HomeMy WebLinkAbout810 S Albert StD
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
ApplicaEion Number
Application pin nunrber.
ProperLy Address
ASSESSOR PARCEL NUMBER:
Application E)'pe description
subdivision Name
Property use
Property zoning
ApplicaLion valuaLion
21- ooooo758 Datse 5/22/2L
733255
810 S ATBERT ST
06 -30-00 - 0- 2 - ?2 02 - 0000 -
EIJECTRICAI' ONLY
Application desc
Circuitss
DOUG AND A}.IY BURGIIART
308 ALDER S?
BEI,LINGIIAM WA 98225
l36AJ 223-5694
ANGEI,ES ELECTRIC
524 E. 1ST ST.
PORT ANGE],ES
136O) 452-9264
vtA 98352
PermiE
Additsional
lssue Date
Expi raE ion
desc
O"a"
ELECTRICAL ALTER RESIDENIIAI,
1-4 CIRCUITS
80. oo Pla Check Fee
6122 / 2'r valuat ion
L2 /L9 /2L
00
0
oty UniE Charge Per
1 . 00 5.0000 EcH
BASE FEE
EL-ECH I\DDNT BRANCH CIRCUIT
?5.00
5.00
Charged Paid credited
PermiE Fee ToEal
Plan check TotsaI
crand Totsa1
80.00
.00
80.00
80.00
.00
80.00
00
00
00
00
00
00
REPORTSAI-ES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN tl'n)u 6D d/
FINAI
B
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST
Signature of owner or Electrical Conhactor X
C:\EXCHANGE\BUILDING
ECTION
Date:
COMI,IERICAL NEIGIIBORHOOD
COMMERC]A! NEIGHBOR,IIOOD
0
I
INSPECTION TI?E
COMMENTS:
E LECTRI CAL PERIV IT APPLI CATI ON
I']ublic Worhs ancl Utilitie s Department
321 E. 5th Stleel. Port An-i{elcs, WA 98362
3(;0.4l'1 .4735 | wwwcityofpa.Lrs I eiecU ica lpelmits(gcityo fpa.us
o
3
N
$,
CI
Projecl Address:
Project Description
! Single-Family Residential ! Duplex /ARU Building Square foolage
Mailing Address:
Name Anqeles Eleckic, lnc.
Mailing Address : 524 E. First Street, PoIt Angeles, WA 98362
I
Email
Phone:z0--,Eefr
License:ANGELEI46ORS
Expiration Date:2t3t2022
Item
Service/Feedar 200 Amp.
Servic6/Feeder 201.400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 60'1- 1000 Amp.
Service/Feeder over 1000 Amp,
Branch Circuit W Service 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, Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Signal CircuivLimited Energy - 1&2 DU.
lvlanufactured Home Connection
Renewable EIec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Fhst 13OO Squara.Fe€t
..,.. Each Addltlonal 500 square reel"
Each Oulbuilding / Detached Garage
Each Swimming Pool./ Hot Tub
Ouantltv Igta! (Quantity x Unit Gharge)
TOTAL
468,ci of Port Angeles Municipal Code, and Ulility Specifications nd 14"05.050 arding Electrical Permit Applications.
Ken Sim son
Print Name ;gnature (E Owner ical Contractor / Admlnistrator)
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$ 168.00
$96.00
$64,00
$120.00
$102,00
$56.00
$120.00
$40.00
$74.00
$110.00
$
$
$
$
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$
$
$
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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-
D
[Electrical permit Applications may be submitted to City Hall or electicalpermits@cityofpa us or faxed lo 3AO.417 .4711)
1 - 2 SINGLE-FAN/ILY
Name:
Emait, ksimpson@olympus.net Phone: S9lE:9&l--