HomeMy WebLinkAbout1125 E 5th St (3)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
AppIicatslon Nunncer
ApplicaEion pin number
ProperLy Address
ASSESSOR PARCEI, NUMBER I
appticaEion type descripLion
subdivision Name .
Propertsy UBe
Propertsy zoning
ApplicaLion valuation
2 t-ooooo578 Date 6/17 /2t
4A4252
1125 E 5Ttt ST
06 -30- 00 - 0- 1- 78 80 - 00 00-
ELECTRICAI ONIJY
RS? RESDNTI SINGIE FAM]LY
0
Application desc
Instalf 5oamp for car charger
ROGERS RONAID L
3011 S IAUREL ST
PORT ANGELES
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGEIES
1360) 452-9254
wA 983625912 wA 98352
PermiE
AddiL ional
lssue DaEe
EIECTRICAI, ALTER COMMERCIAL
1-4 CIRCUITS
75. O0 Plan Check Fee
6 / 1,1/2I Valuation
L2/ L4 /2tExpirat.ion Date
QEy Unit charge
00
0
Per Extensio$
75 .00
Charged credited Due
Permits Eee Total
Plan Check TotsaI
Grand Total
75.00
.00
75 .00
75.00
.00
75.00
.00
.00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE RESULTS:
DITCH
SERVICE
ROUGH-IN
FINAL
4X
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signa ture of o$.ner or Electrical Cont actor X
G:\EXCIIANGE\BUILDING
Date:
N
r
d
BASE FEE
INSPECTOR:
I
COMMENTS;
1 - 2 SINGLE-FA]\TILY
ELECTRICAL PERIV IT APPLI CATI ON
Public Works and Litilitiss l)epar"trr.rent
-l2l E. 5th Stree t. Polt Angeles, WA 98362
360.4lt1 .4135 | wrvw.cityolpa rrs I e)ectrica lpe rmits(r4cityo lpa.us
!o
l
T
E\-t
Proiect Address:lE fd,.D
SOPtoy)ct
d s,n
Description
gle-Family Residential Duplex /ARU Building Square footage
Nlailino Address
Email
Phone:
ILL-
Name. Angeles Elect c, lnc.
Mailing 4661ss5; 52i E. First Street, Port Angeles, WA 98362
Email ksimpson@olympus.net
License: ANGELE1460RS
Expi 1a1lsn Qv1s 21312022
Phone: 360-452-9264
ttem
Service/Feeder 200 Amp.
Service/Feede. 201-400 Amp.
Service/Feeder 401400 Amp.
Service/Feeder 60'1 -'1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Sewice Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. ServicelFeeder 40'1-600 Amp.
Temp. ServicelFeeder 60'1-1000 Amp.
Porlal to Portal Hourly
Signal Circui Limited Energy - .1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
F:rst 1300 SqLrare Fee:
:.i:. i.r ;.,.i Each Addilional 500 square feet"
Each Outbuilding / Delached Garage
Eaoh Swlmming Pool/ Hot Tub
Unit Charse
$120.00
$146.O0
$205.00
$262.00
$373.00
$5,00
$63.00
$5.00
$7s.00
$e3.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74,00
$110.00
Quantitv Igbl (Quantity x Unit Charge)
-z5a/
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
-w
Owne. as defined by RCW 19.28.261: (1) Owner will occupy lhe structure for two years after this electrjcal permit is finalized. (2) Owner is
lequired to hire an electrcal contractor if above said prope(y is for sale, rent or lease. Permit expires after six months of lasl inspection.
After reading lhe above statement, I hereby celrify 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 Chapte|19.28, WAC. Chapter 296-
463, Ihe City of Port Angeles Municipal Code, and Utility Speciticet,ons r r,l PAI"4C 14.05.050 rding Electrical Permit Applications
Ken Sim son
Prinl Name Signature (erB rical Contractor / Administrator)n
lEtectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxedlo 360.417.47111
Name',t25-bL5-,t7ZS
ELECTRICAL CONTRACTOR I N FORA/ATION
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE EA]I'IILY
0
ApplicaEion Number
AppficaEion pin nunbe!
Property Address
ASSESSOR PARCE! TWUBER:
Applicatsion t),pe descripEion
Subdivision Name
Property use
Propeity zoning
ApplicaEion valuation
2l-- 00000578 Date
4A4252
1125 E 5Tlr ST
06 -30- 00 -0 - 1-7880-0000 -
ELECTRICAI, ONIJY
6/L7 /21
Application desc
Instal1 50amp for car charger
ROGERS RONALD L
3 011 S I.AUREL ST
PORT ANGEI,ES
ANGELES EIECTRIC
524 E. lST ST.
PORT ANGEI,ES
i'360) 4s2-9264
wA 983525912 wA 98362
Issue Datse
EI,ECTRICAL AITER COMMERCIAT
1-4 CIRCUITS
75. O0 Plan Check Fee
6 /L7 /2L valuaEion
t2/14 /2a
00
0
ExpiraEion Date
Qty Units Charge
BASE FEE
Extension
75.00
Charged Paid Credited Due
PeIm:iL Fee Total
Plan check Total
Grand Tolal
75.00
.00
75.00
75.00
.00
75.00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESLTLTS:INSPECTOR:
DITCH
ROUGH-IN
FINAI
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of orvner or Electrical Contractor X
CIEXCHANGE\BUILDING
I
SERVICE
Date: