HomeMy WebLinkAbout106 Apple Ln StudoELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
t Ntc{owN
0
NN
"!.
NOo
Application Numlcer . ..
Application pin nunber
ProperEy Address
ASSESSOR PARCEI, NUMBER:
Application t)?e descr:iption
Subdivi.sion Name .. ..
Property use
Property zoning
Application valuation
22- 00000180 Date 2 /L8 /22
o't t240
106 APPLE LN STUDO
05 - lo-15 -2-2 - 0025 - 0000 -
EI,ECTRICA], ONTY
Applicat.ion desc
LOUIS E & ELEANOR M SARNA JT
106 APPLE LN
PORT ANGELES IdA 983626903
524 E. 1ST ST.
PORT ANGELES
l36A't 452 9254
wa 98362
Permi!
Additioral desc
PermlE !'ee
Issue DaEe
ExpiraLion DaEe
120.00
2/ta/22
e/1'1/22
EI,ECTRICAI AT,TER RESIDEIil]TIAl,
Plan Check Fee
valuation
.00
0
oty Unit Charge Per.
1, OO 120, OOOO ECH EL.O.2OO SRV FEEDER
E*Eension
120.00
Charged Pa id Credited Due
PermiL Iee To!a1
PIan Check ToEal
Grand Tolal
L2O
120
00
00
00
720
120
.00
.00
.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 DATF:RESULTS INSPECTOR:
DITCH
SERVICE.ile)z p C,
*
ROUGH-IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GIEXCHANCRBUILDINO
Date
I
I
1 - 2 SINGLE-FAIVIILY
ELECTRICAL PE RTVIT APPLICATION
l'ubl.ic Works and Utilities De,partrnorlt
121 E, 5th Stree t. Por.t Argeles, WA 98362
3 60.4 1 7 .4'1 3 5 | www.cityofpa. Lrs I elechicalper.rnits@cityo [pa. us
-o
o
3
NN
G
C)/ub tf
Project Address
Project Description
E Single-Farnily Residentia ! Duplex / ARU Building Square footage:
Email
Jfo+ttl
Name Angeles Electric , lnc l-l6snss ANGELE146ORS
Mailing Adoress: 524 E. First Street, Port Angeles, WA 98362
Email. ksimpson@olympus.net
Exp i721i6n A26..21312022
p6q6g, 360-452-9264
IteEl
Sorvice/Feeder 200 Amp.
Servlce/F€eder 201-4O0 Amp.
Service/Feeder 401600 Amp.
Servlce/Feoder 601 -1000 Amp.
S8rvice/Fsedor ov6r 1000 Amp.
Brancn Circult W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. ServiceiFeeder 201-400 Amp,
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal lo Portal Hourly
Signal CircuiULimited Energy - 1&2 DU.
Manufactuled Home Connection
Ren€wablo Elec. Energy: sKVA Systom or less
Thermostat (Note: $5 for each additional)
Firsl 1300 Square Feel
Each Additlonal 500 square feet"
, r,, Each Outbuilding / Detached Garage
Eacll Swirrrming Pool / Hol Tub
Unit Charge
$120.00
$ 146.00
$205.00
$262.00
$373,00
$5.00
$63.00
$5.00
$75.00
$93.00
$11o,oo
$149.00
$168.00
$96.00
$64.00
$120.00
$102.oo
$56,00
$120.00
$40.00
$74,00
$110,00
Ouantltv Total aO uantity x UnLt Charge)/loo$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
t
$
$
$TOTAL
go
owner as defined by RCW. i 9.28.26,] : (1 ) Owner wlll occupy the struclure for lwo years after this electrical permit is fina,ized. (2) Owner is
required to hire an elecirical coniractor if above said property is for sale, rent or lease, Permit expires after six months of last insp€ction.
Afler readlng the above state{nent, I hereby certlfy lhat I am the owner of the above named property or a licensed electrical contractor, I
am making the electrical insiallation or siteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19,28, WAC. Chapter 296-
46 B,heC ity of Port Angeles N'lunicipal Code, and Uliljty Sp PAIVIC ,05,050 regardlng Electrical Permii Applications
Ken Simpson
te Pi'inl Narne Signature (fl r B Electrical Contractor i Administrator)
[Electrical Permit Applications may be submitted to City Hall or eleclricalpermits@cityofpa.us or faxed to 360.417,47111