HomeMy WebLinkAbout430 Lopez AveELECTRICAL PERMIT
CIry OF PORT ANGELES
360417473s
s
ON
U
Application Number .
Application pin nudrer
Property Addless
ASSESSOR PARCEI, NUHBER:
ApplicaEion type descriPtio.
subdivision Name ...,.
Propertsy Use
Propertsy zoning
Application vaLualion
21- 00001020 Date
5110I0
4]O LOPEZ AVE
06 -3 0-10-5 -0 - 12rs - 0000-
ELECTRICAT OI{LY
I /2t /2!
RS? RESDrfTI, SINGIE FAMILY
0
Applicatsion desc
OUTBUILDING
CoI!Eractor
RUIZ DANTE & I'IATHIEEN
430 LOPEZ AVE
PORT ANGE]-ES WA 98352
OI.'INER
Permit
Addi.tional desc
Permit aee
Issue Date
ExpiraEion Date
120. OO
a /2s /2a
2 / 2a/22
ELECTRICAI, ALTER RESIDENTIAL
PIan Check Fee
Valuation
00
0
Qty Unit Charge Per
1.00 120.0000 EcH Err-R-sQFT ErRST 1300
Exleosion
120.00
Fee sumnary charged Paid credited Due
Permit Fee ToCaI
Plan check ToEal
Gra.d TotsaI
120.00
.00
120.00
t20
120
00
00
00
.00
.00
.00
00
00
00
PERMIT WILL EXPTRI SIx (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X
INSPECTION ryPE DATE:INSPECTOR:
DITCH
SERVICE
ROUGH-IN n)Hlzs d.\'d
FINAL
COMMENTS:w-
G:'EXC[{ANGRBUILDING
Date
RESULTS:
I
I I
1 - 2 SINGLE-FAMILY
ELECTRICAL PERIUIT APPL ICATION
Public Works and lltilities Departnreur
321 E. i*r Slrccl, Port Angclcs, \1',\ 9ti362
360.4 1 7.47-]5 I rvu,u.'.cityolpa.us I clccrricalpcrmitsi!1ciryofira.us
Project Address:
Project Description:
X Single-Family Residential n Duplex /ARU Building Square footage:€7b
Email:
Mailing Address:Phone:zrlo6'4TI
L
-o
(D
=
It
hJIb
B
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License:Name
Mailing Address
Email:
Expiration Date
Phone:
Item
Service/Feeder 200 Amp.
Service/Feeder 2Ol -400 Amp.
Service/Feeder 40 1{00 Amp.
SeMce/Feede. 601-1000Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Se.vice Feedor
Branch Circuit W/O Seryice Feedar
Each Additional Branch Circuil
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp- Service/Feeder 201-100 Amp.
Temp. Servlce/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Po(al to Portal Hourly
Signal Circuit/Limited Energy - 1t2 DU,
Manulactured Home Connectioo
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
Each Swimming Pool/ Hot Tub
Unll Ch.roe Ouanlltv
$120.00
IgEl (Quantlty x Unit Charge)
$_
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$r20.00
$102.00
$56.00
$
$_
$_
$_
$
$_$_
$
$_
$
$_
$_
$_
$_
-.r$--$
5
s
74.00
s110.00
TOTAL iLo
Owner as deflned by RCW.19.28.261 | (1) Owner will occupy the structure for two years afte. this electrical permit is finalized. (2) Owner is
.equired to hire an electrical cohtractor if above said property is for sale. renl or lease. Permit expires after six months of last lnspection.
Afler reading the above statemerl, 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 oI Pod
*-tt -zt
Angeles Municipal Code, and Utili'-i).,,^r1 ?.,1-'m; 1214 05 050 resardins Electdcat Permit Applications'
Date Print Name Signature @ Owner E Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47.111
Name:
ICAL CONTRACTOR INFORMATION .
PROJ=CTDETAILS
Trent Peppard
From:
Sent:
To:
Subject:
Sent from my iPhone
Trent Peppard
Thursday, October 14, 2021 1:17 PM
Trent Peppard
Lopez
1
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