HomeMy WebLinkAbout830 Milwaukee DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS9 RESDNTL SINGIE EAMII,Y
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AppLication Number
Application pin number
ProperEy Address
ASSESSOR PARCEL NUI"IBER:
Application trce description
subdivision Name
ProperEy Use
ProperEy zoninq
Applicalion valualion .
22 - 00000295 Datse 3/\5/22
155775
830 MII,I,{AUKEE DR
06-3 0-00- 9- 7- 0090 -0000-
ELECTRICAI- OI{LY
ApplicaEion desc
neal pump
Ow]}er
KELLEEN A AND SCOTT E STUBBLE
830 MILWAUKEE DRIVE
PORT ANGELES WA 983620074
(425 ) 358 - 0101
BIACK DIA]VIOND EI,ECTR]CAI, CONTR
502 B],ACK DIN'IOND RD
PORT ANGELES WA 98363
(360) 565-1035
PeI1ni t.
additsional desc
Permit Fee
lssue DaEe
Expira!ion DaEe
53.00
) /!5 /22
9 /tt /22
E],ECTRICAI- ALTER RESIDENTIA],
Plan check Eee
ValuaEion
00
0
Qty Unlt Charge Per
1.OO 63.0000 ECH EL.R. BRANCH CIR WO/ SER EEED 53.00
Charged Paid Creditsed Due
Plarl Check Tolal
Grand ToEaL
63 .00
.00
53.00
63.00
.00
53.00
00
00
00
00
00
00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTTON
REPORT SALES TD(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X
INSPECTION T\?E DATE:RESIJI-TS INSPECTOR:
DITCH
SERVICE
ROUGH-IN dzelzz-s €
FINAL tlq-e,')'1->F -d
COMMENTS:
ClEXCHANGE\BUILDING
Date
I
APP C
Public l\4:rks and tltiljties Departnrent
321 E. 5dr SLleer. Polt Angeles. l!,,\ 983(:2
360.417 .4135 I ',r,rvl.cilvo f pa.us I el,.'utriciLlpclrr ritsril. ut tvo tp;r.uJ
(AW) 830 Milwakee Dr
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3
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$Project Address:
Project Descriptionj
E Single-Family Residential I Duplex / ARU Building Square footage
Name Stubbefield Email:
Mailing Address Phone:425-358-0'101
Name Black Diamond Electrical LLC License:BLACKDE795O9
Expiration Date:I/ailing
Email:
Address: PO BOX 2335
Phone:300-461-3957
Ouaolitl fglal (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Pool /
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is linalized. (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.
After 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 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 Speciflcations and PAMC '14.05.050 regarding Electricat Permit Applications.
3-1-22 Benjamin Shamp
Date Signature (!Owner ! Eleclrical Contractor / Administrator)
1 - 2 SINGLE-FAMILY
[e![
Service/Feeder 200 Amp.
Service/Feeder 201-400 Arnp.
Service/Feeder 40't -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 201-400 Amp.
Temp. Service/Feeder 40'l-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portalto Portal Hourly
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Noter $5 for each €dditionat)
Fiist 1300 SquaE Feet
Eadt Addltlonal SOO square fest"
Each Outbuilding / Dotachsd Gsraga
ttnit Charge
$120,00
s146.00
$205.00
$262.00
s373.00
s5.00
$63.00
$s.00
$75.00
$93.00
$110.00
$149.00
$'t68.00
$96.00
$ .00
$'120.00
$102.00
$56.00
,, $120.00 .,'
r S40-@ ,'i
g?4:66 ..:':,
. $11o0&:'.i
Print Name
[Electrical Permit Applications may be submitted to City Hall or elechicalpermits@cityofpa.us]