HomeMy WebLinkAbout121 W 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Application Numbe! .
ApplicaEion pin nuRlcer
Property Addr.ess
ASSESSOR PARCEL NUMBER:
Applicatsion t),pe descriplion
Subdivision Name
ProperEy Use
Proper:!y zoning
Applicatsion waluation
21- OOOO0721 Datse 5/!5/2L
506598
121 W 11TH ST
05-30-00 0-3-2770-0000-
ELECTRICAL ONLY
RS7 RESDNTI, SINGLE FAMILY
0
Applicatsio! desc
Furnace and heat pumP
JERRE S/MARIANNE BOYD
121 r,i l1TH ST
PORT ANGELSS WA 98352
PENINSULA HEAT lNC
782 K]TCHEN DICK RN
SEQUIM
(360) 681-3333
wA 98382
Permit
addiEional desc
Permit Fee
Issue DaLe
ExpiraEj.on DaEe
56.00
6/t5/2t
t2 /12/2r
Plan Check Fee
Valuation
ELECTRICAI, ALTER RESIDENTIA!
Qty UniE Charge Per
1. OO 55. OOOO ECI] EL LVT-TIiERMOSTAT
.00
0
ExEension
55. 00
Charged Paid Credited Due
Permir Fee ToEal
Plan Check Total
Grand Total
55.00
.00
56.00
55 .00
.00
56 .00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE SL{ (6) MONTHS FROM LAST
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESLTLTS:INSPECTOR
DITCH
SERVICE
ROUGH-IN
FINAI
a
Signature ofowner or Electrical Contractor X
C:\EXCIIANGRBUILDING
Date:
I
COMMENTS:
REr zt.ooooo5tT
ELE TRICA PERM APPLI CAT ON
Public Works and Utilities Deparhlent
32 i E. 5rh Su.eer, po!1 Angelcs. WA 9g.362
360.411.47 3 5 | www.citvofta.us I electr.icalpennits@ciryofpa.us
'oo
3
*
\J
geles NProject Address: 121 W 'l 1th St, Port An
Project Descrip 1;on- Replace electric furna ce with new
E Single-Family Residential E Duplex /ARU Buitd
heat pum
ing Square footag e. 1785
Name: Marianne B oyd
Email.None
Mailing 466rcss. 121 W i.lth St p66ng. 360-4524881
Name: Peninsula Hea
License. PENlNHl005DBMailingAddress: 782 Kitchen-Dick R d
Email: i nfo@peninsulaheat com Exp 1rc1;en gs1s. 3/3/2022
phone: 360-68't -3333
Item
After reading the above statement, I hereby
am making the elecbical installation or allera
Unit Charoe Quantitu Totat (Quantity x Unit Charge)
$120.00
$146.00
$20s.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
$120.00
$102.00
5s6.00
$=-
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$
$
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Owner as defined by RCW.19.28.261 ('l) Ownerwilloccupy the structure for two years after this electrical permit is finalized (2) Owner isrequired to hire an electrical contra ctor if above said property is for sale, rent or lease, Permit expires after six months of la st inspection
cartify that I am the owner of lhe above nam ed p.operty or a l;c6nsed e,ectrical contractor. Ition in compliance with the el I laws, N E.C., RCW. C hapter 19.28, WAC. Chapter 296_468, The City of portAngetes Municipal C ode, and Utility Specifications MC 14.05 ng Applications06t112A21 Kath n Kohmetscher
Date Print Name Sig re (E g Electrical Conlractor / Administrator
[Electrical Permit Applications may be submitted to city Hall or erectricarpermits@cityofpa.us orfaxed ro 360.417.471.1
1 .2 SINGLE-FAMILY
INFORMATIONSWNER
Service/Feeder 200 Amp.
Service/Feeder 201{OO Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 O0O Amp.
Service/Feeder over tOOO 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 tjo1 -1 ooo Amp.
Portal to portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
lr,4anufactured Home Conneclion
Renewable Elec. Energyt sKVA System or less
Thermostat (Note: $S for each additjonat)
Fjr.S.i,1300 Squar€ Feet
Each Addttional 500 square feet..
Each Outbuilding / Detached carage
. Each Swimminb poot / H-ot Tub
$_
s 56.00
$
$.--._-'--_-_
.. $_
$ 56.00
1
TOTAL
$.-