HomeMy WebLinkAbout3806 Old Mill RdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Applicatsion Number
ApplicaEion pin number:
Property Address
ASSESSOR PARCEI NUMBER:
ApplicaEion !},pe description
subdivision Name
Propertsy Use
Property zoning
Application valuation
22-0OOAA2A9 DaEe 3/L!/22
484912
3805 OIJD MILL RD
06 -30 - 15-3 - 2 - 903 0 - 0000-
ELECTRICA! ON1,Y
Application desc
sear pump
NATI]AN W AND ASHLEY DAIIING
3806 OLD MILI. RD
PORT ANGELES WA 98352
\5As) 210-394t
BIACK DIAMOND ELECTRICAI CONTR
502 BLACK DIA}IOND RD
PORT ANGELES WA 98363
(360) s5s-103s
Permi t
AddiEional desc
PermiL Fee
Issue Date
Expiration Date
53 .00
3/Lr/22
9/a1/22
Qry
1. 00
un j,t charge Per
63.0000 ECH
FI F]CTRTCAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
EL-R- BFANCI{ ClR WO/ SER EEED
00
0
53. 00
Charged Paid creditsed Due
Permits Pee ToEal
Plar Check ToEal
Grand ToEal
53.00
.00
53.00
53. 00
.00
61.00
.00
.00
.00
00
00
00
REPORT SALES TD(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESLTLTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN et il)D d w
FINAL q lu)z-p
COMMENTS
vt --)'"(/
PERMIT WILL EXPIRE SLX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
ClEXCHANGRBUILDING
Date
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1-2StN G LE-FAMILY
CAL PERMIT AP AT
PubIic \\'olks antl LltiIities Departnrent
321 E. 5$ SLleeL. Porl i\ngelcs. \1.'\ 98161
.160.,117.4735 ivrvrv.citvoflra.us lelectricirll;crnrirsr?r.ciryolpa.us
3B,DG
(AW) 806 S Ord MiI
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Project Address;
Project Description:
E Single-Family Residential ! Duplex / ARU Building Square footage:
OWNER INFORMATION
Email:
Mailing Address:Phone .605-270-3941
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Addilional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Terrp. Service/Feeder 401-600 Amp.
Iemp. Service/Feede. 601 - 1000 Amp.
Portal to Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufaclured Home Conneclion
Renewab e Elec. Energy: 5KVA System or ess
Thermostat (Notei $5 for each addit onal)
First 1300 Square Fest
Eadt Additiof!6l 500 square f€et"
Each Outbuilding / Dotiachsd GaEgs
Each Swimming Pool/ Hot Tub
quaalrlu fgllel (Quantity x Unit Charge)uhit Ch.rge
$120.00
$146.00
$205.00
$262.00
$373.00
$s.oo
$63.00
$s.00
s75.00
$93.00
$1 10.00
$149.00
$168.00
$96.00
$64.00
$120.oo
$102.00
$s6.00
$120.00
s40.@
$74.00
s110.00
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$
$
$
$
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$
$
$
$
$
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$
$
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$
$
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$
$
$
$63
Owner as defined by RCW.'19.28.26'l: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrjcal contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
Afrer reading the above statement, I hereby certify that I am the owner of the above named property or a licensed elecaical contractor. I
am making the electrical installation or alteration in compliance with the electric€l laws, N,E.C., RCW. Chapter 19.28, WAC. Chapter 29&
468. The City of PortAngeles Municipal Code, and Utility Specilications and PAMC 14.05.050 regarding Etectrical Permit Apptications.
Benjamin Shamp
Date Print Name Signature (n Owner I Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.usl
Name: Dailing
ELECTRIEAT.CONTRACTOR INFORMATION
1166e; Black Diamond Electrical LLC Ljcense. BLACKDE79509
Mailing Address: PO BOX 2335 Expiration Date: _Email: phone: !0046'l-3957
PROJECT DETAILS
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