HomeMy WebLinkAbout315 W 15th StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-473s
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Application Numbe!
Applicatsion pin number
Property Addless
ASSESSOR PARCEL \ruUAER:
ApplicaEion type description
Subdivision Name
ProperEy use
Property zoning
Applicatsion valualion
21- 0000169s Date t/a3/22
188475
315 W t 51'I{ ST
05- 30- 00-0 -4 -20?5- 0000-
ELEC|RICAL ONIY
RS7 RESDNTL SINGLE EAIIILY
0
Applicatsion desc
Altered ci r.r, i r Frrrnace
ANDREA GOLDY
315 W 15TI{ ST
PORT ANGEIES(205) 550-4958
CASCADE EIJECIRIC & VAC INC
PO BOX 359
PORT TIADLOCK VIA 98339
(360 ) 3?9-5347
wA 983627509
PermiE
AddiEional desc
Permlt !'ee
Issue DaEe
Expiration Date
ELECTRICAI] AI"IER RESIDENI]AL
BRANCE CIRCUI?S 1-4
.00 Plan Check Fee
t/01/22 valualion
5/30/22
?5.00
0
Charged Paid Credited Due
Permits Pee Total
Pfan Check Total
Grand Total
.00
75.00
75 .00
.00
75.00
75.00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
TNSPECTION TYPE DATE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:lar.-
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signanrre ofowner or Electrical Contractor X
OlEXCHANGRBUILDINC
Date
.00
.00
.00
I
I
1 - 2 SINGL E-FAMILY
ELECTRICAL PERTV IT APPLI CATION
Public Works and Utilities Department
321 E,. 5th Street. Port Angeles. WA 98362
360.4 17.47 35 1 *-nw.cityoft a.us I electricalpermits(lcityofpa.us
3o
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Project Address 315 W 1sth St
2r
E6-
t-s,(
Project Descrip tion altered circuit furnace
E Single-Family Residential ! Duplex / ARU Building Square footage
Name Andrea Goldy Email
Nilailing 466pg5s 3'15 W 15th St p6qns 206 550 4958
Name Cascade Electric & Vac License cascaew34dm
Expi ration Date: 01 lO1 12021
phone 360 53'1 0385
lilailing Address PO Box 369
Email blacktailelite@yahoo.ocm
Item
Serv ce/Feeder 200 Amp
Servic€/Feeder 201400 Amp
Service/Feeder 40 1-600 Amp.
Service/Feeder 60'1 -1 000 Amp
Servrce/Feeder over 1000 Amp
Branch Crrcu t W Service Feeder
Branch Crrcurt W/O Service Feeder
Each Additional Branch Crrcuit
Branch Circuits 1-4
Temp Servrce/Feeder 200 Amp
Temp Servrce/Feeder 201-400 Arnp
Temp Servrce/Feeder 401-600 Amp
Temp Servrce/Feeder 601 '1000 Amp.
Portal to Portal Hourly
Srgna C rcuruLimited Energy - 1&2 DU
l\,4anufactured Home Connectton
Renewable Elec Energy sKVA System or less
Thermostat (Note $5 fo. each additional)
First 1300 Square Feet
Each Additional 500 square feet''
Each Outbuilding / Delached Garage
Each Swimming Pool / Hot Tub
Unit Charoe
$120.00
$146 00
$205 00
$262.00
$373 00
$5 00
$63 00
$5.00
$75 00
$93.00
s110 00
$149.00
$168.00
$96.00
$64 00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Quantitv Total lQuantitv x unit Charoe)
S
$
$
$
$
S
s
s
s
S
S
$
$
$
$
$
$
$
$
$
$
$
0075
TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structLrre for b/vo years after this electrical permrt is finalized. ( ) Owner rs
required to hire an electrical cont.ac{or 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 compliance with the electncal laws, N. E.C , RCW Chapter i 9.28, WAC. Chapter 296-
468, The City of Port Angeles l\runicipal Code, and Utility Specifications and PAMC 14.C5.050 regarding Electrical permit Apptications.
710712021 Robert Nordberg
Date Print Name Signature (E Owner p Electrical Contractor / Administrator)
IElectrical Permit Applacations may be submitted to City Hall or electricalpermits@cityofpa us or laxed to 360.417 .47 j11
0075
Lr-2 sF
\.:-,
O\A/NER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILSr
1
PREPARED L2 / 28 / 2t , !2 .: 42 :22
CITY OF PORT ANGELES
PAYMENT DUE
PROGRAM BP82 OL
APPLICATTON NUMBER:
FEE DESCRIPTION
21-0000159s 315 W lsTH ST
AMOUNT DUE
PLAN CHECK FEES 75.00
75.00TOTAL DUE
Please present. thj-s receipt t.o the cashier with full- payment.