HomeMy WebLinkAbout2322 W 12th StI.N
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
160-417-4735
I /20 /27Atrplication I'lurber.
AFpLication pin nwnber
Pioperty Address
ASSESSOR PARCEL NUMBE,R:
AFplication tl4)e description
Subdivision NarE
Property Use
Property Zoraing
AFplication valuation
21-00001017 Date
2B'7859
2322 W 12TH ST
06-30-01-5-8-0230-0000-
U,EC'IRICAI CIILY
RS9 RESIT.]IL SING,E IA,IILY
0
FEpLication desc
Meter repair
OineI Contractor
GABRIEI EI,ASMJCIA TRST
5542 I4CI'TTEREY RD +258
SA}J JOSE CA 95155
AI.i@,LES ,ECTRIC
524 E. 1ST ST.
PORT ,A'IJGEI,ES/36a) 452-9264
Pednit
Additional desc
PeErdt Fee
fssue Date
Eleiration Date
E],F'']RTCAT, AI,TER RESIDM{T]AL
120.00
B /20 /21
2 /L6/22
Qty Ljrrit Olarge Per:1.00 120-0000 Eol Er--0-200 sRV FEEDER
Extension
120.00
Fee sumEry oarqed
00
0
Pelnit Eee Total
PLan O1eck Total
Grand Total
120.00
.00
120.00
120.00
.00
120.00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE;RESULTS:INSPECTOR
DITCH
SERVICE
ROUGH.IN
FINAI
COMMENTS Ex
PERMIT WILL EXPIRE SL\ (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contactor X
G:\EXCHANGE\BUILDINC
Date:
\
!A 98362
Plar check Eee
Valuation
Pald Crcdited Due
I
I
I
ELECTRICAL PERMIT
CIry OF PORT ANCELES
360417-4735
8/20/21Pfplication Nnnber.
Application pin mnrber
Prcperty Addr€ss
ASSESMR PARCS, NI]I.4BER:q.plication ty?e description
Slirbdivision NaEe
ProtrErty Use
PrDperty Zonj.lg
AFplication waLuation
21-00001011 Date
28,459
2322 \1 L2T|II St
06-30-01-5-8-0230-0000-
E,ECIBICAL CNLY
RSg RESII{IL S]1iGIE FPI4I],Y
0
Atrplication desc
l4eter repair
Orner Contaactor
@BRIM, PIASNCIA TRST
5542 r'.{aNTmEY RD *258
$1lr .losE G 95155
A}GELES ELECIRIC
524 E. 1Sr Sr.
PORI ANffi,ES
(360'.) 452-9264
liA 98352
PeEnit
Addi'Lic,.ra1 desc
Perrr[t Fee
Issue hte
Expiration Date
Qry
1.00
ELECTRICA ALTtr( RESIDM{IIAL
120.00
I /20 /21
2/16/22
Plan Cbeck Fee .Valuation . . .
00
0
U[it OElge Pe.
12O.OOOO ECIT EL-O_2OO SRV EEEDER
Extensidr
120.00
Eee sumEry ClErqed Paid Cledited DJe
Perfdt Eee Total
Plan oreck Total
Grand Total
120.00
.00
120.00
120.00
.00
120.00
.00
.00
.00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
C:\EXCHANGE\BUILDNC
Date:
DArE: lnrsulrs,
I
I
I
I
1 - 2 SINGLE.FAIVIILY
ELECTRICA L PERIVITAPPLICATION
Public Works and lltilities f)cpartment
321 E. 5th Street. Po Angeles, WA 98362
360.411 .4735 | wwrv.cityo [pa. trs I electr-icalpclrnits(q.rciryo lra.rrs
?-"Lz_ D.
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Project Address:
Name
lvlailing Address:
Projec_t Descriptio
fiinsb-ranity
n:
Residential Duplex / ARU Building Square footage
Email:
enone. -zlO- ftZ-?<17
ELECTRICAL CONTRACTOR INFORINATION
Name: Angeles Electric, lnc.
Mailing Address: 524 E. First Street, Port Angeles, WA 98362
Eps;1. ksimpson@olympus.net
1;6snss; ANGELEI460RS
Expi svlisn g21s 2l3l2Q22
PtTone: 360-452-9264
Item
Service/Feeder 200 Amp.
Servlce/Feeder 201-400 Amp.
Servic€/Foeder 401-600 Amp.
Servlce/Feeder 601-1 000 Amp.
Servics/Feoder over 1000 Amp.
Branch Circuit W/ Sorvice Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-'1000 Amp.
Portal to Porlal Hourly
Slgnal CircuiuLimiled Energy - 1&2 DU.
Manulacturad Home Connecton
Renewable Elec. Energy: SKVA System or l€ss
Thermostat (Note: 95 for each addilional)
First 13@ Squarc Feet
Each Additlonal 500 square feet'',:.'l ',:l 1:|:l|,
., ;,, Esch outbuilding / Detached Garage
Each Suiimming Pool / Hot Tub
Owner as defin€d by RCW.19.28.261 : (1) Owner will occupy the structure for two years aftsr this electrical permit is flnalized. (2) Owner is
required to hire an electrical contraclor if above said property is for sale, rent or lease. Permil oxpires af(er six monlhs of last inspeclion.
Urlt Charse
$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
s64.00
$120.00
$'102.00
$56.00
$120.00
$40.0o
$74,0O
s110.00
Total lOuantitv x LJnit Charoe)
-$ libd
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
u
$
$
$
After reading the above statement, I hereby certify that I am the owner of the above namsd property or a licensed eleckical 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, Ihe Qity of Port Anoeles Municipal Code, and Utrlily Specrlcallons aDd PAMC 14.05.050 regardinq Electrical Permit Applications,
e/,flzt Ken Simpson b...til Z-;o*; r f-- sgnaiure\ffffi;% Etectriiat contractor /Administratorj
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711)
TOTAL