HomeMy WebLinkAbout515 W 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7-4735
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Applicatsion Nunlcer
Application Pin nudrer
Property Address
ASSESSOR PARCEL NUMBER :
Applicatslon EYPe descriptsion
Subdivision Name .
ProPerEY Use
Propertsy zoning
Application valua!ion
21- oo0oo419 DaEe 4/0't/2t
41157L
s15 W 5TH ST
o6-30-00-o-0-8475-0000_
ETECTRICAI, ONI,Y
RS7 RESDNTL SINGIJE FAMILY
0
Applicalion desc
Service and modify outslets
Permit
Additional desc
Pemit Fee
Issue Date
Expirabion Date
145 .00
4/Ot /2L
Lo / a4/2!
ELEC-IRICA! ATTER RES IDEMTIAI]
Plan Check Fee
ValuaEion
OEy UniE Charge Per
5-00 5.0000 EcH
1 .00 120 . 0000 EcI{
EL-BRANCI] CIRCUIT W/FEEDER
E!- O - 2OO SRV FEEDER
PemiL Fee ToEal
Plan Check Total
Grand Tolal
145
145
145
145
00
00
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 T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE ,ilrl )u dk P
ROUGH-IN
FINAI
COMMENTS:6.{'-
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTTON
Signature ofowner or Eleqtrical Contractor X
Ci\EXCHANCE\BUILDtNC
Date ;
IIARRISON LUCIIJE 'l 'IOlll'iSON EIECTRIC COMpANY
934 W 13TTI ST 153 MCCARVER RD
PORT ANGELES WA 983637219 PORT ANGEI'ES WA 98362
\360) 72A-412',7
.00
0
Extension
25.00
120.00
Charged Paid credited Due
1 .2 SINGTE EAMIIY
ELECTRICAL PER TVIIT APPLICATION
Puhlic Works and Lltilities l)epa(ment
3l I Il. 5th Street, Polt Angeles. \!'.A. 981{r2
-160.4 I 7.47-15 | wrvw.citvofpa.us i elec*icalpcrrnits,@citycfpa.us
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Proj ect Address: 515 W. sth St. Port Angeles, WA 98362
Name: Paul Gottlieb
Mailing 466psss. 515 W. sth St. Port Angeles, WA 98362
Email cpaulgottlieb@qmail.corn
Phone:360.670.9375
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1 OOO 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 20'1-400 Amp.
Temp. Service/Feeder.401-600 Amp.
Temp. Service/Feeder60'l -1 OOO Amp.
Portal to Portal Hourly
Signal Circurvlimited 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
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
Quantitv
1
5
fotal (Quantity nit Charge)
120.00$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0025
$149.00
$
$
TOTAL
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 certity 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.
0410512021 Wayne Johnson wayne johnson
Date Print Name Signature (E Owner p Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
Project Description Replace Electrical Panel, add/modify outlets
E Single-Family Residential E Duplex i ARU Building Square footage:
-
Name: License: JOHNSEC817K4
Mailing Address: 3129 S Regent Port Angeles, WA 98362 Expiration Date.99!31!2Dl--
Email. wayne@johnsonelectric3G0.com phone 360.728.4327
Digitally signed by wayne johnson
Dater 2021.04.05 15:23:59 '07'00'
OWNER INFORMATION