HomeMy WebLinkAbout1214 W 12th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL S]NGI,E FAMILY
0
D.r
t
a:9
AppticaEion Number
applicar ion pin nunlcer:
ProperEy Address
ASSESSOR PARCEL l\\Jl"lBER
21- 00001091 Datse
1424',74
1214 W 12TH ST
05 - 30- 00 - 0- 3 - 68 05- 0000 -
ELECTR]CA], ONI,YApplicatsion cype descriplion
subdivision Name .
ProperEy Use
Propertsy Zoning
ApplicaEion valuaLion
9/at/2L
Application desc
ourdoor lighls
BEN.TAMTN E AND ANDREA V DAVIS
10509 SE 248TH ST APT C1O3
KENT WA 98030
,JOHNSON EIJECTRIC COMPANY
163 MCCARVER RD
PORT TNGELES I,IA 98352
135O) t2g-4327
Permit
Additsional desc
PermiE Fee
Issue DaEe
ExpiraEion Date
68.00
9/Ar/2t
2 /2A/22
ELECTRICAL ALTER RESIDENTIAL
00
0
Qly Units charge Per1.00 5.0000 Ecli
1 . 00 53 .0000 EcH
E1,-EC[I ADDNT BR}NCH CIRCUIT
EL-R- BRANCII CIR WO/ SER FEED
Exteasion
5. 00
63.00
charged Paid Credited Due
PermfE !'ee loE a-L
Plan check Total
68 .00
68 .00
58 .00
.00
68 .00
.00
.00
.00
.oo
.00
.00
PERMIT WILL EXPTRE Slx (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH ,drlzt JF 3&r
SERVICE
ROUGH-IN dilA r\--x Ns>
FINAI
COMMENTS:ta>\
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDTNG
Date:
PIan Check Fee
valuaEiorl .
I
ELECT RICAL PERM IT APPLICATION
Pr"rblic Works and Utilities Department
321 E. -sth Street, Port Angclcs, WA 98362
-r60.41 7.4735 mr,rv.ciwofpa.us I electricalpermits@cityofpa.us
12'14 W 12th Port Angeles, WA
-o
o
l.
*
N
oN
Project Address:
Project Descripti on Circut for outdoor lights and added gfci outlets
llsms Ben Davis Email benia312(Oqmail.com
Mailing Address. 1214W l2th Port Angeles, WA p6e6s. 253-486-6082
PROJECT DETAILS
Item
Service/Feeder 200 Amp
Service/Feeder 201 -400 Amp.
Service/Feeder 40'1 -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. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'1-600 Amp.
Temp. Servic€/Feeder 601-1000 Amp.
Podalto Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charoe
$120.00
$146.00
$20s.00
$262.00
$373.00
$5.00
$63 00
$5.00
$75.00
$93.00
$110 00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
Quantitv
1
4
Iqtal (Quantity x Unit Charge)
63.00
5.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL
Owner as deflned by RCW 19.28.261: (1) Owner will occupy the structure for two years atter this electrical 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-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Wayne Johnson wayne johnson B:n.!:ll,;fl:o,#,:"ifij'l?T',
1 - 2 SINGLE-FAMILY
f Single-Family Residential E Duplex / ARU Building Square footage: _
O\^/NIER INFORMATION
11smg. Johnson Electric Company License. JOHNSEC817K4
f/ailing Address: 3129 S Regent Port Angeles, WA 98362 Expiration g21a 0513112023
Ema jl wayne@johnsonelectric3oo.com phone:360.72g.4327
rtEach Outbuilding / Detached Garage
Each Swimming Pool/ Hot Tub $_
s 68.00
Date Print Name Signature (E Owner p Electrical Contractor / Administrato0
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 350.417.47'l'l]
ELECTRICAL CONTRACTOR INFORMATION