HomeMy WebLinkAbout2332 W 12TR ST - Building A
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Appljc Number . . . . . 19-00000794 Date 5/29/19
Application pin number 735002 REPORt rATE SALESIt"
Proper�j Address . . . . . . 2332 W 12T11 ST
on ywr exdw tax form
ASSESSOR PARCEL NEWER: 06-30-01-5-0-0220'--0000-,
Application type descriptiop,,
ELECTRICAL ONLY to the Cfty of Port Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . .. (LWation Code 0502)
Property Zoning . . . . . . . RS9'RZSMT]4 SINGM FAMILY
Application valuation . . . . 0
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Application deac
Service
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Owner contractor-..
-------------- 7-------- ---------------
MPLE, JASON AMBLES =XCTRIC
1106 W 16TH ST 524,9. 1ST ST.
PORT AMBLES WA 98363 PORT AMBLES WA 98362
(3601 452-9164
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fie 3,20.,00 Plan Check Few)* 0-0:
Issue Date . . . . .5/29/19 valuation 0
Expiration Date 11/2S/19
0 1 ty Unit Charge Per Utensi6n_'
1.00 120.0000 BCH EL-0-200 SRV FEWER 120.00
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Few,summary Charged Paid Credited Due
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Pdz*ldt Fee Total 120.1-00 120.00 .00 .00 -
i" Platt Check Total .00 .00 .00 .00
Grand Total 120.60 120.0a 600 .00
INSPECMNTYPE DATE' RESULIS: INSPECrOR:
DrrCH
SERVICE
ROUGH-IN
AW �W
CONMENTS: ,
PERmrr wuL wiRE six(6)moNTHs FRom LAsT mpwnoN
Signature of owner or,06tl-j", 'Contractor X Date'
05/28/2019 07:51 FAX 360 452 9265 Angeles Electric 100001/0001
C!A MILY
1 - 2 SINGLE-r-p%
ELECTRICAL PERMIT APPLICATION
Public Wbirks and Utilities Department
321 E. 5th Street,Pbrt Angeles, NVA 98362
360.417.4733- 1 wvnv.cityofpa.us I electricalperniit.sC&,cityo4)a.us
Project Address:
Project Description: Akol —Wvi�k ZZ- &wjA-AW AS4�3"Af
W4ingle-Family Residential 0 Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: -i-IT Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: AmQe-LgL Eterl-vi�.e, ta License:AA1 LJ Z Q P-
Mailing Address: 5 4- F- - Fr r2z-01-U2--D
ft-� Expiration Date:
Email: V.Sinlplm 4 19141 Phcine:,�PO- 4524210�f
PROJECT DETAILS
Unit-Chacgs V Ur
um (Quantity x q1t Charge)
Service/Feeder 200 Amp. $120.00 $- IZ621
Service/Feeder 201-400 Amp. $148.00 $
Service/Feeder 401-600 Amp. $
Service/Feeder 601-1000 Amp. $262.DO. $
ServicelFeeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit 45.00. $
Branch Circuits 14 $
Temp.Service/FeLider 200 Amp. $03.00 $
Temp.Service/Feeder,201-400 Amp. stluo $
Temp.Service/Fee
Temp.ServicelFeed DO Amp.
rly%MMS
Portal to Portal Hourly
Signal CircuittLimfte!d En
Manufactured Home ConneZ�-T.'--'-111--l-
n
Renewable Elm E ergy:5
Thermostat(Note; for each
$1
New
on ly
TOTAL
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 foor sale,rent or lease.Permit expires after six months of last Inspection.
After reading the above statement,I hereby certify Met I am the owner of the above named prop"or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with Me electrical laws,N.E.C.,RCW.Chapter 19.28,.WAC.Chapter 2W
46B,The�ity of Pqrt Angeles Municipal a,and Utility Specification and PAMC 1 05.050 reg9rding Electrical Permit Applications.
Datee' Print eame Signature(C] Owner MO'Ejectrical Wntractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofps-us or faxed to 360.417.47111