HomeMy WebLinkAbout217 W 13th StApplication Numbel
Application pin nunrber
Property Address
ASSESSOR PARCEL NUT"IBER:
Application E)?e descriplion
Subdivisi.o! Name ,
Property Use
Property zoninq
ApplicaLion vafuaEion
ELECTRICAL PERMIT
CITY OF PORT ANCELES
360-417-4735
17-OOOO1521 Date 11/03/17
1t6257
217 W 13TH ST
06 -3 0 - 00 - 0 - 3,7880 - 0000 -
ETECTRICAN ONIJY
RS7 RESDNTIJ SINGI'E FA]IIII'Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
l
o-N
ApplicaEion desc
Batshroom remodel
Owner
Leif Hoglund
144 Paradise Lane
SEQUIM
EI,ECTRIC SERVICE
503 RHODES RD
PORT ANGEI,ES
1360 ) 452- 6424
wA 98382 wA 98362
Permit
Additi.o,lal desc
Permit Eee
Issue Date
Expiration Date
ELECTRICA! AITER RESIDENTTA],
14 CIRCU]?S
75.00 Plan Check Fee
11/03/7'7 valuation
5/A2/18
00
0
Qty Unil Charge Per
BASE FEE
ExLension
75. 00
Charged Paid Credited Due
Permit Fee Total
Plan check Total
crand Total
75.00
.00
?5.00
75. 00
.00
?5. 00
.00
.00
.00
00
00
00
(N L-
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE RESULTS:
DITCH
SERVICE
ROUGH-IN rtlplrt ..+N>)*
FINAL -F
COMMENTS:
Signanrre ofowner or Electrical Contractor X Date:
INSPECTOR:
aAr
.. ),
Crry oF Ponr A.r.vcrr,ss PER.vgr AppLrCATroN
Building Division/Electrical Inspections
321 East Fifth Sfreet - Port Angeles lVashington, 98362
Ph: (360) 417-1735Fax: Q6q 4fi4711
-Xi & 2 Single Family 0welling
J
\
F
5
I
C
- Plan Review lVay Be Required, Ptease Complete
Job Address: :i 1 f:,,.'.-'./Electrical Plan Review lnformatlon Sheet
Building Square Footage
Description oi above rL \)trf a.- b z")h rc e r,'.)
Owner lnformation
Name
.t Contractor I
Nan e l:
It4ailing Address
City:
Phone
License # / Exp
q
Y\r) cna<)l (rra
Nlailing Address
City: il ts T.- *,,r-<"*lstBter 'vrtll
Zp I
Phone; 65O ..fas
License #/ Exp
Item
Service/Feeder 200 Amp.
Service/Feeder 20 1 400 Amp.
Service/Feeder 401 $00 Amp
Service/Feeder 60'1 -1000 Amp.
ServicdFeeder over '1000 Amp.
Branch Circuit W Service Feed
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14 Only
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'1-600 Amp.
Temp. ServicdFeeder 601-1000 Amp .
Podal to Portal Houdy
Signal Circuiu Limited Energy - 1 & 2 Family Dwelling
Man ufactured Home Connection
Renewable Electrical Energy - sKVA System or Less
Thermostat
Note: $5.00 for each additrona Tstar
NEW CO STRUCTIOT{ ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pooi or HotTub
i\.+ (>q d is -AN
Slate: r,., Zp
axl
a-
Unit Charoe
$ 120.00
$ 146.00
$ 205.00
$ 262.00
$ 373.00$ 5.00
$ 63.00$ 5.00
$ 75.00
$ 93.00
$ 110.00
$ 149.00
$ 168.00
s 96.00
$ 64.00
$ 120.00
$ 102.00
$ 56.00
$ 120.00
$ 40.00
$ 74.00
$ 110.00
Total (Multiplied bv Charqe)
$
$
$
s
't (,
$
s
$_
$
s
s
s
g_ Totat
Owner as defined by RCW.19.28.261: (1) Owner will occupy he structure for two years after his electncal permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six montts of last inspection.
After reading he above statement, I hereby certii/ hat I am he owner of the above named property or a licensed electrical contractor. I am making
ffre electical installation or alteration in compliance with he elechcal laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of port
Angeles Municipal Code, and Utility Speciicatons and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor ar eleclrical administrator: tr cash R check
{
Dated:
,2
E C.editcad #
02i0612012
oaa tt/Ll\7
!
J
I
1 )
q
c
q
s
(