HomeMy WebLinkAbout1736 W 15th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t',7-4'/3s
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ApplicaEion Number
ApplicaLion pin number
Propertsy Address
ASSESSOR PARCEI, NUMBSR:
Application Eype descriptsion
subdivision Name
Propertsy Use
Propertsy zoning
Application valuaEion
22 -. ooooo135 DaEe 2/0t/22
0 0 0175
1736 W 15Tfl ST
05 -30 01-5- 9 - 0090 - 0000
ELECTRICAI ONIJY
RS7 RESDNTI SINGLE FAMILY
0
ApplicaEion desc
DHP
NELSON STIIRLEY M
1?36 W 15TH ST
PORT ANGELES
ANGELES EIECTR]C
524 E. 1ST ST.
PORT ANGELES
\36a) 452-9264
wA 983636847 wA 98362
Additional desc
Permit Fee
Issue Date
Expiration Date
EIJECTRICAI ATTER RESIDENT]AI,
1-4 CTRCUITS
75.00 Plan Check Fee
2/07 /22 ValuaLion
I /06 /22
00
0
Qty unit Charge Per
BASE FEE
Extensioo
75 .00
Charged Paid credited Due
PermiE Fee To!a1
Plai: Check Total
Gra]rd Total
75.00
.00
?5.00
75.00
.00
75.00
.00
.00
.00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Poti Angeles
(Location Code 0502)
INSPECTION T\?E DATE RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
G:iEXCHANGE\BUILDING
Date:
1-2St NGLE.FAIVIILY
ELECTRI CAL PERIMIT APPLICATION
Public Wolks and Utilities Department
321 E. 5th Sh.eet, Port Angeles, WA 98362
360.417 .4135 1 wwr.v.r:ityofpa. Lrs l r:Jecti.ila lper.rlits(gc jryo fira. Lrs
.U
o
=
IN
INLftlj
lProject Address 73L il)/-a
Prole escrlption:I .h/
Single-Family Residential ! Duplex / ARU Building Square footage
Name
Malling Address;
Email:
Phone:
Name:Angeles Electric ,lnc
Mailing 4661sss 524 E. Flrst Street, Port Angeles, WA 98362
Licens q; ANGELEI460RS
Email ksimpson@ol ympus.net
Expi ratlon Date:21312022
Phone: 360-452-9264
Item
Service/Feedsr 200 Amp.
Servlce/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Servlce/Feeder 601-'l 000 Amp,
Service/Feeder ovor 1000 Amp.
Branch Circull W/ Service Feeder
Branch Circuit W/O Service Fseder
Each Additioflal Branch Circuit
Branch Circuits 1-4
Temp, Service/Feeder 200 Amp.
Temp, Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
T€mp, Service/Feeder 601 -'1 000 Amp.
Portal to Portal Hourly
Slgnal Ckcuit/Limited Energy - 1&2 OU.
Manufactured Hom€ Connecllon
Renevvable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feot"... 1- .'t ;1t l:
, i,, Each Outbullding./ Dstached Garage
. Each Swimming Pool / Hot Tub
Unlt Charoe
$120.00
$'146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
s168.00
$s6,00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74,00
$1r0,00
Quantity fglal (Quantlty x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
--7@-
TOTAL %:"
Owner as defined by RCW.19.28.261 : (1) Owner will occupy the structure for lwo years sfter this electrical permit is finalized, (2) Owner 1s
required to hire an electrical contractor if abovo said property is for sal€, rent or lease. Permit oxpires arter six months of lasl inspection.
Afler reading the above statement. I hereby cortify that I am the owner of ihe above named property or a licensad 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, Th€ Clty of Port Angeles lVunicipal Code, and Utility Specificatlons nd PAIviC 14.05.050 regarding Electrical Permit Applications
Ken Sim son
ate Print Name S tgn ature (E O\rner Electrical Contractor / Administralo0
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cltyofpa.us or faxed to 360,417.4711)