HomeMy WebLinkAbout233 W 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RESIDENTIA! EIGT{ DENSITY
0
REPORT STATE SATES IAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
w5
Application Number
Application pin nunl.ber
Property Address
ASSESSOR PARCEL NUMBER :
Appf icaEion t).pe description
subdivision Name
Property Use
Property zoning
ApplicaEion waluatloI1
t 8 - 00001923 Date L2/t9/1A
741519
233 W 4TH ST
05 - 30 - 00 - 0 - 0- 7145 - 00 00 -
E'ECIRICAL ONLY
Applicatsion desc
Rewire house
MCGARVIE WEST PROPERTIES I,LC
323 ASHBT]RY CT
BAINBRIDGE ]SI.AND WA 9 8110
ROCHE ELECTRIC & CNSLTNG INC
584 OAK WOOD DR
SEQUIM WA 983 82
l42s) 293-2357
Permit
Additslonal desc
PermrE !ee
Issue Date
Expiration Datse
108 .00
t2/a9/18
6/!'7/a9
ELECTRICAL ALTER RESIDENTIAL
Pfan Check Fee
valuacion
E]--ECT{ ADDNT BRANCI] CIRCUIT
Er.-R- BRANCH crR wol sER FEED
00
0
QEy Unil Ctlarge Per
9.00 5. 0000 ECH
1.00 63 . 0000 ECH
Exteoslon
45. 00
63.00
Charged Paid Creditsed Due
Permit Eee Total
Plan Check Tocal
Grand Total
108
108
.00
.00
.00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTIO\
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN I ,)nle .k *
tLln AP "rtP
COMMENTS
Signature of owner or Electrical Contractor X Date
108 .00
.00
108.00
FINAL
MEOEIUEM
ELECTRICAL PER MITAPPLICATION
Public Works and Utilities Department AteTn[At
321 E. 5th Street, PortAngeles, WA 98362 INSPECil0ilS
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
.zis w 4' S1
T(D
lt
Project Address
^ r{l Fci 6 E)/ s
@
-.9
NJ
'\tlftz tt i r,--LProject Description
E Single-Family Residential n Duplex / ARU Building Square footage
oLz
)<ci /-L-Email
l\ilailing Address
Name
Mailing Address 0e o 4k L
Email: ..) ')-lL,.
Phone
License:
Expiration Date
Phone #) A)(' 2.q3-2-Zt-)Voc 0-e
Item
Service/Feeder 200 Amp.
Service/Feeder 20'l -400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601-'l 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 40'1600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Houdy
Signal CircuivLimited Energy - 1&2 DU.
Manuiactured Home Conneclion
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feel'
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
l,litclerse
$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
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Ouantitv fgEI (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
n
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical 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 months of last inspection.
Afrer reading the above statement, I hereby cediry that I am the owner ofthe above na p or a licensed electdcal contrac{or. I
am making the electrical installation or alteration in compliance with the electrical laws,RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Util ty Specificat ons and regarding Electrical Permit Applications
2.i1 1, 8,,l,r o
ELr-2 sF 1 - 2 SINGLE-FAMILY
OWNER INFORMATION
Name:LU-l <+
ELECTRICAL CONTRACTOR INFORMATION
r (l-
)/). ^
PROJECT DETAILS
Date Print Name signaitia(d ownerp Electrical contractor / Administratoo
IElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111