HomeMy WebLinkAbout501 W 11th St (2)ELECTRICAL PERMTT
CMY OF PORT ANGELES
360417-4735
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Application Number
Application pin nuiiber
Property Addres6
ASSESSOR PARCEI, NUT'BER:
Application l)'tr e descriptsion
subdivision Name
Properry Use
Properly Zoning
Application valuaElon
21- OOOO0824 Dale 1/27/21
105840
501 W llTH ST
05 - 30 - 00-0 -3'239s - 0000 -
ELECTRICAL OT\IJY
RS7 RESDNEL SINGIE FAMIIY
0
applicalion desc
Heat pulnp
.]OHN M AND JOY L HIGGINBOTI{AM
501 W 1lTLt St
PORT ANGEIES WA 98362
1360) 43't -q"t9'7
BI,AC( DIAMOND ELECTRICA! CONTR
502 BLACK DIAI4OND RD
PORT ANGEIJES WA 98353
(360 ) s65-103s
Perni!
Addiliona1 desc
Permi! Fee
Issue Dale . .
Expiration Date
63. 00
7 /2t/2L
L/t7 /22
EI]ECTRICA-L ALTER RESIDENTIAI
Plan check Eee
Valuatsion
.oo
0
oty Unit charge Per1.OO 63.0000 ECH EL-R- BPIANCH CIR lIOl SER FEED
ExEension
53. 00
Charged Paid Credi!ed Due
Permit Fee Total
PIan Check Total
Grand Total
63 .00
.00
53 .00
63.00
.00
53 .00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH.IN il)6/a)N *.
FINAL t€NP
COMMENTS
S ignahrre of owner or Electrioal Contractor X
CTTExCHANCE\BUILDINC
I
I
l'.d/
I
Date:
1 - 2 SINGLE-FAIVILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
12l E. sth Strect, Port Angcles- W.{ 98-162
-160.1 I 7.47-r5 | wrvw.citvolpa.us i electricalperrnits@cit1.'ofpa.us
Project Address 501 W 11th
Project Description
Name Higoinbotham Email
lvlailing Address phone 360-460-2554
Name: BDE li6snss blackecS94d2
Expiration Date
Ph6ng' 360-46'1-3957
Mailing Address
Email:
Item
Service/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 Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Clrcuits 1-4
Temp. Service/Feeder 200 Amp
Temp Service/Feeder 201-400 Amp
Temp Service/Feeder 401-600Amp
re'no Servrce/Feeoer 601- 1000 Arrp
PortaL to Portal Hourly
Slgna Circuiulimited Energy - '1&2 DU
Manufactured 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 Oulbuilding / Oetached carage
Each Swimming Pool I Hot Tub
Unit Charoe Quantitv Tghl (Quantity x Unit Charge)
$120.00
$146.00
$205 00
$262 00
$373.00
$5 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
$120.00
$40.00
$74.00
$110.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
s
1
TOTAL
Owner as defined by RCW 19.28.261: (1) Ownerwill occupy the structure for two years after this electrical permit is finalized. (2) Owner js
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 installation 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 Electricat permit Apptications.
6-28-2021 Benjamin Sham p
Date Print Name Signature (E Owner E Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
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$
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HP
tr Single-Family Residential D Ouplex / ARU Buitding Square footage: _
O!\AIER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
$_
$63