HomeMy WebLinkAbout1503 W 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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Papplicatsion Nuriber
Applicatslon pin nuflber
Property Address
ASSESSOR PARCEI, NUMBER:
Application !)'pe descripEion
Subdivision Name
Property Use
ProperEy zoning
ApplicaLion valuation
22-aoooo!22 Date 2/02/22
485846
1503 W 11TH ST
06-30 - 00-0 -3 -13 90- 0000 -
ELECTRICAI ONI,Y
RS7 RESDNTI, SINGIE FAMf!Y
0
Application desc
Additsional
I ssue DaEe
Expiration ,.t.
120.00
2/02/22
8/ot/22
ELECTR]CAI, ALTER RESIDENTlAI
00
0
Qty unit Charge Per
1.OO 120-OOOO ECt{ EL-0-200 sRv PEEDER
Extsensio11
120.00
Pemits Fee ToEal
Plan Check Tolal
Grand Total
120.00
.00
120.00
00
00
00
00
00
00
L2A
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00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECNON TYPE DATE:RES{,ILTS:
DITCH
SERVICE zlz)zz w
ROUGH-IN
FINAI z)s )zz-4b :EP
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:\EXCFTANCE\BUILDING
Date:
TA]VIMY AND DANIE! I{ARRIS BIJACK DIAI'1OND ELECTRICAL CONTR
1503 W 11Tl{ ST 502 Br.AC( DrNvloNrD RD
PORT ANGEIJES WA 983535511 PORT ANGELES WA 98353
l:::l "1u-11' l:::l ::l-illl
Plan Check Fee
Valuation
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INSPECTOR:
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Public i,Vr-;rks and Uiilities Departnrent
l2l E. 5th StreeL. Porl Angeles. iir'\ 98161
160.417.111f5 i u,rvw.cityofDa us I electricirll;onriistTr'eiryotpa.us
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1503 W 11th
Project Address
Project Description
E Single-Family Residential ! Duplex / ARU Building Square footage
Name: Daniel Harris Email
l\.4ailing Address Phone . 360775561 1
1r16ms. Black Diamond Electrical LLC Li ce n se : BIA959EZ9!!9---
Expiration Date:
Phone:360461-3957
Mailing
Email:
Address: PO BOX 2335
[elo
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
SeNicelFeeder 60'1- 1 000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Arrp.
Portalto Portal Hourly
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy; sKVA System or less
Thermostat (Note: $5 for each additional)
llnit Cherge
$120.00
$146.00
$205.00
$262.00
s373.00
$s.00
$63.00
$s.00
$75.00
s93.00
$110.00
s149.00
$168.00
$96.00
$64_00
s120.00
$102.00
$56.00
Slantity
1
Iqlal (Ouantity x Unlt Charge)
g 120
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL
Owner as defined by RCW.19.28.26'1: (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 insta,lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
1-31-2022 Benjamin Shamp
Date
1 - 2 SINGLE-FAMILY
9--_*-__(
:!r*---*'*;$. 'r.r... ,:.
s 12O
Print Name Signature 1! Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]