HomeMy WebLinkAbout426 E 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
IIESIDENTIAI HIGH DENSITY
0
o.€ERAR/EoSIA TE S ALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
$
Itr
$
Applicatsion Number
Applicatsion pin number
Property Address
ASSESSOR PARCEL NUHBER :
ApplicaEion lype descr j.pEion
Subdivision Name
ProperEy Use
Ploperry Zoning
Applicat.ion vafuation . ,
20-00000620
803900
426 E srH ST
05 - 30-00- 0- 1- 9810- 0000 -
ELECARICA! ONI-Y
Contractor
LINDA J .JADASOHN
2417 W 14TH ST
PORT ANGETES
BLACK DIAMOND ELECTRICAI CONTR
502 BLACK DIA.!'IOND RD
PORT ANGELES WA 98353
(360 ) 555-10r5
wA 98353
PerlniC
Additional desc
Permi! Fee .
Issue Date .
Expi.atsion DaEe
190.00
6 / 16/20
L2/13/20
ELECTRICAI AITER RESIDENTIAI
PIan Check Fee
valualion -
.00
o
qty Unit Charge Per
14.00 5.0000 EcE
l. . 00 120 - 0000 EcIt
EI-BRANCH CIRCT'IT IIIEEEDER
SL-O-2OO SRV F'EEDER
ExterIsion
70.00
120 _ 00
Charged Paid CrediEed Due
Permil Fee ?o!al
Plan Check Tota]
Grand Total
190
190
00
o0
00
190.00
_00
190.00
.00
.00
.00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE iltr /z>af EP
ROUGH-IN aho)za a?-rtP
FiNAL alo)eo tr #
COMMENTS:
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECIION
Signa ture ofowner or Electrical Contractor X Date
AppLicarion desc
Servi,ce and re*ire
I
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
OT APPROVE
.....otTcH.......
ROUGH IN/COVER . .
....SERV|CE......
D
FINAL
,t-(€-\ ,nJ ZEL\D
)
D
tr
D
tr
Vf
11
tr
)"or"."r,or, "..o.o,
'^-1,' / r, /nr,2o-LzL\ffi$
9 r-prc-y br rrrr'., 'l\> h<-*-'
CONTBACTOB
ADDFESS
1.
a t)c-et
NOTIFY INSPECTOR WHEN COBRECTIONS
ARE COMPLETED WTHIN 15 DAYS
_ DO NOT REMOVE-
o.l5&.u"T'BY
. lt-
-.
-,16e?-\-7lJ
'%;;;$'
ELr-2 sF
ELECTRICAL PERMITAPP LICATION
Public Works and Utilities Department
12l E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us I electricalpermits@cityofpa.us
!o
===r
lu
l+IN
loProject Address 426 E sth
Project Description New service and rewire
E Single-Family Residential E Duptex /ARU Buitding Square footage
OWNER INFORMATION
Name.Linda Email
[Iailing 4661s5s 426 E 5th p56ns 360-582S798
ELECTRICAL CONTRACTOR I NFORMATION
11srns. BDE License BLACKEC894,D2
Mailing Address 502 Black diamond rd Expiration Date:
66sll blackdiamondelectrical@gmail.com phone. 3604613957
PROJECT DETAILS
Item
Servic€/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Carcuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 'l-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Servic€/Feeder 401€00 Amp.
Temp. Service/Feeder 601- 1000 Amp.
Portal to Portal Houdy
Signal Cjrcuit/Limited Energy -'1&2 DU.
lranufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
95.00
$63.00
$5.00
$7s.00
$93.00
$110.00
$149.00
$168.00
$96 00
$64 00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
qna[lb( Iqlel(Quantity r Unit Charge)
120
10 50
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
75
TOTAL /?oD
oate Print Name Signature (E Owner ! Electrical Contractor /Administrator)
[Electncal Permit Applications may be submitted to City Hall or electricalpe.mits@cityofpa.us or faxed to 360.417.411'll
1 - 2 SINGLE-FAMILY
Owner as dellned by RCW 19.28.261: (1) Owner will occupy the structure for two years aner this electncal permit as finalized. (2) Owner is
required to hare an eleclrical contraclor if above said property is for sale, renl or lease. Permit expires after six months of last inspection.
Afier reading the above statement, I hereby ce ry that I am the owner of the above named property or a licens€d electrical contrac{or. I
am making the electrical installation or alteration in compliance with lhe electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specjfications and PAMC 14.05.050 regarding Electical Permit Applications.
64-2020 Benjamin Shamp