HomeMy WebLinkAbout115 W 5th St (3)i{
N.-l
ApplicaEion Number
Applicatsion pin number
ProperEy Address
ASSESSOR PARCEI] NUMBER I
Application lYPe descriptsion
Subdivision Name .
P.operEy Use
Property zoning
Application valuaEion
22-g}aao28 / Dale 3 /!t/ 22
9364 7 6
115 W 5TH ST
o6 30-00 0-0-8870-0000_
ELEC?RICAI ONLY
RESIDENTIAL HIGH DENSITY
0
Permil
Additsional desc
Permit Eee
Issue Date .
ErpiraEion Daie
53.00
3/Lt/22
e/o'1/22
ETECTRICAL AITER RES IDEI,ITIAI
Qty uniL charge Per
1.00 63 . 0000 ECH EIJ-R- BIIANCII CIR WO/ SER }'EED
Plan Check Fee
ValuaEion
- 00
o
63_00
charged Paid Credited Due
Per.miL Fee Toca:
PLan Check ToEai
Grand ToEal
53 .00
.00
53.00
53 .00
.00
63.00
o0
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE INSPECTOR:
DITCH
SERVICE
ROUGH-IN zha)zt t-\*p \B#
FINAI t ),/-)zz *
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofou,ner or Electrical Contractor X
C:TEXCHA\GETBLILDING
Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application desc
Heat pump
SETINDA BARKI{UIS BI,ACK DIAMOND EIJECTRICAI' COI(TR
ATTORNEY AT I,AW 502 BT,ACK DIAMO\'D RD
PO BOX 3194 PORT ANGEI'ES WA 98363
PORT ANGELES WA 98362 (360) s65-1035
(360) 775-56s8
RESTILTS:
t-___'\*dA--2
ERIMI
Public l\i;rks and ULilities Dcpartrnenr
321 lr. 5th Stleet. Polt Angelcs. \!,1 98362
160.41'7.4'735]u,wrv.cityo[!a.us]electricalpr:r'rrIitsrTr.cityoIpa.us
-u
q
3
L"
It.,
| )'rl\IN
lcpr-J(AW) 115 W sth
Project Address:
Project Description:
n Single-Family Residential f] Duplex / ARU Building Square footage: _
Name Saldavia Email:
Mailing Address:P hon e:831-588-2152
Expiration Date:Mailing Address: PO BOX 2335
llrtit Ch.rge
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5.00
$75.00
$93,00
$110,00
$149.00
$168.00
$96.00
s64.00
$120.00
$102.00
$s6.00
queoll& Iolal (Quantity x Unit Charge)
-
$
$
$
$
$
$
$
u
$
$
$
$
$
$
$
$
$
$
TOTAL
110.00
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.
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 wilh 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
Date Print Name Signature (! Owner f] Electrical Contractor / Administrator)
[Electricat Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
] - 2 SINGLE-FAMILY
ffi
113m9' Bla* Diamond Elgctrical LLC License: BLACKDE79509
Email; Phone: !9919f:99!Z__
lem
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 60'1 -1 000 Amp.
Service/Feeder over 1000 Amp.
Eranch Circuit W Service Feeder
B€nch Circuii WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Serv ce/Feeder 401-600 Amp.
Temp. Service/Feeder 60'l-1 000 Amp.
Portal to Portal Hourly
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5.for each additional)
First 1300 Squarc Fcet
Eacfi Addltiqlal sfl) square teef '
Eaci Outbuildhg / D€tached Garaga
Esdt Swimming Pool i Hot Tub