HomeMy WebLinkAbout4118 Fairmount AveN
\d
N.$
applicalion Number . .
Appli.catioo pin nunloer
Properly Address
ASSESSOR PARCEIT NUI4BER I
Application type description
subdivision Name
Properly Use
Property zooing
ApplicaCion val.uation
21- 00001029 Date
097044
4118 FA]RMOUNT A!'E
06 - 3 0- 08 -5 - 8 - 9080 - 0000 -
ELECMICAL ONLY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
RS7 RESDNTI, SINGLE EAMILY
0
8/2s/2t
applicarion desc
Service and feeder
AESOI,I,EDER/SABIIOW
1644 HUBBARD PL
ESCONDTDO CA 9202'l
ANGEI,ES ELECTRIC
PORT ANGELES
1360J 452-9264
I,IIA 98352
Pe!mit
Additiooal desc
Permit Pee
Iasue Dale ....
Expiratioll Date
Qly Unit Ctarge
2.00 120.0000
ELECTR]CA! AITER RESIDENT]AI
240,OO
I /25/2t
2 /2L/22
PIa$ Check Fee
valuation
.00
o
ECII EII- O - 2OO SRV FEEDER
Extension
240. 00
Chargel Pa id crediEed Due
Permit Fee Tolal
Plan Check Total
Gland TotaL
240.00
.00
240.00
240.00
.00
240.00
00
00
00
00
00
00
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X
INSPECTION TYPF DATE:RESIJ'LTS INSPECTOR:
DITCH ilolzt .F "Ea
SERVICE b lz€ lzr -Jts -sk
ROUGH-IN
FINAL
COMMENTS:,Ltr-,
G:\EXCHANGE1BUILDING
Date
I
I
1 - 2 SINGLE-FAMILY
ELEC TRI CAL PERI\4 IT APPLI CATION
Public Wolks and Utilitics Dcpartn'lent
l2l E. 5th Slreet, Porl Angeles, WA 98362
360.4 17 .47 35 | www.cityofpa.us I clectricalpcrruits(aicityofira.r.rs
Email
1'o
=j
*
N
tL
h)
sProject Address:
Project Description:
@Xingle-Family Residential Duplex / ARU Building Square footage:
Na
Mailing Address
Name Anqeles Electric, lnc.
Mailing Address:524 E, First Street, Port Anoeles, WA 98362
Phone 6fi - t?"7L6A
U6snss ANGELEl460RS
Expi rctsn A6r-.?1312022
Email:ksimpson@olympus.net
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORTUATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Arrp.
Service/Feeder 401-600 Amp.
Service/Feeder 60'1 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Fe€der
Branch Circult WO Service Feader
Each Additional Branch Circult
Branch Circuits l-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Porlal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Fa€t
Ead) Addttional 500 squar€ feel'
r.j,. Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Igtal (Quantity x Unit Charge)
$ 2?fi@
Unit Charoe
$120.00
s146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$ 1 10.00
$149.00
s168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Quantity
2-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL LYD.g
Owner as defined by RCW.19.28.261: (1) Owner will occupy the struclure for two years after this electricai permit is finalized, (2) Owner is
required to hire an eleclrical contractor if above said property is for sale, fent or lease, Permit expires after six months ol lasl 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 inslallation or alteration in compliance with the electrical laws, N.E.C., RcW. Chapter '19.28, WAC. Chapter 296-
468, The of Port Angeles i\4unicipal Code, and Ulllity and PA[4C 14.05.regarding Electrical Permil Applications.
Ken Sim son
Print Name Signature (tr er Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.4'17.4711)
Phone: 360-452-9264