HomeMy WebLinkAbout410 E 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDN?L SINGIE FAI'I]I]Y
0
x
1
(itd
\r)
AppticaEion Number
Appfication pin number
Property Address
ASSESSOR PARCEI NUMBER:
Appl"ica!ion E)?e description
subdivision Name
Proper!y Use
Ploper!y Zoning
Applicatsion valuatsion
21- 000015?3 Date L2/09/21
a76t46
410 E 11Tt{ ST
06 - 30- 00 - 0-3 -4030- 0000-
EI,ECTRICAI ONIY
Application desc
DItP
BREEN, TERRY
7462 W MOUNTATN OUAII, CIR
TUCSON AZ 85750
BLACK DIAMOND ELECTRICAL CONTR
502 BLACK DIAMOND RD
PORT ANGEIES WA 98363
(360) 565-103s
Permit
AddilioDal desc
Permit Fee
Issue Dale .
Expirarion DaEe
53 .00
72/09/2L
5/01/22
ELECTRICAI A'JTER RESIDENTIAI
Plan Check Fee
valuat ion
.00
0
QEy Unil charge Per
L. 00 53 . 0000 ECI{ Et -R-BRANCH CIR WO/ SER FEED
Extsension
53-00
Fee summary Charged Paid Credited Due
PermiL Fee Totaf
Plan Check Total
Grand ToEal
53 .00
.00
53 .00
53 .00
,00
63.00
00
00
00
00
00
00
PERMIT WILL E)(PTRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
Signature ofowner or Electrical Contractor X
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN dnlzz-+P 6P
FINAL tln lzz-*R s
CONIMENTS:
C:IEXCHANCE\BUILDING
Date:
DATE:
RICAL PERMIT APPLI AT
Public \!'orks and ULiliries Deparlnrent
321 E.. 5th Stleet. Polt Angeles. $r.\ 98-.i62
i 60.4 1'7 .4,1 3 5 j rvww.cityo flta us I electri cll pclnri tsrZr.ci ryo tpa. us
410 E 11th (lvlair Ht)
1'q
3
*
Nf
$'\
Project Address
Project Description
I Single-Family Residential n Duplex / ARU Building Square footage
OWNER INFORMATION
flsrns Green Email
Mailing Address:Phone 360-406-0374
Name:
Mailing
Email:
Black Diamond Electrical LLC License:BLACKDE795O9
Expiration Date
Phone: 360-461-3957
Address: PO BOX 2335
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 -600 Arnp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Add tional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'1 -600 Amp.
femp. Service/Feeder 601-1000 Arrp.
Portallo Portal Hourly
Signal CirculULimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note $5 for each additional)
First 1300 Square Fest
Ea.h Addiufi at 500 square te€t"
Each Outbuilding / Dotactred Garage
Eadr Swimming Pool / Hot Tub
11-29-2021
O!aq!& TrtEI (Ouantity r Unit Charge)
TOTAL
unir Chrroq
$120.00
$146.00
$2o5.oo
$262.00
$373.00
$s.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64_00
$120.00
$102.00
$56.00
sl20.00
t40.00
t74.00
s110.00
1_-
$
$
$
$
$
$
$
$
$
$
$
$
$
s
$
$
$
$t
3
0
$
$
owner as dellned by RcW.'19.28.26'1i (1) owner will occupy the structure for two years after this electrical permit is finalized. (2) owner is
required to hire ar electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
Aner 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 wilh the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 29&
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Etectrical permit Applications.
Benjamin Shamp
Date
lElectrical Permit Applications may be submitted to city Hall or electricalpermits@cityofpa.us]
Print Name Signature (! Owner ! Electrical Contractor / Administrator)
1 - 2 SINGLE.FAMILY
ELE CTRICAL CONTRACTOR INFORMATION