HomeMy WebLinkAbout4416 Old Mill Rd (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'735
UNKNOl4N
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NPIFo
Applicatsion Nunlcer
Applicatsion pin number
Property Address
ASSESSOR PARCEI, NI'MRER I
Applicatsion E),pe descriptsion
Subdivision Name
Propertsy Use
Proper.ty Zoning
Application valua!ion
22-o0oooo25 Date \ /tt/22
55'1195
4415 OIJD MILIJ RD
o5 -30 -22 -2 -2 - OO50 -2AAL-
ELECTRICAL ONI,Y
Applicaiion desc
Remodel
CONOR E M HAGGERTY
4415 OLD MIL! RD
PORT ANGELES
OWNER
wA 98362
PermiE
Additional desc
PeimiE Fee
Issue DaEe
Expir:aEion Datse
120.00
:L/|a/22
't /10 / 22
ELECTRICAI AITER RES]DENT]AL
00
0
Qty Units Charge Per
40.00 5_0000 ECI{
1.0 0 120-0000 ECH
EL BRANCI{ CIRCUIT W/FEEDER
EL O 2OO SRV FEEDER
ExLension
200. 00
120.00
charged Paid credited Due
Permit Fee ToEal
Plan check Total
Graad ToLal
320.00
.00
320.00
324
320
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 RESULTS:INSPECTOR:
DITCH
SER!-ICE
ROUGH-IN $qlzz-oP )d
FINAI-
COMMENTS:
PERMIT WILL EX-PIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDTNG
Date
Plan Check Fee
Valuation
DATE:
^.r5ss*"fth=Y
n \a- EJI6itETs
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
.....ROUGHIN/COVER
SERVICE
APPROVED
CORRECNONS NEEDED:
W
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INSP
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OATE
4c{ l(, d-;> ,.1,L-t- v-V
AODFESS
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED wlTHIN 15 DAYS
_ DO NOT REMOVE-
=-.=-..-..\
^.r5s*"/,EY
. \r-
-Jr
6EETd
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
D|TCH. . .
FINAL ., -
lNSPECTOS
2-2-2-
ADOBESS4U)L a.v A\l-l-rzxz
APPROVED
tr ......
NOT APPROVED
3f,-f1.1pqr*.t.... RoUGH IN/COVER . .. .
tr SERVICE
tr
tr
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trD
CORRECTIONS NEEOED;
€- Lr.r.{hYav+z- YvB
NOTIFY INSPECTOR WHEN CORRECT]ONS
ARE COMPLETED WTHIN 15 DAYS
- DO NOT REMOVE-
_--+
t}rfEev-.orz- q-rsur- 4.oVER-, -
ELECTRICAL INSPECTION
WIRING REPORT
417-475
"^"llBlzz PEFMIT -
22'7b
,,w
hs<--t-stt'l
CONIFACTOF
ADORESSt/4)1, ll} znlt-U zrT)
APPROVED NOT APPROVED
. DITCH
BOUGHIN/COVER....
SERVICE
. FINAL .
CORRECTIONS NEEDED
tr
tr
D
tr
tr
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tr
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7)
NOTIFY IT{SPECTOR WHEN CORRECTIONS
ARE COMPLETED W]THIN 15 DAYS
_ DO NOT REMOVE -
F,,'; ulxu'-' bsc*t-* ,la'tluei
- 2 SINGLE-FAMILY
E T LP ITAPPLI to
Public lirrks and tiLilities l)cpnrtrnent
321 E,. 5tlr Strect. Porr Angi:lcs, \1i..i 983(:f
360.417.17351 ,ntr,rrv.c jtvof pa.r-rs ] elecrricalPcrrnirsr2i cityotpa_Lrs
4416 OId Mill Road, Port Angeles 98362
1
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3
3
Ni
N
I
N
S'.
Project Address;
Rennovation and addition of main floorProject Descriptionl
El Single-Family Residential ! Duptex / ARU Building Square footag e: 1350
Name: Conor Haqqertv Email: conofha @qmail.com
Name:Hom eowner - no contra ctor License:
Expiration Date
Phone:
Mailing Address
Email conorhaq erty@qmail.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp-
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. ServicelFeeder 200 Amp.
Temp. Service/Feeder 20'1400 Amp.
Temp. Service/Feeder 40'1 -600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU-
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat ote: $5 for each additional
lhil Charge
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5,00
$75.00
$93.00
$110.00
5149.00
$'168.00
$s6.00
$64.00
$120.00
$102.00
s56.00
1
Suaq(y Igltal (Ouantity x Unit Charg6)
120
40
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
200
TOTAL
Owner as defined by RCW 19.28.261: (1 ) Owner will occupy the structure for two years after this electricai permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last 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 installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles lvtunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical permit Applications.
1l't0t22 Conor H e Coroo
Signature (A O wner ctrical Contractor / Administrator)Date
[Electrical Permit Applications may be submitted to city Hall or electricalpermits@cityofpa. us]
Maiting nooress: 4416 Old Mill Road, Port Anqeles 98362 phone: 360 808 9688
Print Name
$74.00 '
$ 110.00
$ 320