HomeMy WebLinkAbout1605 W 15th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Applica!ion Nr.rmber
ApplicaEion pin number
ProperEy Address
ASSESSOR PARCEI] NUMBER;
Applicalion !)'pe description
Subdivision Name .
Property Use
Propertsy zoning
Applical j.on valuation
21- OOOO0715 Date 6/14/21-
140375
1505 !t r5TH ST
06 -30- 00- 0-4 - 0790- 0000 -
EI,ECTRIC]AI ON,,Y
RS7 RESDNrTT SINGIJE FA!"1II,Y
0
Application desc
seats PumP
DANIEL ,]OSEPI{ IiIIEELER III
1505 W 15TH S?
PORT ANGELES WA 98363
(907) 953-8009
BI,ACK DIAMOND ELECTRICAI, CONTR
502 BI,ACK DIA.$'IOND RD
PORT ANGELES WA 98363
(350) 565-1035
Permits
AdditioDal desc
Permit Fee
Issue DaLe
53 .00
6/L4/21
t2/rL/2L
EI,ECTRICAL AI,TER RESIDENTIAL
Plan check Fee
valualion
00
0
Expiration Date
oty Unit charge Per
1. OO 63.0000 ECll EL-R-BRANCII ClR WO/ SER FEED
Extsension
53.00
Permi.! Fee Total
Plan Check Totsa1
crand Total
53 .00
.00
53 .00
63.00
.00
63.00
00
00
00
.00
.oo
.00
REPORT SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESIJLTS:INSPECTOR:
DITCH
SERVTCE
ROUGH-IN ,q6)Ll F
FINAL il),;lzt w P
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contactor X
C:\EXCHANCElBUILDING
Date:
Charged Paid CrediEed Due
I
EPI
ELECTRI CAL P ERMIT APPLICATION
Public Works and tltilities Depa$meul
3: I E. 5th Street. Port Aneeles, \\A 98,162
-1(r0..1 I 7.4715 | wrvw.citvofpa.us I elecricalpcrmitsr@.rcityofpa.us
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Project Address 1605 W 1sth
Project Description HP
tr Single-Family Residential I Duplex / ARU Building Square footage
Name Wheeler Email
Mailing Address Phone:907-953-8009
Name BDE License blackecS94d2
Expiration Date
phone. 360-461-3957
Mailing Address
Email:
queililr f-slal (Quantity x Unit Charge)
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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 certity 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 Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
6-10-2021 Benjamin Sham p
Date Print Name Signature (E Owner ! Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAIMILY
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 -400 Amp.
Service/Feeder 40'1-600 Amp
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circu t W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circu ts 1-4
Temp Service/Feeder 200 Amp.
Temp Serv,ce/Feeder 201-400 Amp.
Terrp Serv,ce/Feeder 401-600 Amp
Temp. Service/Feeder 601 -1000 Amp.
Portal to Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec Energy: sKVA System or less
Thermostat.(Note. $5 for each additional), .,rt, First 1qq9.,Squaref,ed , .r::r-..i,' ' Each Additional soosquare feet' :i''
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
unit Charoe
$120.00
$146 00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$7s 00
$93.00
$110.00
$149 00
$168.00
$96.00
$64.00
$120.00
s102.00
$56.00
i.t.$120.00,,t
'::$40.00 ,,,
$74.00
': $110.00
1
TOTAL
$ -:.
$63