HomeMy WebLinkAbout118 E 13TH ST - Building (2) ELECTIUC L PERMIT kt s
CITY OF PORT ANGELES
300-417-4735
Application Number . . . . . 18-00001159 Date 7/26/18
Application pin number . . 887478
Property Address . . . . 118 E 13TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8615-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Raise service mast
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Owner Contractor .
ST 1ATTHEWS LUTHERAN CHURCH ANGELES ELECTRIC
132 E 13TH ST 524 E. 1ST ST.
PORT ANGELES WA 983627818 PORT ANGELES WA 98362
(360) 452-9264
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Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 120.00 Plan Check Fee .00
Issue Date . . . 7/26/18 valuation 0
Expiration Date 1/22/19
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
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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
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
,F,
07/24/2018 14:01 FAX 360 452 9265 Angeles Electric IM0002/0002
1 - 2 SINGLE-FAMILY 4
ELECTRICAL PERMIT APPLICAT ION
-
�� Public Works and Utilities Department d
321 E. 5th Street, Port Angeles,NVA 98362
360.417.4735 1 %rNi�.cityofpa.us I etectricalpermits(a?cityofpa.us
Project Address: Hiff -iv, n5'�V
Project Description:
❑ Single-Family Residential ❑ Duplex!ARLI Building Square footage:
OWNER INFORMATION
Name: s a- w7 —7�w6 6esw Email:
Mailing Address: Phone:�{ — A9 3 74
INFORMATIONELECTRICAL CONTRACTOR
Name: ANGELES ELECTRIC, INC. License:ANGELE1460RS
Mailing Address:524 E..FIRS.T STREET, PORT ANGELES WA 98362 Expiration Date:02/18/2019
Email:ksimpson@olyrrt Phone:360-452-9264
PROJECT DETAILS
Item uantityk UrilCharge)
Service/Feeder 200 Amp. $120 Ob $
Service/Feeder 201-400 Amp. $148:00
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W1 Service Feeder WOO. $
Branch Circuit W/O Service Feeder $6300 $
Each Additional.Branch Circuit $$:00, $
Branch Circuits 1-4 $75A0. $
Temp.Service/Feeder200 Amp. $W00 $
Temp.Service/Feeder 201-400 Amp. $140:00 $
Temp.Service/Feede01`=6f1Q
Temp.Service/FeedJA1 A.000 Amp.
Portal to Portal Hour)
Signal Circuit/Limited En
Manufactured ome Conne
Renewable Elec.Energy:5
Thermostat(Note:$5 for each adv
TOTAL S
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,The City of Port Angeles Municipal Code,and Utility Specifications and AMC 14.05.050 regarding Electrical Permit Applications.
2- :ems �
Da Print Name Signature(❑ Owner Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360,417.4711]