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HomeMy WebLinkAbout1326 E 3rd StELECTRICAL PERMIT CITY OF PORT ANGELES 360-417 -473s RS7 RESDNTL SINGLE FAMILY 0 REPORT STATE SATES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) \a *{ { ApplicaEi.on Number Applicatsion pin nunber Property Address ASSESSOR PARCEL NUMBER: Appf ication tfpe descriptsion Subdivision Name ProperEy Use ProperEy zoning Applicatsion valuation 19- 00000167 Date L/2A/t9 '/ o25t1 132 6 E 3RD ST 05-30- 00 - 9 - 1- 0020 - 0000 - ELECTRICA! ON1Y Applicatsion desc Ductless heat pump Onner Contractor TSCHIMPERLE.]OSEP!{ 524 VASHON ST PORT ANGBLES Ot",NER wa 983626',7'tA Permit. Additional desc Permi! Eee fssue Date Expiratsion Date 68.00 r/2a/re '7/2'7/te ELBCTRf CAL ALTER RESIDENTIAI Plan Check Fee valuation EL-ECH A.DDNT BRANCH CIRCUIT EL-R. BRANCH CIR WO/ SER FEED 00 0 Qty Units Charge Per1.00 5. 0000 ECH1.00 63 . 0000 Ecli Extension s.00 53 .00 charged Pa id CrediLed Due Permil Fee Totsal Plan Check fotal Grand Total 68 .00 .00 68 .00 58 .00 .00 58 .00 00 00 00 00 00 00 PERMIT WILL EXPIRE SLA (6) MONTHS FROM LAST INSPECTION INSPECTION TYPE DATE:RESULTS:INSPECTOR: DITCH SERVICE ROUGH.IN z'lcln &s FINAL z)r/tq M w COMMENTS: Signa ture of owner or Electrical Conhactor X Date: REEEIVED JAN 2ANB ELECTRICAL PERM IT APPLICATION Public Works and Utilities Department 321 E,. 5th Street, Port Angeles, WA 98362 360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us !o 3 lt *o \ 6'\ Project Address 3 e(7 <r?D Project Descript,on ?"*Ct-14 /q Single-Family Residential n Duplex / ARU Building Square footage Name Mailing Address Ematl: e,l r,.6 EOL e. Phone 360 - 808 -o5?2- Name License Mailing Address Email: Expiration Date Phone: Item Service/Feeder 200ftnp. Service/Feeder 201-400 Amp. Service/Feeder 401 €00 Amp. Service/Feeder 601 -1 000 Amp. Service/Feeder over '1000 Amp. Branch Circuit W Service Feeder Branch Circuit WO SeNice Feeder Each Additional Branch Circuit Branch Circuils 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401600 Amp. Temp. Service/Feeder 6011000 Amp. Portal to Porlal Hourly Signal Circuiulimited Energy - 1&2 DU. Manufactured Home Connection Renewable Elec. Energy; 5KVA System or less Thermostat (Note: $5 for each additional) First 1300 Square Feet Each Additional 500 square feet" Each Outbuilding / Detached Garage Each Swimming Pool / Hot Tub Unit Charqe $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 Ouantity Iqhl (Quantity x Unit Charge) r $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $rorAL $-1r5!!) Owner as defined by RCW19.28.261: (1) Owner will occupy the structure for two years afier 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. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipa lCode, and Uti lity Specifications and PAMC '14.05.050 regarding Electrical Permit Applacations. l- At.r Date _J,4/LJC Pri Name Sign re rFl Owner fl Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47'l1l 1-2 S 1 - 2 SINGLE-FAMILY OWNER INFORMATION ELECTRICAL CONTRACTOR INFORMATION PROJECT DETAILS E,I-ECTRICAL PERMIT CII'Y OF PORT ANGELES 360-4t7 -4735 RESIDENTIAL MEDIUI4 DENSTY 0 REPORT STATE SALES TAX on your excise tax form to the City of Pod Angeles (Location Code 0502) -oI s. N ApplicatioD Nuriber .. . AppLication pin numbe. Ploperty Address ASSESSOR PARCEL NUMBER: ApplicaEion type description Subdi.vision Name Property uge Property Zoning Applicatsion valuation 19- 00000162 Date 2/Ot/19 928610 231t W 15TH ST 06-30-01-8-5-0t 40-0000- ELECTRICA], ONI,Y Application desc Temp power Owner Contractor HAAITAT FOR HI'UANITY CL COI]}IIY 3430 HrT 101 E STE #32 PORT ANGEIJES, WA. PORT A.}IGELES WA 98362 NORTTI PENINSUI,A ELECTRIC 761 FRESHWATER PARK RD FORT ANGELES WA 983 53(360\ 41'7 -1-164 PermiE Additional PeroiE Fee Issue Date Expi. ra t j.on desc DAEE 93.00 2/oL/!9 '7 / 3r/ !9 ELECTRICAI TEMPORARY SERVICE Plan Check Eee valuation 00 0 oty Uni! Charge per 1.OO 93.OOOO ECH EL.TEMP SRV O.2OO SRV PDR Exten6!on 93.00 Fee summary charged Paid Credited Due Permit Fee ToEal PLan Check ToEal Grand Totaf 93.00 .00 93 .00 93.00 .00 93.00 .00 .00 .00 00 00 00 PERMIT WILL E)(PIRE STX (6) MONTHS FROM LAST INSPECTION DATE:RESULTS:INSPECTOR:INSPECTION TYPE DITCH zlqlrc p KPSERVICE ROUGH.IN 2)f h s :FAFFINAI COMMENTS: IIIII Signature of owrcr or Electrical Contractor X Date: