HomeMy WebLinkAbout911 1/2 W 14th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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ApplicalionNumber . . . .
Applicalion pin number
Property Addre6s
ASSESSOR PARCEIJ NUMBER:
AppLicatlon llDe descriptsion
suMiwision Name
Plope!ly Use
Properly zoning
Application valuation
21-ooo003o4 Datse 3/L2/2!
a9 tt20stqfl t4'r|g s"r
06-30-00-0 3 - 9580 - 0000 -
EIJECTRICAI ON]'Y
RS7 RESDNT! SINGLE FAMILA
0
AppLication desc
Ol,ner
ARSI,AN. CHARLES
1118 W ?TB ST
PORT ANGEI,ES
& EI,IANT,EL
wA 98363
BI.ACK DIAI,IOND ELECTRIC]II CONTR
502 BI.ACK DIAMOND RD
PORT ANGEIES WA 98363
(350) 565-1035
Permit
additional deBc
Permia Fee
lssue DaEe .
ExpiraEion DaEe
120.00
3/12/2a
9/Os/2r
ELECTRICAI. ALTER RES]DEMTIAI
QEY
r. .00
.00
0
uni! Charge Pex
12O.OOOO ECH EL-O-2OO SRV EEEDER
Extension
120.00
Fee summary Charged
PERMTT WILL EXPIRE SIX (6) MO}.ITHS FRONI LAST INSPECTION
Permi! Fee Tolal
Plan Check Total
Grand T'ota1
120 _ 00
.00
120.00
120.00
.00
120.00
.00
.00
.00
.00
.00
.00
Paid Credited Due
REPORT SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESLILTS:INSPECTOR:
DITCH
SERVICE 3/t5/-t a
ROUGH-IN
FINAL ilp)'zt R
COMMENTS:
iil
Signature ofowner or Electrical Contractor X
G:\EXCHANCE\BUILDING
Date:
Plan Check Fee
Valua!ion
I
I
ELECTRICAL PER MIT APPLICATION
Public Works and t.ltilities Department
3ll Il. 5th Street. Port Angeles. !\A 98,362
160.4 I 7.47-l-s I wr.vw.ciwofpa.us I electricalpennits@cityolpa.us
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Prol ect Address: 91 1 Wtrth )"{
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Project Description Move meter
tr Single-Family Residential E Duplex / ARU Building Square footage
Name Anna Larson Email
Mailing Address Phone
Name: BDE License
Expiration Date
phone 360{61-3957
lvlailing Address
Email:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'l-600 Amp
Service/Feeder 601-1000 Amp
Service/Feeder over 1000 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/Eeeder 201400 Amp.
Temp Service/Feeder 401-600 Amp.
Temp Service/Feeder 60'1-1000 Amp.
Portalto Portal Hourly
Slgnal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note. $5 for each additional)
unit Charge
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
s5.00
$7s.00
$93.00
$110.00
$149.00
s168.00
$96.00
$64.00
$120.00
$102.00
$56.00
Ouanfiry fgbl (Quantity x Unit Charge)
120$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1
/ Hot Tub
Owner as defined by RCW 19.28.26'l: (1) Owner will occupy the structure for two years after this electric€l permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expares 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 Port Angeles Municipal Code, and Utility Speciflcations and PAMC 14.05.050 regarding Electrical Permit Applications.
3-11-2021 Benjamin Shamp
Date Print Name Signature (p Owner E Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or eleclricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
EErTEnr]Ii'ETilllE
$110.00 $ _rorAL 5120
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
.....DITCH
BOUGH IN/COVER . ...
,...SERVICE
..FINAL...
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ELECTRTCAL INSPECTTON
WIRING REPORT
417-4735
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HBBT ilffiB:". f#SBo*RMArroNI,OCATION: 9]-). L/2 W 14TH STsclreo StlsR:r , lr / t9'/ 20 scHED coMPLETToN :
nEo orpr, FN'-cubEomer Service PRIoRITY:
riE6uPStOR : ARSLAN, ET"IANUEL 6. C}ARLES ORIGIN :
CUSTOMER: ARSLAN; EMANTIEL & C}IARLESREO USSN: TOWEN AUTH USER:TOWEN WRK TY
CONNECT
REPRINT PAGE ].
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PRIMARY CONTACT INFORI4ATIONAisL-Ar.i; Efrirl,rttEl, E- eHihli6-^. (360) 457 -z,utA ( ) G6o) 45'7 -'t'17'1 ( )
;tn,'poirt -.ANGELBs--cll REsiDENTTAL' STNGLE FAMTLY sEC : * * * * * * * * * * * t. * * * * * * * * * * * * *
seiivicElsEo----- -;'-'EL oob EtEctnrc cYCLE/RourE: 0s 01
CIS MBTER INFORII{AT ION
METER NUMBER
MAKE
SIZE
VOLT
AMPS
STYLE
MULTIPLIER
PHASENO. OF WTRES
LOCATTONSPECIFIC I.,OC
HAZARD
E115 8 II,I WEST
2.\ I
MEEO
l-
3
30
MECHANICAL ENERGY ONLY
l_.0000
READING SEQ
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