HomeMy WebLinkAbout4509 Old Mill RdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t'.7-4735
RS9 RESDNTL SINGLE FAMILY
0
REPORT STATE S,ALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
*
d(tl
CA
Application Nunber
applicaEion pln nunJcer
Proper:tsy Address
ASSESSOR PARCEL NUI,IBER:
ApplicaEion Eype descriplion
subdivision Name
Property use
Property Zoning
Application vafuation
19 - 00000038 DaEe a/7o/t9
783500
4 509 OI,D MIL! RD
05 -3 0 -22 - 2 - 1- 90 00 - 0000 -
ELECTRICAI, ON],Y
Application desc
Sewing room addilion
GBAY, F.ANDY/JENNIFER
contrac!or
31 NELLO PLACE
SEOUIM
(360) 683-2318
BOB'S ELECTRIC INC
2293 DEER PARK RD.
PORT ANGEI]ES
(360) 4s7-6887
wA 983 82 wA 983 62
Permi! .
Additsional desc
Permit !,ee
Issue Date
Expiration DaEe
EIJECTRICAi' ALTER RESIDENTIAL
1-4 CfRCUITS
85.00 Plan check Fee
1/\a/ t9 valuation
'7/09/1e
00
0
otsy Unit
2.00
Charge Per
5.0000 EcI.i
ExEension
?5.00
10.00
BASE FEE
EL- BR.ANCH CIRCUIT !,I/FEEDER
charged Paid Credited Due
PermiE Fee Total
Plan Check Tota1
Grand 1ocal
85.00
.00
8s. 00
85 .00
.00
85 .00
. o0
.00
.00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:INSPECTOR:
SERVICE
ROUGH.IN z)c ) Pl €=N
FINAL ttiz l'n +F w
F**^- A {a nr{ Yxs,et----,
Signature ofowner or Electrical Contractor X Date
RESULTS:
DITCH
COMMENTS:
REOEIUED
2 SING E-FAMILY
ELECTRICAL PERMIT APPLICATION
l'uhlic \\trrks enii t lrilitics l)epartnii:nr
.l2i li. 5ih Stre.l. l\)rt.\ngclcs. \\l\ 9Ei6l
th0..1 I 7.4715 r\rr'u.citvotpa.us c lcclri.r lpcrD its !ic il1 o 1'pa. Lrs
?soq oilrat//&or"{.
1 JAll 0; z0ig
EI.ECIRMt
INSPECIIOIIS
i*
\
)o
fu.It)f\Project Address
Proiecl Description /'1 ta{e..-t ,7
Single-Family Residential D Duplex/ARU Building Square footage:
Name
Mailing Address.
Name:
u-/.Phone. _
Email
License
lvlailing Address Expiration Date:
Phone:Email:
lh]n
Servic€/Feed€r 200 Amp.
Servica,lFe€d€r 201 -400 Arnp.
Service/Feedsr 40'1 €00 Amp
Service/Feeder 501-10@ Amp.
Servic€r'Feeder ov6r .l000 Arnp.
Erahch Circuit wr/ S€fvlcs Fe€der
B.anch Circuit w/O Sarvice Fe€der
Each Addrtional EGnch CiroJit
granch Cirqiits 1-4
Temp. ServicdFeeder 20O Amp.
Temp Service/Fe€der 201-400 Amp.
Temp. Servber'Feeder 401600 Amp.
Temp. Se.vbe/Feeder 601- 10O0 Amp
Porlal to Portal Hguriy
Signal Cirqriulimited Energy - 1&2 OU.
M gnufac.hJred Home Conneclion
Ronewable Elee. Energy: 5Kr'A Sygtem or l6s
Thermostat (Not6: $5 lor each *ditionBt)
FrA t300 Squ6€ Fc€t
EEch Addilioflsl 500 lquerr fert"
Each OlJthiHing / Oetadtod Gs,sS€
Ea{fi Swin ring Poot / Hot Tub
Unlt Charoe
$120.00
s146.00
$205.00
$262.00
$373.00
s5.00
$63 00
s5 00
$75.00
$93 00
$1r0.00
$149.00
sr68.00
$96,00
$64.00
$120.00
$102.00
$s6.00
$'r20.00
t40.00
s'14.00
31r0.00
Ouanlllv IClgl (Ou.ntty x Uolt Ciarge)
$_s_
$
$.-
$_--
$
A
s_
$ /o,oO
s )e.o1
!
$
s
0
5
$
$
$
$
$
t
s
,
Owner as defned by RCl,.19.28.261: (1) O{ne. will occupy lhe strudure lor two years afrer this ele.tricat permit is finalized. {2) O^,her isrequarcd to hirc an elect.ical conttsctor if above seid p.operiy is lor srle, rent or les9e. Peamit expkes afl:r six monihE o, tasi;sp€ctton.
TOTAL .E-t-u-
Aft rr reading the above statemsnt, I hereby c€rtit thai I am Ule omler ot th6 above nam€d prcperty or a licensed eleddcal contrscto. I
am making the electrical installatbn or alteration in cofipliance wittr the electriqal laws, N-E C., RCW. Chapter 19.2E, WAC. Chapter 296-
468, The City of Porl Angeles Municipal Code, and Ulility Specificatjons and PAMC 14.050 regarding Pormit Appiications
t,)e
Date Signature (E Owner ectrica I / Administrator)P
lElectrical Permit Applications may be submitted to City Hall or electrlcalpermits@cityofpa u: or iaxed to 360.417.47111
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