HomeMy WebLinkAbout1313 Morning CtELEL, -
^I- PERMIT
CITY OF PORT ANGELES
360-417-4, J5
RS9 RESDNTL SINGLE FA]V]I ITY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
N
I
\N
\JApplicatlon Nunice r
Appficat.ion pin Rumber
ProperLy Address
ASSESSOR PARCEL NU}IBER:
ApplicaLion t}?e description
Subdivision Name
Property zoning
ApplicaEion valuatlon
18-o0ooo?37 Date s/a5iag
4 2AtA',l
1] 13 MORNING CT
05-:0 -I4-5-?-0130-0000
ELECTRICAL ONLY
Application desc
Robert Chase Botero
13 06 Rook Drive
PORT ANGEI,ES
UPPER LEFT EI,ECTR]C LLC
13 06 ROOK DR
PORT ANGEI,ES WA 983 52
(36A) 461-'7 72A
lrA 983 62 0l12
Permlt
Additional desc
Permit Eee
Issue Datse
Expiration Date
160.00
5/t5/rB
La/LL/J.B
ELECTRICAI NEW RESIDENTIAL
00
0
Qty Unit Charge Per
1.00 120.0000 ECH
1.00 40.0000 ECH
ExrensioI]
120.00
40.00
EL R SQFT FIRST T:OO
EL R SOFT ADDITIONAL 5OO
Charged Paid Credited Due
Permit Fee Total
Plan Check ToEal
Grand TotaI
00
00
00
00
00
00
00
00
00
00
00
00
160
150
160
150
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH < lzzl B q n+>a
SERVICE tlu lw =K
ROUGH-IN rhrls .{M}
FINAL izlrul*&.\\-pY
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
Dato
Plan Check Fee
valuaEion
ft)
COMMENTS:
Signature of o',r,rler or Electrical Conhactor X
t4A
ELECTRIC PERTVITAPPLICAT
Public Works anci Utili:ies Depafiinrni
321 E. 5* Sr:eet, P'"1fi Angeles, 1!:\ 98352
: 5. '-, - .'l t,;, . -i .t::-,: i]:-._.: : ::.: :a-:,-:'-:, _.ti: : r., .: ::;,:.;-:
,.U IIJI
-o
o
=
CIflAI
Pscilovs G
(\l
\N
{Project Address
Project Description
i
'P erJ C-onrlit-,L h o"-r
/"n.fni/.\Co--f(to) /t
B,eingle-Family Residential n Duplex / ARU Building Square footage
Email
lvlailing Address: I
-<
OG gOOk- E)ir € phone
Name
l\ilailing Address
Email:
e( t License
Expiration Date
Phone:
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DFTAILS
Item
Service/Feeder 200 Amp.
Servic€/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 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portalto Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: g5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swjmmrng Pool/ Hot Tub
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$7s.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
Ouantitv lgte! (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
t)
TOTAL
Owner as defined by RCW19.28.261. ('1) ownerwill occupy the structure for h/vo years afterthis electrical permit is iinalized. (2) Owner is
required to hire an electrical contractor 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 eiectrical contractor. I
am maklng the electrical installation or alteratjon in compliance with the electrical laws, N.E.C RCW Chapter 19.28, WAC. Chapter 296-
46B The City of PortAngeles Municipal Code, and Utility Specifications an PAMC 14.05.050 regarding Electrical Permit Apptications.
Print Name Signature ff,j Owner I Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711j
Lr-z s
1 - 2 SINGLE-FAMILY
OWNER INFORMATION
Name:
{