HomeMy WebLinkAbout1129 W 7th St (2)ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
RS? RESDNTL S]NGLE FA,lVlILY
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Application Number
ApplicaEion pin nul cer
ProperEy Address
ASSESSOR PARCEL NU}IBER:
Applicalion L}?e descriptsion
Subdivision Name
ProperEy Use
Propertsy Zoning
Applicatsion valuaEion
21-00000231 Date 3/04/2L
820251
1129 W 7Tl{ ST
06-3 0- 00-0 - 1-5550-0000 -
E],ECTRICAL ONI,Y
Application desc
Furnace heaE PumP
DANA & SIIVIA RASMUSSEN
112 9 W TTlr ST
PORT ANGELES WA 98353
BI,ACK DIA]VIOND ELECTRICAL CONTR
502 BLACK DIAIVIOND RD
PORT ANGEI,ES WA 98353
(360) 565-1035
Permit
Additional desc
Permit Fee
fssue Date ,
Expiration Date
58.00
3/a4/2a
I /3t/2!
ELECTRICAI ATTER RES]DENTlAL
Plan Check Fee
Valuation
00
0
QEy Uait Charge Per
1. OO 5.0000 ECE EL
1.00 53.0000 ECH EL
ECB ADDNf BRANCH CIRCUIT
R- BRANCH CIR WOl SER EEED
5.00
53 .00
Charged Paid CrediEed Due
PermiE Fee ToEal
Plan Check Total
68.00
.00
68 .00
58. 00
.00
58.00
00
00
00
00
00
00
PERMIT WILL EXPIRI Slx (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN nlqk N =sP
FINAL nlfilzt s =Dr
COMMENTS
G:€XCHANGRBUILDTNG
Date:
I
ELECT R ICA L PERMIT APPLICATION
Public Wbrks and Utilities Depafiment
3il E. 5th Street, Port Angeles, \\A 98-i62
360.41 7.47-15 | wrvwcit-vofpa.us I elecrricalpennits@cityofpa.us
Project Address 1129 W 7th (Mair Ht)
Project Descriptlon
tr Single-Family Residential E Duplex / ARU Building Square footage
Name Rasmussen Email
Mailing Address P hone 206-307-9415
ftlsrns; BDE License:
Expiration Date
phone 360-461-3957
Mailing Address
Email:
unit Charoe
$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
Quantity f-elal (Quantity t Charge)
$
$
$
s
$
$
$
$
$
$
$
$
$
b
u
$
$
1
1
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 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 Speciflcations and PAMC 14.05.050 regarding Electrical Permit Applications.
2-zo-2021 Benjamin Sham p
Date Print Name Signature (@ Owner E Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417 .47']|1!
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OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1 -600 Amp.
Service/Feeder 601 -'1 000 Amp.
Servrce/Feeder over 1000 Amp.
Branch C rcuit W Service Feeder
Branch C rcuil 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 -600 Amp.
Temp Service/Feeder 601-1000 Amp
Portal to Portal Hour y
Signal Circurvlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Noter $5 for each additional)
First 1300 Square Feet
EachAdditional 500 square tuet"
$_
$68
Each Outbuilding / Detached Garage
Each Swimming Pool/ Hot Tub