/tt/22
oo9024
2139 W TTlr ST
06 -30- 00- 9- 8- 004 0- 0000 -
E],ECTRICAI ONIJY
RS? RESDINN SINGLE EA]V1ILY
0
Application desc
HeaE purnp
CI]UAN H l,IU AND GAIL K NEI,SON
?660 IIOI,COMB RANCH LN
RENO NV 8 9511
l'7 75) /4r-296A
BI.ACK DIAI4OND ELECTR]CAI, CONTR
502 BI,ACK DIA}1OND R'
PORT ANGELES WA 98353
(350 ) 56s-103s
Pemi!
AddiEional desc
PermiE Fee
l6sue DaLe
Expirat.ion Date
63 .00
3 /11/ 22
9 / a7/22
ELECTR] CAI] AI,TER RES IDENTIAI,
Plan Check Fee
Valuation
00
Qty UniE Charge Per
1.00 63.0000 ECH EL-R- BBANCI{ CrR WO/ SER FEED
ExEension
53. 00
charged Paid Credited Due
PermiE Fee Tota]
Plan Check To!aI
Grand ToLal
53_00
.00
63 .00
63.00
.00
53 .00
00
00
00
PERMIT WILL EXPIR-E Slx (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X
INSPECTION TYPF DATE:RESULTS:
DITCH
SER\'ICE
ROUGH.IN ilre),;-+k d
FINAL ilad:;t^-F qsF
COMMENTS:
C:\EXCFL{NCRBUILDING
ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
.00
.00
.00
0
INSPECTOR:
Date:
CAL ERMIT AP AT
Public Wolks and LlLiljties Departnrent
321 Ir. 5tlr Street. Polt Ange)es, $;A 98-l(r2
160.:ll7.4?35 | ivu.w.crtyofjla.us I elecrricalpcrruirsrir.cityotpn.us
(AW) 2139 W 7th
tq
3
*
$
N
il
Cr'O
c0
Project Address:
Project Description:
! Single-Family Residential E Duplex / ARU Building Square footage
Name: Nelson Email
Mailing Address Phone:7 7 5-7 41 -2968
Name: Black Diamond Electrical LLC Ljcense: BLACKDE79509
Expiration Date
Phone; 360-461-3957
Mailing Address: PO BOX 2335
Email:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -'1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Add tional Branch Circuil
Branch Ci.cuits 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 to Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
fUanufactured Home Connection
Renewab e Elec. Energy: sKVA System or leSS
Thermostat (Note $5 for each add tional)
First 1300 Squarc Fsst
Eacfi Additional 500 square feet"
Each Outbuilding I Dotrached GaragB
Each Sv{imming Pool / Hot Tub
Itnit Chrroe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
s63.00
$s.00
$75.00
$93.00
$1 10.00
$149.00
$168.00
$96.00
$ .oo
$120.00
$102.00
$s6.00
s120.00
t40.00
s74.00
$110.00
quaqti& IOla[ (Ouantny x Unit Charge)
$
$
$
$
$
s
$
s
$
$
$
$
$
$
$
$
s
s
s
E
$
$
s
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit js finalized. (2) Owner is
required to hire an electrjcal contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
Afier reading the above statement, I hereby certjfy 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 Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
3-1-22 Benjamin Shamp
Print Name Signature 1! Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or elechicalpermits@cityofpa.us]
] .2 SINGLE.FAMILY
OWNER INFORMATION
ELECTRIC'4T CONTRACTOR INFORMATION
4
TOTAL
Date