HomeMy WebLinkAbout1703 W 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
P
I
-cCd
Application Number .
Application pin nurnbei
Properly Address
ASSESSOR PARCEL NUI,,IBER:
Application ts)?e descripEion
subdivision tilahe - - -
Property use
Property zoning
ApplicaLion valuation .
21- 00001460 DaLe l!/rj/21
144440
I7O3 W sTH ST
06-30-00-o-1-419s-0000-
EI,E TRICAI, ONI,Y
RS? RESDNTL SINGLE AAMILY
0
Applicatio,l deac
Replace old uiring
.IORDAN AND KAREN KOHL
1703 W 5TH ST
PORT ANGELES WA 98353
.IOHNSON E',ECTRIC COMPANY
163 MCCARVER RD
PORT ANGEIES lIA 98362(360) 129-4327
Pemit
Additional desc
Pemi! Fee
Issue Date - -
EI,ECIRI CAI, AITER RESIDENTIAL
1.4 CIRCU]TS
80.00 PIan Check Pee
Lt/to/2t valualion . .
s/09/22Expirat.ion DaEe
Oty Unit
1.00
Charge Per
5.0000 EcH
BASE REE
EL.ECH ADDNT B&ANCII CIRCI'IT
Extension
75.00
5.00
00
0
Charged Paid CrediEed Due
Permits Fee 'IoLal
Plart Check Tot.al
Grand Total
80.00
.00
80.00
80 .00
.00
80. 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 DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:4f-
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
CJEXCHANGE\BUILDING
ELECTRICAL PER MIT APPLICATION
Public \Vorks and Utilities Department
12l E. -sth Strcct. Port Angeles. WA 98362
160.-1 I 7..173 5 | w$ryv.cityotpa.us I electricalpennirs@cityofpa.us
!o
3
l!
N
1
-t
o-o
Project Address 1 703 West 5th Street
Project Description Replacing old wiring in office
tr Single-Family Residential E Duplex / ARU Buitding Square footage
Name Jordon Kohl Email: kohl mail.com
[/ailing Address. 1703 West sth Street PA, WA 98363 phone. 512-809-1 148
Exp iration Date: OSl31 12021
Phone: 360.728.4327
Mailing Address 3129 S Regent Port An geles, WA 98362
Email wayne@joh nsonelectric360.com
Item
Service/Feeder 200Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401-600 Amp
Service/Feeder 601-'l 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 Service/Feeder 200 Amp.
Temp Servjce/Feeder 201 -400 Amp.
Temp. Service/Feeder 40'l-600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Porta, Hourly
Signal CircuiVLimited Energy - 1&2 OU.
Manufactured Home Connection
Renewable Elec. Energyr 5KVA System or less
Thermostat (Notei $5 for each additional)
Unit Charqe
s120.00
$146 00
$205 00
$262 00
$373.00
$5.00
$63 00
$5.00
975 00
$93.00
s110 00
$149.00
$168.00
$96.00
$64 00
$120.00
$ 102.00
$56.00
Ouantitv fltal (Quantity x Unit Charge)
5.00
75.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
J
s
$
$
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit as finatized. (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 electricat laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The city of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical permit Applications.
11t9t2021 Wayne Johnson wayne Johnson 3:1r',ry.;fl',13:,3'.1'fl1",1"J#st
0
Date Print Name Signature (E Owner p Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
1 - 2 SINGLE-FAIVIILY
OWNER INFORMATION
Name Johnson Electric Company License: JOHNSEC817K4
I
1
$40.00
$74.00
ELECTR'CAL CONTRACTOR I NFORMATION
PROJECT DETAILS