HomeMy WebLinkAbout510 E PARK AVE - Building (2) 7�
ELECTRICAL PERMIT'
MY o0mu ANGELEs
36"17-4735 C7
Application Number . . . . . 19-00000lu Date 1/18/19
Application pin number . . . 439778 REPORT S TATE SALES TAX
Property Address . . . . . . 510 E PARK AVE
ASSESSOR PARCEL NUMBER: 06-30- on your excise tax form
15-5-0-9170-1000-
Application type description ELECTRICAL ONLY
to the City of Port Angeles
A,: Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code OW2)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation. . 0
-----------------------------------------------------------------------------
Application de,sc
Bathroom remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ --------------!----------
ST ANDREWS PARISH PORT ANGELES ELECTRIC SERVICE
510 E PARK AVE 503 RHODES RD
PORT ANGELES WA 983626938 PORT ANGELES WA 98362
(360) 452-6424
------------------------------------------- ----------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1�4 CIRCUITS
Permit Fee . . . . 86,00 Plan Check Fee .00
Issue Date . . . . 1/10/19 Valuation . . . . 0
Expiration Date 7/17/19
Qty Unit Charge Per Extension
BASE FEE 86.00
------------------------------ -----------------------7---------------------
Fee summary Charged Paid Credited Due
------------------ ---------- ---------- --------- ---------
Permit Fee Total 86.00 86.00 .00 W
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPEMON TYPE DATE: RESULTS: INSPECTOR.
DITCH
SERVICE
ROUGH-IN .
HNAL
COhMENTS:
PERmrr wm.L mmE suc(6)mmrm MM' Lim mspwwN
Signatm of owner or Electrical Contractor Date:
RECEIVED
MULTI-FAMILy / COMMEIRCIAL
ELECTRICAL PERIVI-ITAPPLI
-CATION ELECTRICAL
Public Works and Utilities Department INSPECTIONS
321 E, A Street;Port Angeles, WA 98362
360.417,4735�vzww.cityofpa.US I ele0triCa1PerMitS@CitY0fPa.US
Project Address: 6 1 JQ
Proled Desariptim, Z�krpn rv%
0 hlufti-FarnlyReWwbal 10 C0mm&c1a11lndu*W/PUb9C Bmildft Square lbotaw:
OWNER INFORMATION
Name: t`fbM18'r-'-2"V
Mailing Addrem: par-X Phone:.
ELECTFJC)-�-' CON-FRACTOR INFC.IRMATICN
Name: C L-Cer
C"r S2 1*3 7 be
Mailhg Addmsw h -Expiration Datc, tat
Email:. *7 a WZ44 Coro Phorm-
am LAghto bo'(0640"X UnK C"f
Sw*67seder 200 Arnp,
$Pvjoev�201-400 Amp. $180.60
ServicaXesder401-6WArnp. $226:00
Serviceffieeder$01-1000 Amp. $288.00
Servios/Feeder over 10W Amp, $410.00
Branch Circuit W1-%nice Feeder f5,0D
ftnch Cb=ft M Befte Fsedw $74.00
Fjoh Additio"Bnmch Circuit $5.00 $
Branch Circuits 1-4 $66.00 $ .4y v
Temp.ServiceMeeder 200 Amp, $102-00
Temp.Sen*x/Feedw 201-400 Arnp. $121.00 $
Temp.SwAceff-eeder 401-M Anv. $164.00 . .....
Temp.ServioeffisederS01-10W Amp.
Porw to Po"HoL* SN-00
Signid Chwit/Lintled Energy-MUWFan* $
Signal CiroUftirrifted ErAraffft 150 9f Commercial $96.00
(Nobe:.$S'00 W each. 1161w,
Renew"Elar-E"W 6WA Sydar"at.Im
TNwmostat(Note:s5 for each awitional)
s T
6,ay To AL
Owmr a dOW by RGW 19,25261:(1)oww wM 000tipy the itructum for bw yem after this eleoWal;:wrnit is fl."Wized.(2)Owner is
required to hire an ekictrical owdractor if WXwe Said property 6 for sale,rent or leam.Permit expires after six months of bat Inspwdon,
After reaeling the above stamrant,I hweby caft that I am ft owner of the above named property or a loonsed elecWcal oontmdor.I
am making the electrioal insiagatiOn or 8MEmliOn in c0ml)BB"vAm the @10CV081 bm%. ,N.E.C.,RCK Chaplar 19-28,WAC.ChapW 296-
468,The City of Port Angeles MunW!PW C*de.and Utility Specffications and PANIC 14.06.050 regarding Ele�Permit APPlicatiOns.
VA.& RVV4 &41411va�
Date Print Nam Signature(E] Owner F Eleeftal Contractor I Admir#Wratoo
[Etectrical PenTA AppileStiOrM may be subrnittied to City Hall or ek-Ctr1,--aJp*rmjtsGc!tyofpa.u&or foxed to 360.417.47111