HomeMy WebLinkAbout116 E 13TH ST - Building (2) ELEC `RICAL PERMIT
CTTY OF PORT ANGELES
364417-4735
'Application Number . . . . . 18-00001158 Date 7/26/18
Application pin number . . . 814236 --
Property Address . . . . 116 E 13TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8620-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use , . . . . . . .
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY (Location {lode 0502)
Application valuation . . . . 0
Application desc
Raise service mast
Owner Contractor
ST MATTHEWS LUTH CHURCH OF P A ANGELES ELECTRIC
C/O TREASURER 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-9264
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date . . . . 1 7/26/18 Valuation 0
Expiration Date 1/22/19
Oty Unit Charge Per Extension
1.00 120.0000 BCH EL-0-200 SRV FEEDER 120.00 J
--------------------- -
Fee summary Charged Paid Credited Due
~Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120,00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE f y
ROUGH-IN 4 IQ
FINAL
COMMENTS:
PERMIT WILL EXPME six(6)MONTHS MOM LAST INSPECTION
Signature of owner or Electrical,Contractor X Date:
f,.
07/24/2018 14:01 FAX 360 452 9265 Angeles Electric Q0001/0002
.2-SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Depa.rtm.ent
321 E. 5th StTeet,Port Angeles.WA 98362 360.417.4735 wwxv-cityofpa.ws I electricalpermits@�cityofpa.us
Project Address:. 314
P;rojecoescription:
S Si
i ngle-FamilyResidential 0 Duplex/ARU Building Square footage:
OWNER INFORMATION
3—
Name: 1119L'Vq Email:
Mailing Address: 2— Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: ANGELES ELECTRIC, INC. License:ANGELE1460RS
Mailing Address:524 E. FIRST STREET, PORT ANGELES WA 98362 -Expiration Date:02/18/2019
Email: ,p ksimpson@o1y. -452-9264. Phone.360
PROjECT DETAILS
Qtahtft,
"M .{Quantity5'Uhit Charge}
eQ
Service/Feeder 200 Amp. do $
ServiceiFeeder.201400 Amp. :1146-00 $
Service/Feeder 401-600 Amp. 4205.00 $
Service/Feeder 601-1000 Amp. ',$26200 $
Service[Feeder over 1000 Amp. ::.4373.00 $
Branch Circuit W/Service Feeder $
Branch Circuit W10 Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $
Temp.Service/Feeder 200 Amp. $.03.00 $
Temp.Service/Feeder 201-400 Amp. $110.00
Temp.
Temp.Service/Feedtl 00 Amp.
Portal to Portal Hourly
Signal Circuit/Limited En
Manufactured Home Conn
Renewable Elec.Energy:5
Thermostat(Note:$5 for each ad
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 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 with the electrical laws,N.E.C.,RCW.Chapter 19.28.WAC.Chapter 296-
468,Th 090
y City o;Port Angeles Municipal Code,and Utility Sp cations and PAMC 4 4.05.050 prdling Electrical Permit Applications.
714 Y/1 k&." Z __�7
Date' Print Name Signature Owner W'Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360-417-47111