HomeMy WebLinkAbout2419 ARBUTUS LN - Building (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000594 Date 4/20/18
Application pin number . . . 553268
Property Address . . . . . . 2419 ARBUTUS IN
ASSESSOR•FARCEL NUMBER: 06 -30 -01 -5 -5 -0120 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . . MADRONA WOODS
Property Use . . . . . . . . RESIDENTAL SF 9000
Property Zoning . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
Ductless heat pump
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Owner Contractor
------------------------ ------------------------
ISAIAH L ANDERSON BLACK DIAMOND ELECTRICAL CONTR
1837 W DEVANNY LANE 502 BLACK DIAMOND RD
SEQUIM WA 98382 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 4/20/18 Valuation 0
Expiration Date 10/17/18
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
REPORT STATE- A" TAX
on your excise tax form
to the City of Part Angeles
(Location Code 05
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EIRE SIX (6) MONTHS FROM LAST INSPECTION
_ Signature of o ter Or Electrical Contractor X
r'
Date:
Project Address:
Description:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATI+ 1,
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 9$362
360.417.4735 ; www.cityofpa.us I electricalpermits@cityofpa.izs`,.,;: F-
2 q (� Atzz cTvs Sr -
c -7 -S, -S f f— S
❑ Duplex /ARU Building Square footage:
Single -Family Residential
Name:
Mailing Address:
;Name:
Mailing Address:
Email:
fir» C.44 o --J
2-4(9 A4Z v TW f'T
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O 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 Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet'
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Email:
Phone: 3" 4(61 ?13-,?
License:
Expiration Date:
Phone: '7'73-- 6.003
S1nit Charae Quantity
Total (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
$ /► 07 ---
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 wit h Iectrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B,, The City of Port Angeles Municipal Code, and Utili y pecif i s and PAMC 14.05.050 regarding Electrical Permit Applications.
_/
Date Print Name ignature ( Owner ❑ Electrical Contractor/ Administrator)
Electrical Permit Applications may be submitt Cit all or electrical ermits cit of a.us or faxed to 360.417.4711
I PP Y Y P @ Y P l
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