HomeMy WebLinkAbout109 Orcas AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
UNIAIOIIN
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Applicatsion Nuniber
Application pit1 nufliber
Properly Address
ASSESSOR PARCEL NUMBER:
applicatsion ts).pe description
subdiwision Name
ProperEy Use
Properly zoning
ApplicaEion valuatsion
21-OOOO0904 Date
818080
IO9 ORCAS AVE
06-30- 10 -5 - 0 -2452 - 0000-
ELECTRICAL ONIJY
1/27 /21
Application desc
RV ouE1ets
STANI,EY AND DONETTE K HOPE
3 784 Hill Cir
PORT ANGELES WA 98362
(360) 477-0150
OWNER
Pe!miE
Additional desc
PEIMiE FEE .
Issue DaEe -
Expiration Datse
53 .00
1/27 /2L
!/23 /22
EIJECTRICA! ALTER RESIDENTIAL
00
Qly Unit Charge Per
1.OO 53.OOOO ECH Et-R- BRANCH CfR WO/ SER EEED
Exte11sion
63.00
Charged Paid credited Due
Permit Eee Total
Plan Check Totsal
Graod ToLal
53.00
.00
53 .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 TYPE DATE:RESLTLTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI
COMMENTS:x V
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Signa ture of owner or Electrical Contractor X
G:\EXCHANGRBUTLDINC
Date
Plan Check Fee
Valuation 0
53.00
.00
63.00
I
ELECTRICAL INSPECTION
WIRING REPORT
417473E
NOT APPBOVEDAPPROVED
COBRECTIONS NEEOED:
.....D|TCH.....
ROUGH IN/COVER
....SERVICE....
.....F|NAL.....
tr
tr
tr
D
F
tr
tr
tr
-Apu_. 3@- lLD-561L a Nor_
NOTIFY INSPECTOR WHEN COFRECTIONS
ARE COMPLETED wlTHIN
'5
DAYS
_ OO NOT REMOVE _
DAIE
?'' Z- z;iT-qo-{tNsPECr
OWNEF
CONTRACTOB
o7 4.c.6 AADOAESS
COr-rDl^.r rS r tr-=nAr-,r FJ
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98i62
364.417.47 35 | wrwv.cityotpa.us I electricalpermits@cityofpa.us
109 Orcas AvenueProject Address
Project Descript ;on adding RV hook up
Name: Stanley Hope
tulailing 466rg55. 109 Orcas Ave. Port Angeles, WA 98362
Email: stanleyhope64@gmail.com
Phone:360-477-0150
Name Stanlev HoDe License:home owner
Mailing Address: 109 Orcas Ave. Port Angeles, WA. 98362 Expiration Date
Email stanleyhope64@gmail.com phone.3604173731
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circult 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 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy. sKVA 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
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
folhl (Quanti Unit Charge)
$0
/7^k2 c/
@t
TOTAL
Owner as detined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this e cal permit is finalized. (2) Owner is
required to hrre 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 complianc€ with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Nlunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
7t24t21 Stanley Hope
Date Print Name Signature (E Owner F 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-FAMILY l,o
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t+
lsIrl-slo
l..t-
E Single-Family Residential E Duplex / ARU Building Square footage: 0
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Fiiilt,l 300 Squarefegt
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
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.Gdlstruction
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PROJECT DETAILS