HomeMy WebLinkAbout2318 S Laurel StELftTRICALPERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESD}II]- SINGLE EN\4ILY
0
v/
l.:
UJApplication Number
Applicatsion pin number
Property Address
ASSESSOR PARCEI NI]MBER:
Appf icataon tl,?e description
Subdivision Name
Propert.y Use
Prope:rEy Zoning
Application vaLuat.ion
21- 000013 75 DaEe a0/27/21-
6'7 433 6
2318 S I.AUREL ST
05-30-09-5 2 2594-0000-
ELECTRICAL ONI,Y
Application desc
Remodel
IiEVIN D AND TERESA IIERGERT
2318 S IAI]REL ST
PORT ANGELES WA 9A362252A
ANGELES ELECTRTC
524 E. 15? ST.
PORT ANGELES
l360) 452 9264
wA 94352
PermiE
Additional desc
Perlnits Eee
lssue Date
ELECTRICAL AITER RESIDE}TIfAI
1-4 CIRCIIITS
75.00 Plan Check Fee
'lu/2t/zt vaILaL.Lon
4/25/22Expiration Dat.e
Qty Units Charge
00
0
Per
BASE FEE
Extension
75 .00
Fee summary Charged Paid CrediCed Due
Permit. Fee Total
Plan Check Toi:al
Grand Totsal
75.00
.00
75. 00
75. 00
.00
75 .00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESl]I,TS INSPECTOR:
DITCH
SERVICE
ROUGH-IN n lbN2\*BK
FINAL
COMMENTS:g1<
PERMIT WILL EXPIRE SD( (6) MONTHS FROM IAST INSPECTION
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature ofowner or Electrical Contractor X Date
ELEC TRICAL PE RIVIIT APPLICATION
Public Worlcs and Utilities Departrllent
321 E, 5th Stlcet. Port Angeles, WA 98362
360.4) 7 .47 35 | www.cityolpa.us I r:lectricalpenlits(zloityr:lpa.us
2s J,
y Residential E Duplex / ARU ilding Square footage:
Email:
To
3
I$
N;
(.|t.J
6'"Project Address:
Proj9il Descripti
dsingle-Famil
on:
Name
lMailing Address:Pnone: ?Lf't - y'10 - 9o7A
Name:Angeles Electric ,lnc.License. ANGELEI460RS
[4ailing Address: 524 E. First Street, Port Anqelas , wA 98362 Exp i1s1i6n 3,61s. 2l3l2A?2
Emaill ksimps on@olympus.net Phone:360-452-9264
Item
Service/Feed6r 200 Amp-
Servica/Feeder 201-400 Amp.
Service/Feed€r 40'1-600 Amp.
Servlce/Feeder 601 -'l 000 Amp.
Ssrvice/Feeder over 1000 Amp.
Branch Circult W Servlce Fesder
Branch Circuit W/O Service Fseder
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 601-1000 Amp.
Portal to Portal Hourly
Slgnal CircuiVlimiled Energy - 1&2 OU.
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thsrmostat (Note: $5 for each addltionsl)
Unll Charoe
$120.00
$146,00
$205.00
$262.00
$373,00
$s.00
$63.00
$5.00
$75.00
$93.00
$110-00
$149.00
$168.00
$96.00
$64.00
$120.00
s102.00
$56.00
$120.00
.$40.00
$74,00
$110.00
Quantlty Iglal (Quantlty x Unlt Charge)
--w-/
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
I
Firsl 1300 Squar€ Feet
Each Addltional 500 square feet"
Eqch-:,Outbulldlng / D€tached Garage
r'Each Swiinming Pool / Hot Tub ----1'-T-
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Own6r is
r€quired to hire an electrical contraclor if above said property is for sale, rent or leas6, Permit expires after six months of last inspection.
After r€ading the above statement, I h€reby certify that I am the owner of the abov6 named property or a licensed eleclrlcal contractor. I
am making the electrical installation or alteration in compiiance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, Th6 City of PortAngeles Municipal Code, and Utilit y Specifications PAMC 1 05.050 ng Electrical Permit Applications.
Ken Sim son
S nature (E Owner p I Contractor / Administrator)
[Electricat Permit Applications may be submltted to City Hall or eloctricalpermits@cilyofpa.us or faxed lo 360.417.47111
1 .2 SINGLE-FAIVIILY
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