HomeMy WebLinkAbout1618 W 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
18-00001228 Datse 8/0A/15
5560aa
1518 W 5TH S?
06 30 0 0 - 0 - 1 - 5 0 2 0 - 0 0 0 0 -
ETECTRICAIJ ONIJY
RS7 RESDNTL SINGLE FA.III]LY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
CNJ
rJN!sApplica!ioa Number
Applicalion pin number
Property Address
ASSESSOR PARCEIT NI'MBER:
Application t)?e descriptsion
Subdivision Name
Property Use
Property Zoning
Applicairionvaluation .
Application desc
Ductless heat pump
Owner Contractor
JAI4ES A AND COLLEEN K RENARD
190 SO WOOD DALE RD #202
WOOD DALE IL 50191(530) 451 034 9
EXTRA I'IILE TECH & ELECT
418 N, RACE ST.
PORT ANGELES WA
1360) 45'7 -5222
, LLC
94352
Permi!
Additional desc
Permit Fee
Issue Date
Expiration Date
68. 00
8/A8/18
2/a4/t9
Plan Check Eee
Valuation
ELECTRICAL AI,TER RESIDENTIAL
00
0
oty Unit Charge Per-1.00 5.0000 Eclt
1. 00 53 .0000 EcLl
Extension
5.00
63 .00
EL-ECH ADDNT BRANCH CIRCU]T
EL R- BRANCI,I CIR WO/ SER FEED
Fee summary Charged Paid Credited
Permit Fee To!al
Plan Check To!a1
68.00
.00
68.00
68 .00
,00
68.00
00
00
00
00
00
00
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN ilklm {.RP-
FINAL nls/t*dP )r5*-)
COMMENTS:
t
Signature ofowner or Electrical Contractor X Date
..#5s*"11*i\"
{tL F tr6
%V,,"$
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOTAPPROVED
DITCH u
HOUGH IN/COVEH
SERVICE tr
oFINAL
APPROVED
D
tr
tr
D
l-n),tt6\)Yz,n Ytts Oe. f), trf7 d YrrTZ
-2.
NOTIFY INSPECTOR WHEIII CORBECTIOI{S
AHE COMPLETED wlT}IIN 15 DAYS
- DO NOt REMOVE-
'u)lqln tsnr=f NSPECTOl4\s/
owNEd
VS|L* y\\Lv- 6t-vtsattt,C-
CONTFACTOF
ADDBESS
coRHEcIoNS NEEoEo:'fLAv c-"'6L-fr--. " 6l4P,u- 7€
1 - 2 SINGLE-FAMILY
ELECTRICAL PE MIT APPLICATION
Public Works and Utilities Deparfrnent
321 E.5th Street, Port Angeles, WA98362
360.417.4735 i wwrv.cityofpa.us I electricalpermits@,cityoflpa.us
/ to sl-l-zr"*
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lwINrN
Projec{ Address:
Proiecl Oescrip{ion:
Nama:
,L)i ','z c 4 !s e d
ngle.Family Residential fl Dudex I ARU Building Square botage;
(a)Email AT
Mailing Address /cttr Phone: rU /?
Name:Ex+'L4 Te
Mailing Address:.O. Bo:c 3l,LE
Err|ai!'. Fx
e c Ucense:r 7
bL Expiration DaE:-26-2ot1
ptone: ?6o-{61-r33I
lIO
Seryia€Jkr 200&np-
ServicE/F€e&t 201-400Amp.
ServiceJFe€der 401€00 Arp
Servic€YF€Bder 60l -1m0 Amp.
Servie/Feedea o,er 1000 Arp.
Brarch CirEUit \itl Se ic" Fder
BralEh Cirflit WO Srflice Feeder
Each AddiiorEl B.anct G.arit
Brarlcer Ciroiib 1-4
Tenp. Sen i:rFee{hr m0 A,Ip-
TenF ServiE/Feder 201-,{P Arnp-
Tertp. Seryi=lFee&r,Ol 6()0 Amp.
Temp. ServiceJFe€der 6011000 Amp
Portal to Plrbl Hoqly
Signd Ciurt/Linihd Eneqy - l&2 DU.
Manufa(turEd llqre Coondon
RerEwable EIec. Ene€y 5l$/A System or less
Thermos{at (Nole: 55 br ea.h addilioral)
ftrt 13m S$ar" FEet
Edr Aartonal500 dllale ft€["
Eadr O.lrqfeg, f}dred GetrgE
Edr S tmftlg P@|,HotTub
Unit Charoe
sl20_m
s146.00
$205.00
$262.00
$373.@
s5.00
$63 00
$5.00
$5 00
s93 00
$110.00
s149.00
s168.00
$s5.00
s64_00
9120-00
$m.00
$56.00
sl20.(E
$40.00
$74.00
tr10_00
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ITOTAL
Owrer c ddned by RC1,U19,8261: (1) OrrnerwtllocoJpy rhe sfucture for two years ater hk electricalpermit is fiBafzed. (2) &rner is
required tg hire aa electrical cpDb_ador if above said poperty is for sale, ltnt or lease. Pemit efires aflEr six mgnths of last iosFdion-
Afrer reading the above statefient, I heEby certif, that I am lhe own$ ofthe above narn€d prcperty or a licensed electuic€l contraclor I
am making the electrical installaibn or ateraton in complience with fie eleqEicsl laws, N-E C-, RCI r- ch?r,te.19.28, WAC. Chapter 296-
468, The Citv of Angeles Municipal and Utility and 14.05.050 Bedical Permit Apdicalions.
(?{.-
G t{
Date PEnt Name Signature (E Owner Elec8ical Confacto. / Adminisffir)
lElecfical PermitApplications may be submitled to City Hallor elecficalpermG@cityofpa us or faxed to 360.4'17.47117