HomeMy WebLinkAbout901 C StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
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Applicalion Number
Application pin numbe!
ProperEy Address
ASSESSOR PARCE], NT]MBER:
ApplicaEion ty-pe descripEior
subdivision Name
Propert.y use
Property Zoning
Applicat j.on vafuation
20-00000831
346482
901 C ST
06-30 - 00-0- 3- 0045-0000 -
ELECTRICEL ONLY
D"REPARD STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
COMMERCIAI NE IGIIBOR!{OOD
0
ApplicaEion desc
Service and circuics
Ouner Contraclor
WAEL AIAWAVIDEII
1409 E FIRST ST
PORT ANGELES
BLACX D]AMOND EI,ECTRICA! CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 98353
(360 ) 565-101s
wA 98352
Permit
Additional desc
Perrnit Eee
Issue Date . .
Expirat.ion Dat.e
180.00
1/28/ 20
L/24/ 2L
ELECTRIC}L AITER COH}'ERCIAI
Plan Check Fee
Valuation
.00
0
Qty Unit Chaige Per4.00 s-0000 ECH1.00 16 0.0000 EcH
EI.BRANCE CIRCTJIT W/FEEDER
EL-COM 201-4 OO SRV FEEDER
Extension
20.00
150. 00
Fee sr&mary Cha!ged Paid Credited Due
Plan Check ToEal
Gland Total
180.00
.00
180.00
180.00
.00
140.00
.00
.00
.00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE glaf,a>4P -eF
ROUGH.IN tt ls) zo dx7 94
FINAI tt )t 7to N
COMMENTS:
PERMM WILLEXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
APPROVED
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ELECTRICAL INSPEGTION
WIRING REPORT
417-47fi
NOT APPROVEO
DITCH
FINAL
DATE:lNsPECr
CONTBACION r
ADDRESS
{
" -92 O4 ta
.-Str2;(-
NOTIFY INSPECTOR WHEN CORRECTIOI{S
ARE COMPLETED WTI}IIN 15 DAYS
_DO NOT REMOVE-
...ROUGHIN/COVER
.......SERV|CE
coBRECloNs NEED eo, /k"r&.acE- ,/. y'l-o ^rf
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MULTI.ILY / COMM ERCIAL
ELEC TRICAL PE RMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street. Port Angeles. rIA 98362
3 60.4 I 7 .47 ) 5 rvww.city otpa.us I electlicalperm itsliEcitl'otpa.us
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Project Address 90'l S Cst
Name: C St Market Email:
Mailing Address Phone
ELECTRICAL CONTRACTOR INFORMATION
f.lsmg; Blac* Diamond Electrcial License BLACKECS94D2
Mailing Address 502 Black Diamond Eleclrical Expiration Date:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder401-600 Amp.
Service/Feeder 601-1 000 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/Feeder 201-400 Amp.
Temp. Service/Feeder 401{00 Amp.
Temp. Service/Feeder 601 -'1 000 Amp.
Portalto Portal Hourly
Sign / Outline Lighting
Signal Circuivlimited Energy - Multi-Family
Signal Circuivlimited Energy/First '1500 sf - Commercial
(Note: $5.00 for each additional '1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Oue$i$a fsEl (Quantity x unit Charge)
eo
lJnit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$'121 .00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
'160
$
$
$
$
$
$
$$_z_$.s_LD
$'113.00
$56.00
$
$
$
$
$
$
$
$
$
s
$
@
TOTAL
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 afrer 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 l\ilunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (F Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
ELcott,
Dr^ia^r nAe.ri^ri^h Frver circuiVFreezer circuiUservice
! [,1ulti-Family Residential 0 Commercial / lndustrial / Public Building Square footage:
-
OWNER INFORMATION
PROJECT DETAILS
Email: Phone: !99191i9!Z--
5-17 Benjamin Shamp