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HomeMy WebLinkAbout116 E 13TH ST - Building (4) j,
CM ARGE tS
CA
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Application Number . . 19-00001139 ]Date 7/29/19'
Application pin number 546560 REPORT STATESALES TAX
Property Address . . . 116 E 13TH ST
ASSESSOR PARCEL NUMBER: 66-30-00-0-3-8620-0000- On your exclse"'tax f onn
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . .
Property Use . . . . . . . fLOCdtion Code 0502) ry
Property Zoning . . . . . . . RS7 USMM SINGLE FAMILY
Application valuation . U
- -------------------------
. Application desc
Panel and circuits
Owr]er Contractor
--------------------- ----------------------
' - ST'MATTHEWS LUTH CHURCH OF P A ANGELES ELECTRIC
d/O TREASURER 524 E. 1ST:ST.
,PORT ANGELES WA 50362 PORT ANGELES WA 98362
4350) 452-9264
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,' Pent- EL$CTRICAL ALTER RESIDENTIAL
Add t f okial desc�.
eFermit' ,1"70.00`• Plan Check, Fee .''. .00
sue ate" 7/29/19 Valuation, o
Sxgirat3on Ditty 1/25/20
14
ry> ii bhit dhar� Per Extension
10.00 5.0000461 BL-BRANCH CIRCUIT W/P`EBDER 50.00
1.00 120.0000 BCH EL-0-200 SRV';FEEDER 120.00
------------------------------------------------
Fee summary Charged Paid Credited. Due
- ------
Permit Fee Total 170..00 170.00 c0 00
Plan Check Total .00 .00 Op " 00
Grand Total 170.00 170,00 00 .00
,i
INSPECTION TYPE DATE. ROLILTS: INSPECTOR:
i
DTI'CH
S11WICE
R--0VGH=
FINAL -
COiulhrlENTS:
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0 ELECTRICAL INSPECTION
% ! WIRING REPORT
417-4735
DATE: PERMIT 4 INSPECTOR
D) a b
OWNSA
CONTRACTOR
'N 114
ADDRESS
u 1 (p w-, 1,2z S-�
APPROVED NOT A APPROVE
R�2�OV E
0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . .
CORRECTIONS NEEDED: M%2St!V—; -141mckl Z-
16,Ll z,
2t,,t4iae-r, L)v-.c,.
2-5 L
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE—
°,pafl,rA , ELECTRICAL INSPECTION
WIRING REPORT
& 417-4735
U
PERMIT# INSPECTOR
-7 ))q a r
OWNER
CONTRACTOR
b&A7 G)
ADDRESS
c):P:RO � NOT APPROVED
. . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . 0
-®- - - - - - - - - - - -
ROUG�aHppIN/COVER . . . . . . . . . . . . . . . 0
©. . . . . . r+"A.-v*:,,x w..r;..�:•...r. . s..,JGFIVICE_. . ......... .......... .....13 r»
©. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . CI
CORRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- DO NOT REMOVE
07/26/2019 13:56 FAX 360 452 9265 Angeles Electric U0001/0001
2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department RECEIVED
321 E. 5th Street, Port Angeles, WA 98362 JVL 10 2019
360.417-4735 1 www.cityofpa.us I electricalpen-nit&@eityofpa.us vt
Project Address: a-lq� 'S 71wi-
Project Description: F 1.e dyU4W-
�f f
0 Single-Family Residential 13 Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: t- Email:
Mailing Address: al" z Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: Angeles Electric, Inc. UCenSe:ANGELE1460RS
Mailing Address:524 E. First Street, Port Angeles,WA 98362 Expiration Date:2/1/20
Email:ksimpsop@olympus.net Phone:360-452-9264
PROJECT DETAILS
HE Unit ChaEgit Quanti J9JW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $ 'ZZ:2
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp, $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
1 0
Branch Circuit W1 Service Feeder $5.00 $ AIV>
Branch Circuit WIO Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp.Service/Feeder 200 Amp, $93.00 $
Temp,Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder.401-600Amp. $14910. $
Temp.Service/Feeder.,601-1000 Amp.
Portal to Portal Hourly
"W.06''
Signal Circuit/Limited Energy wIAZDU. -
Manufactured Home Connection. 41=006 A
Renewable Elec. Energy 5KVA System or.less
Thermostat(Note:$5 for each additidnal) wo
4.
TOTAL
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finaltzed.(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-
46B of Port Angeles Municipal Code,and Utility Specifications a PANIC 0 .050 rding Electrical Permit Applications.
r�he C'
Ken Simpson 7, �'Cn=
ate Print Name Signature(0 Owner W Xlectrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or eIectricaIperrnits@cItYofPa.uS or faxed to 360.417.47 111