HomeMy WebLinkAbout508 W 4th St - BuildingCITY Or, PORT ANGEUs PT,RNI ITA PPLI CATION
Building Division[Electr1ral Inspections
321 East Fifth Street — P.Of Box 1150 1 Port Augeles Wishington, 98362
Ph. (360) 417-4735 F.i," (360) 417-4711
O�Ae: 12/18/2013
- I & 2 Single Fiimily Dwelling
* Plan Review May Be Required, Please Complets Eleclfic@l Pian Review Information Shmt
,"Ad&o5: 508W 4th St
logo
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Ovmar Information
flame, James Pudil
_508 W 4th St
Cf�f Port Angeles SjaeO: AA_ _pZ03 7
Ph0n0:_LG046(n523 Pa(:
tteoso 4 1 EXP.-
Itom,
ser*Wecdor 200 ftp.
SeNicofoder 2011 A Amp.
ServiceSueder 401,60 Amp
601-ION AAp.
Service der over 10W AaV,
Branch ci=R W1 gmim Feeder
&DnO Ckrull V14 Service F
Ewh Additional Gtamt C"t
Blanch C�culls 1-4
Ttmp, Gery1col FaWaf 200 Amp,
temp. SoAlceiFeedor 204400 Amp,
Temp. SarvicolFoedet 401 0.0 Amp,
Tj nip, $tTvicoFWer 601.1000 Amp,
pafw to Port Howly
Signal C�WW Limited Energy - 14 2 Family DweEng
ManoWured Home Cmacdon
Nnewi* Elet;Vical Enemy - 5KVA Soem or Lwm
Them*itol
Hate: $5.00 kt each addtbnO T-Stal
NEW CONVRUCTRLOLY,
Fist 140 squire ft
Each Add&nat 500 Sqvafa Ft, cw Peinn �A
Each OutbuUdmq ci Cewched Garoga
Each Swimming Pool w Hot Tub
Q4
Contractor Information
N891e' our F
Lrotect,L_ L me
Cky: Indianapolis MaJO; _N_ 4.j_6240
Pj)0jjV: _866-502-i559 F2X 317-564-2547
LkC of # tE.Xp,2R0TEYH93LR5'M.12 10/2013
Unit Charge
TotatQL Multi iplied by W
S 63.00
5,00
43.44
1.00
$ KOO
S-
$ 64,0D
$120.00
$102.00
$ 56,00
3 40,W
$ 74.00
S110,00
6_ 4 Go Total
Owner as defirted by RCW19,28.261. (I) Owns V411 O=py Me structure for two years after this electrical permit is finzlizeed. (2) Owner is required
10 hire aft Olectrical above said property is for sale, mnt or loase. Permit expires after six mm ft of last inspection,
After readiaq the @bovestatement, I hereby cork Mal I am the owner of the above named property or a Ecensed eleddcal contrador. I am making
the elechtal fristagaWa or alteration in contoiano with the electric el laws, N. ,C., RCW. Chapter 19.26® WA C. GNipter 296468,The qty of Port
Angeles Municipal Code, and Utility Spefficifions and P C 14.05,050 regarding UecUkal Permit Applications.
Signature of owotr' electrical contractor or electrical administrator., 0 Cah 0 Chea
_,12/18/2013
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , . , , .
13- 00001957 Date 12/18/13
Application pin number
933766
INSPECTOR:
Property Address , .
508 W 4TH ST
ASSESSOR PARCEL NUMBER:
06-30-00-0-0-8405-0000-
SERVICE
Application type description
ELECTRICAL ONLY
Subdivision Name
ROUGH -IN
Property Use
Property Zoning . . , . , , .
R97 RESDNTL SINGLE FAMILY
-7
Application valuation , , . .
0
COMMENTS:
Applicat.�on desc
Security system
_---------------------------------------------
--------------------
--- .._____.
Owner
Contractor
MISTY 0 LARSEN
PROTECT YOUR HOME
508 W 4TH ST
3750 PRIORITY WAY
SOUTH DRIVE
PORT ANGELES WA 98362
#200
1NDINAPO.LIS
IN 46240
(317) 810 -4720
Permit . , . , . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . ,
Permit Fee . , . . 64,00
Plan Check Fee
.00
Issue Date 12/18/13
Valuation . , ,
. 0
Expiration Date 6/16/14
Qty Unit Charge Per
Extension
1.00 64,0000 ECH EL-
SINGLE CTR LIMITED RES
64.00
Pee summary Charged
Paid Credited
Due
Permit Fee Total 64,00
64,00 .00
.00
Plan Check Total 00
,00 .00
00
Grand Total 64.00
64,00 ,00
.00
-Ih))W KI,
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
-7
COMMENTS:
PERMIT WILL EXPIRE. SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or EIectrical Contractor X Date:
G:TEXCHANGE\BUILDING
L1�
1
MIR
6
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