HomeMy WebLinkAbout1358 Campbell AveELECTRICAL PERMIT
CIry OF PORTANGELES
360-4174735
No
-r
$
Application Nunber
Application pln nu Jcer
ProperLy Address
ASSESSOR PARCEL NUMBER:
ApplicaEion type deEcription
Subdivision Name
Properly Use
Properly zoning
Appficalion valuaLion
2 O- 00001439 Date L2/23/20
1358 CAMPBEI,I, AVE
06-30- 14 -5 -3 - 0500- 0000-
EI,ECTRICAI, ONI,Y
RESIDENTIAI, HIGH DENSITY
0
Application desc
Furnace and heat pump
Ownea contracto!
.]IJSTIN / DARCY R VAN I,IIN(I,E
].358 CAMPBELL AVE
PORT ANGELES WA 983622709
1350) 4'7 7 -5713
CASCADE ELECTRIC & VAC INC
PO BOX 359
poRT gADr,ocK wA 98339
(350) 379-S34?
Peimil
Addilional desc
Permit Fee
Issue DaEe
Expiration Date
EI.ECTRI CAI, AI,TER RES IDENIIA],
1-4 CTRCUTTS
75.00 Plan Check Pee
L2/23/2O ValuaEion
6/2L/2L
BAS: FEE
.00
0
Extedsion
75_00
Qty Unil charge Per
charged Paid c!edi!ed Due
Permit Fee Total
Plan check IotsaI
Gland Total"
?5.00
.00
75 .00
75.00
.00
75.00
.00
.00
.00
.00
.00
.00
PERMTT WILL EXPIRT SIX (6) MONTHS FROM LAST
Signature ofowner or Electrical Contractor X
REPORTSALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:W
GIEXCHANCE\BUILDING
Date
1 - 2 SINGLE-FA MILY
ELECTRICAL PERMITAPP LICATION
Public Works and Utilities Depal'tment
3ll E. 5th Street, Port Angeles. trA 98-162
160.41 7.4735 j wrvw.citvofpa. Lrs I elcct:icalperrr itsr@c itl,olpa.us
Proje ct Address: 1358 Campbell Ave
Project Descript ;en. added circuits fumace and heat pump
E Single-Family Residential fl Duplex / ARU Building Square footage
Name Juslin Vanwinkle Email
Mailing 466pgss. 1358 Campbell Ave P hone 360 477 5773
Mailing Address po box 369 Expi .alion Date.. 1t,tl22
Email. blacktailelite@yahoo.com Phone. 360 531 0385
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp Service/Feeder 200 Amp.
Temp Service/Feeder 201-400 Amp
Temp Service/Feeder 401-600 Amp
Temp Service/Feeder 60'1 -'1 0OO Amp.
Portal to Portal Hourly
Signal CircuiVLlmited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each addjtional
Ouantitv Idal (Quantity x Unit Charge)
TOTAL
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
I 75.0 0
$
owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finaljzed. (2) Owner is
required to hire an electrical contractor if above said properly 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 etectricst taws, N.E.C., ic\,^i Chapter .19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAIIC 14.05.050 regarding Electricat permit Applications.
1212212020 Robert Nordbe rg
Date Print Name Signature (! Owner F Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
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OWNER INFORIVIATION
Name Cascade Electric & Vac LiCenSe. cascaevg34dm
ELECTRICAL CONTRAGTORi NFORMATION
PROJECT DETAILS
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63 00
$5 00
975.00
$93 00
$110.00
$'149.00
$168.00
$96.00
$64 00
$120.00
$102.00
$56.00-''$120.00
$40_00
:,$74.00
$110.00 $_
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