HomeMy WebLinkAbout2410 S Lincoln StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
applicatsion Number
Applicalion pin number
Propertsy Address
ASSESSOR PARCEL NUMBER:
Applicalion tlpe descriPtion
Subdivision Name -..
Propertsy use
ProperEY Zoning
Application valuaEion
21- 00001215 DaEe
846272
2410 S LINCOLN ST
o5 - 3o - 10 -5 - 0 - 150 0 - 0000 -
EIECTRICAI ON],Y
e/23/2a
RS7 RISDNTI, SINGLE FAMIIY
0
Application desc
Hot tub
PS]LIIP ZAREII,I/SARA ZARELLI
2410 S LINCOLN ST
PORT ANGEIJES WA 983525526
(253) ?78-3805
ANGELgS EI,EC?RIC
524 E. 1ST ST.
PORT ANGELES
135O) 452-9254
wA 98362
PermiE
Additionaf desc
PeflriE Fee
Issue DaEe .
Expiratsion Datse
Qty Unit Cha]:ge
EI,ECTR]CAI AITER RES]DENTIAL
1-4 CTRCUTTS
75.00 Plan check Eee
9/23/21 valuaEion
3/22/22
BASE FEE
.00
0
75.00
PermiE Fee ToEal
Plan Check Totsa1
Grand Totsa1
?5 .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 RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
Ei-
PERMIT WTLL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
G:\EXCHANGE\BUILDTNG
s
I
0-
charged Paid Crealitsed Due
DATE:
COMMENTS:
Date:
1 .2 SINGLE-FAMILY
ELECT RI CAL PERIMIT APPLICATION
P-rbljc Wolks ancl Utilities Departurent
r2l E. 5th Slreet. Porl Angeles, WA 98362
360.411 .4735 | wrvrv.cityofpa. Lrs I elech ica lpclmiLs(!cityo [ra.us
Project Address:
lr4ailing Address:L
Project Doscription:
E Single-Family Residential D Duflex / ARU Buitding Square footage:
Name Email:
Phone
Name:Angeles Electric, lnc.
Mailing Address:524 E. First Street, Port Anqeles , wA 98362
License: ANGELEI460RS
Email ksimpson@olympus.net
Expiration Date:2t3t2022
Phone: 360-452-9264
Item
Service/Feeder 200 Amp.
Ssrvice/Feeder 201-40O Amp.
Service/Feeder 401400 Amp.
Servlce/Feeder 601-1000 Arnp.
Service/Feeder over 1000 Amp.
Branch Circult W Servlce Feeder
Branch Circuit WO Service Feeder
Esch Additional Branch Clrcuit
Branch Circuits 1-4
Temp. Service/Feedor 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Servlce/Feeder 401-600 Amp.
Temp. Service/Feeder 601.1 000 Amp.
Portal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Homs Connection
Renewable Elec. Enorgy: sKVA System or less
Thermostat (Note: $5 for each additional)
Flrst 1300 Squa,e F6et
Each Addltlonal 500 sguar€ te€1"
''l :' ,:l ::| l
r.rl Each outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unlt Charoo
$120.00
$146.00
$2o5.oo
$262.00
$373.00
$5.00
$63,00
$5.00
$75.00
$93.00
$110.00
s149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
$120.00
.$40.00
$74,00
$110,00
Quantitv Total (Quanlltv x Ljnlt Charool
$
----'4.d--r
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owneras defin€d by RCW.19.28.261: (1)Owner willoccupylhe struclure fortwo years after this electrical permit is flnalized. (2) Own6r ls
required to hire an eleclrical contractor if above said property is for sale, rsnt or lease. Permit expires after six months of last inspection.
After reading the abovo statement, I hereby certify that Iam the owner of lhe abov6 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-
468, The of Porl Angeles Municipal Code, and Utility
-7
05.050 regard jng Electrical Permii Applications
Ken Sim son
Print Name Signatu re tr ti Electrical Contractor / Adminislrator)
C1
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa, us or faxed to 360.417.4711]
C
-o
oI
=
lN
tI
IrAK-r[-\'