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)
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*{
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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
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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: