HomeMy WebLinkAbout127 Lopez Aveu
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Nuliber . '
Applicatsion pin numter
ProperEy Address
ASSESSOR PARCE! NI]MBER:
Appllcatsion tl'pe descriPEion
Subdivislon Nane
Properly use
ProPertY Zoning
ApplicaEion valualion
21-.ooooo7g2 Datse 6 /29 /21
81916 8
I27 IOPBZ A\rE
o5 -30- 10-5 -O-2055 - 0000 _
FILECTRICAI ONI,Y
RS? RESDNT]- S]NGLE FA}4ILY
0
addit ional
Issue DaEe
135.00
6 /2e /2a
t2 /26 /21
SIJECTRI CAIT ]\ITER RESIDEMIIAL
Per
.00
0
Expiration Date
oEy unit charge
3. O0
1-00
5.0000 ECH
120.0000 ECH
Extension
15.00
120.00
PermiE Fee To!a1
Plan Check Total.
Grand Total
135
135
00
00
00
135.00
.00
135.00
.00
.00
_ 00
00
00
00
REPORTSALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
DATE:RESULTS:
DITCH
SER\'ICE t)r I zt ds =6F
ROUGH.IN ',
FINAL
A-*-
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
GIEXCHANGE\BUILDING
Date:
AppLicaLion desc
Panel and heaters
KUI,IPULA JOEN E 'lOllNSON EIECTRIC COMPANY
127 I,OPEZ AVE 153 MCCARVER RD
PORT ANGELES WA 9A3522535 PORT ANGEIJES WA 98352
1360l 728-412't
Plan check Fee
ValuaEion
EL-ERANCH CIRCU]T W/FEEDER
EL- O -2OO SRV FEEDER
charged Paid Creditsed Due
INSPECTION TYPE INSPECTOR;
COMMENTS:
1 - 2 SINGLE-FAMILY
ELEC TRICAL PE R]VI IT APPLI CATIO N
Public Works and Utilities Department
321 E. 5th Sh'cct. Port Angcles. WA 98362
160.-11 7.4735 | wrvw.cityotpa.us I electr icalpennits@c ityofpa.us
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Project Address 127 E. Lopez Port Angeles, Wa 98362
Project Descript 1on Replace Electrical Panel and Heaters
Name Lynelle Kum pula
lVlailing Address 127 E. Lopez Port An geles, Wa 98362
Email: lynellekumpula@hormail.com
p66ns. 360.452.7601
Name: Johnson Electric Company License JOHNSEC8l TK4
Exp iration Date: 05131 12021
Ph6ns 360.728.4327
Mailing 4661935 3129 S Regent Port Anqeles , wA 98362
Email wayne@ohnsonelectric360.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. Service/Feeder 200 Amp
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-'1 000 Amp
Podal to Portal Hour y
Signal Circulvlimited Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional
Unit Charqe
$120.00
$146.00
$205 00
s262.00
$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
$56.00
I
Ouantitv f-Olal(Quanrity x Unit Charge)
120.00
15.00
TOTAL
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3
$110.00
Owner as defined by RCW'19.28.261; (1) Owner will occupy the structure for two years after 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-
46B, The City of Port Angeles l\4unicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical permit Apptications.
612412021 Wayne Johnson wayne johnson 3:1:1%;'il"#:?;:j".:?t%rDate Print Name Signature (! Owner p Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or etectricalpermits@cilyofpa. us or faxed to 360.4i1.47'11]
1lo
3
1+
E Single-Family Residential ! Duplex / ARU Buitding Square footage: _
O\AAIER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
$_
$_
$_
$ 135.00
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool/ Hot Tub
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