HomeMy WebLinkAbout315 Forest AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
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Application Numlcer
Application pin number
Propertsy Address
ASSESSOR PARCEI, NTJMBER;
Application lype descriPtion
Subdivision Name
Properly Use
ProperEy zoning
Application valuaiion
22-OOOOOA11 Datse I /25 /22
41548'.7
315 FOREST AVE
05 -30 -09 -5-2 -28 84- 0000 -
EIECTRICAI ONI,Y
RS? RESD}.ruI] SINGLE EA]IIILY
0
Applicarion desc
DHP
LEVI C AND ASIILEY G RTZAN
315 FOREST AVE
PORT ANGEIES WL 983622429
BLACK DIAMOI\D ELECTRICAL CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 98363
(350) 555-1035
Additional u:":
53 .00
t/25 /22
7 /24 /22
ELECTRICA], A',TER RES]DENTIAL
ExpiraEion Date
Qty unit Charge Per
1. 00 53 . 0000 ECrr
Plan Check Fee
Valuation
.00
0
E], R BRANCH C1R WO/ SER FE.D
Ex!ension
53 .00
Charged Paid CrediEed Due
Permit Fee Totsa1
Plan Check ToEal
Grand Tocal
53 .00
.00
53.00
.00
.00
.00
00
00
00
REP,ORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESUI,TS INSPECTOR:
DITCH
SERVICE
ROUGH.IN z lz-alzz +P @
FINAI z)*h2-*
COMMENTS
V
PERMIT WILL EXPTRE SX (6) MONTHS FROM I-AST INSPECTION
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDING
Date:
63.00
- 00
53 .00
-w/
- 2 SINGLE.FAMILY
LE T L PERMITAPPLI o
Public lVurks antl Utilities Doparrnrenr
321 E. sth Street. Port i\ngeles. W.\ 98.162
I60./t I 7.473 5 | r.r,wr.v.cityo f pa.us I elecrrici.rlpcrnritsrZ,cityotpa. us
3'15 W Forest Ave (AW)
1
Project Address
Project Description
E Single-Family Residential n Duplex / ARU Buitding Square footage: __
Name.Rizan Email:
Mailing Address P hone .360-460-0327
f'l2rng. Black Diamond Electrical LLC License. BLACKDE79509
llrn
Service/Feeder 200 Amp.
Servicei Feeder 201400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Arnp.
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{00 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Porial to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU-
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Notei $5 for each additionat)
Firs{ l3(ro Squarr F6€t
Eactt Addltldrat 5@ squere lH:'
Eacfi Oulbuldhg / Dda€hed Gerag€
Each Swimmlng Poot,t Hd nrb
thilCharge
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
s149.00
$168.00
$96.00
$&.00
$120.00
$102.00
$56.00
8120-00
840.00
t74.@
s110.(n
Olanfw IOIa[ (Quantity x Unit Charge)
T-
$
$
o
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
s
$
$
s
$63TOTAL
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 contractor if above said property is for sale, rent or lease, Permit expires after six months of last inspection.
Afler reading the above slatement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installalion or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28. WAC. Chapter 296-
468, The City of Port Angeles [4unicipal Code, and Utility Specilications and PAMC 14.05.050 regarding Electricat Permit Apptications.
1-2222 Benjamin Shamp
Print Name Signature 1! Owner I Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
Date
\,qI*
INli
l"-l
I
ELECTRICAL CONTRACT.OR ]NFORMATION
Maillng Address: PO BOX 2335 Expiration Date: _Email: Phone; !60-461-3957
PROJEOISETAILS