HomeMy WebLinkAbout1326 E 4th StN
1
-ljELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDI,ITL S]NGLE FAMILY
0
N
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMAER:
Application t]?e descriplion
su.bdivision Naoe
Prope!Ey Use
Property Zoning
Application valualion
21-00000953 Datse I /!8 /21
I2 0553
1326 E 4TH ST
05 -30- 00-0 - 1- 8005 -0000-
EIJECTRICAL ONIJY
ApplicaEion desc
Hea! punp
Conlractor
WALKTR MELLEII4A/.fO JACQUELINE B
1325 E 4Tr{ ST
PORT ANGEIIES WA 983624705(360) 55s-583s
EI]ACK DIAMOND ELECTRICAL CONTR
502 BI.ACK DIAI.,IOND RD
PORT ANGEIJES WA 98363
(360 ) 56s-1035
Permic
Additional desc
Permil Fee
Isaue Datse .
Expiration Datse
53 .00
a/LB/2a
2/L4/22
E],ECIR]CAt AI?ER RESIDENTIAL
Plan Check Fee
Valuation
.00
0
Qty UniL Charge per
1.00 53.0000 EcI{ EL-R- BEANCH CIR WO/ SER FEED
Extension
53. 00
Charged Paid CrediEed Due
Permit Fee Toral
Plan Check Tolal
Grand foEal
53.00
.00
53 .00
63 .00
.00
63 .00
.00
.00
.00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXP IRE StX (6) MONTHS FROM LAST INSPECTION
Sigaature ofowner or Electrical Contractor X
INSPECNON TYPE RESULTS:INSPECTOR:
DiTCH
SERVICE
ROUGH.IN
FINAL
COMMENTS
C:\EXCHANCE\BUILDINC
Date:
loerr,
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLI CATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98162
360.417.4735 I www.cityolpa.us I electricaiperrnits@cityofpa.us
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Project Address 1326 E 4th Pen HT
Project Description
tr Single-Family Residential ! Duptex /ARU Building Square footage
OWNER INFORMATION
Name: Malama Email
Mailing Address p6e6s. 360-565-6835
ELECTRICAL CONTRACTOR INFORMATION
N3mg.BDE License blackec894d2
Mailing Address
Email:
Expiration Date
Phone.360-461-3957
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Serv ce/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 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 Circults 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.
Podal to Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable EIec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional
Unit Charoe
s120.00
$146 00
$205 00
$262.00
$373.00
$5.00
$63.00
$5 00
$75.00
$93.00
91'10.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
Ouantitv fqBl (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL
owner as defined by RcW 19.28.261: (1) owner will occupy the structure for two years after this etectrical permit is finatazed. (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 certjfy that I am the owner of the above named property or a licensed etectricat 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 Electrical permit Applications.
8-4-2021 Benjamin Sham p
Date Print Name Signature 1p Owner I Electrical Contractor /Administratoo
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47.11]
HP
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1
E First 1300 Squai€ Feet -:.
Each Additional 500 square feei"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub