HomeMy WebLinkAbout616 S Chambers StELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
RS? RESDNTL SINGLE ENVIILY
0
s
coNII\
Applieation Number .
Applj.cation pin nudcer
Proper!y address
ASSESSOR PARCEI NUMBER:
Appl icalion E),pe description
subdiviBi.on Name - . .
Property Use
Property Zoning
Appl-icaEion valualion
21-00000826 DaEe 7 /O8/2L
735240
06- I0-00-0 -2 -0980 - 0000-
EI,ECTR]CAI, ONI,Y
Applicat'ion desc
Service
O\r[e!
WINDY PEAKS L],C
385 BROWN RD
PORT ANGELES
OWNER
wA 98352
Permi!
AddiEiooaL desc
Permit Fee .
Issue Date
Exgj.ration Date
120.00
1/OA/2\
r/o4/22
EI,ECTRICAL ALTER RESIDENTIAL
.00
0
QLy Unit Charge Per
1.00 120.0000 ECH EL-0-200 sRv FEEDER
ExEensio,
120.00
charged Paid credited Due
Pelmit Fee Total
Plan check Total
Grand ToEal
120.00
.00
120.00
L20
120
00
00
00
00
00
00
00
00
00
REPORTSALES IAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE RESLTLTS:INSPECTOR
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:''Ya.t<
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST NSPECTION
Signature of owner or Electrical Cootractor X
Cr\EXCHANGE\BUILDINC
Date:
Plan Check Fee
valuatsion
I
DATE:
ELECTRICAL PERMI T APPLICATION
!o
=J
s
N
"ti.)o
Proj ect Address: 6'16 Chambers Avenue
Project Description Replace "Push Matic" Service Panel with New Panel
d Single-Family Residential ! Duptex /ARU Building Square footage
Name. Jason Minnoch Email jminnoch @i(cscrewpress.com
385 Erown Road, Port Angeles, WA phone.360-808-8377
Name: Self License:
Mailing Address
Email:
Expiration Date
Phone:
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Servlce/Feeder 401-600 Amp.
Servlce/Feeder 601-1 000 Amp
Servlce/Feeder over'1 000 Amp
Branch C rcuit W Service Feeder
Branch C rcuit WO Service Feeder
Each Additional Branch Circuit
Branch Circ!its 1-4
Temp. Servrce/Feeder 200 Amp.
Temp. Servlce/Feeder 201-400 Amp
Temp SeNice/Feeder 401 600 Amp.
Temp Se.vrce/Feeder 601 1000 Amp.
Portal to Portal Hourly
Signal CircuivLim ted Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec Energy sKVA System or less
Thermostat (Note: $5 for each additional)
First 13OO Square Feet
Each Additional 5@ square feet"
Unit Charoe
9120.00
$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
$ 120.00
$40.00
Ouantitv fgh! (Quantity x Unit Charge)
120.00xS
s
$
$
$
$
$
$
$
$
S
$
$
$
$
$
$
$
$
TOTAL
7t6t2021 Jason Minnoch
b
1 - 2 SINGLE-FAMILY
Public Works and Utilities Department
32 I E. 5th Street, Port Angeles. WA 98162
360.4 I 7.4735 I www.cityofpa.us I electricalpermits@;cityofpa.us
O1AAIER INFORMATION
Mailing Address:
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
q
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 afrer 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 contractoa I
am making the electrical installation or alteration io 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.
Qr..*Zrt r.r-"2
Date Print Name / Signature 1@ Owner I Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]