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HomeMy WebLinkAbout424 W 3rd StELECTRICAL PERMTT CITY OF PORTANGELES 360-417-4735 -.s)\ \n(n Applicalion Number .. , ApplicaEion pin nunber Property Address ASSESSOR PARCEL NI'MBER: Appf icaEion t,,pe description sulrdivision Name ProperEy Use Property zoni4g Application vaLuation 19- 0000013 3 Date 1-/2s/!9 692192 424 W 3R.D ST 06 - 30 - 00 - 0 - 0 - r320- 0000- ELEC'IRICAI, ONI,Y BLECTRICAL ALTER RESIDENTIAL REPORT STATE SATES TAX on your excise tax form to the City of Poft Angeles (Location Code 0502) 0 Application desc Service change Ol,ner Cootractor PAUL I KOI,ESNIKOEF II 42{ A IRD ST PORT ANGELES WA 9836222]-5 l'720l' 4A9-6070 NORTH PENINSUI,A ETECTRIC 751 FRESHIIATER PAR( RD PORT ANGELES WA 98353 l16O) 4'77 -t't 64 Permit Addit'ional Pemit Fee Igsue Dale 120 . O0 a/2s /19'7/24/t9 Plan Check Fee valuatiotr desc 00 0 Expiration Dat.e Qty Unir Charge Per 1.00 120-0000 ECH EL-0-200 sRv FEEDER Extension 120 .00 Fee Bunmary Charged Paid Credited Due Permi.t Fee Total Pl.alr Check ToEal Grand TotaI 120.00 .00 120 ,00 120. 00 .00 120. 00 .00 .00 . o0 00 00 o0 PERMff WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION DATE:RESULTS:INSPECTOR:INSPECTION TYPE DITCH 6SERVICE 4,./VF ROUGH.IN FINAL .'F YK COMMENTS: IIIII T Signahrre of owner or Elecirical Contractor X Date: I )$'hq ELECTRICAL PERM IT APPLICATION Public Works and Utilities Department 321 E.5th Street, Port Angeles, WA98362 360.417.4735 | www.cityofpa.us I electricalpermits@cityofpa.us RECEIi JAN H T1,,,: -E o =1 =$ F t_l I'N.U\ \ Project Address:31 e4. Project Description e rv. Name r€'o F CrC'Email Mailing Address Phone: Name: lvlailing Email: Address ele- Q i t <-{>t rt-'- License Expiration Date Phone: Quantitv fgE! (Quantity x Unit Charge) ?1"1 aa Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp Service/Feeder over '1000 Amp. Branch Circuit W Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 60'l -1 000 Amp. Portal to Portal Hourly Signal Circuiulimited Energy - 1&2 DU Manufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Noter $5 for each additional) First 1300 Square Feet Each Additional 500 square feet" Each Outbuilding / Detached Garage Each Swimming Pool/ Hot Tub Unit Charoe $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 $'r02.00 $56.00 $120.00 $40.00 $74,00 $110.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $a./1 ,,, A2 Owner as defined by RCW 19.28.261 : (1) Owner will occupy the structure for two years afier this electrical permit is finalized. (2) Owner is required to hire an electrical contrac{or if above said property is for sale, rent or lease. Permit expires afrer 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 Municipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electrical Permit Applications. r., l-r tCll( ,l I-l t.'-, t...i r\.'i('' /..r <'-..* bate I ' -Print Name - L-6Q-natdre tE- owner ! Electrical Contrictor / Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityoha.us or faxed to 360.417.47111 \ Lr-2 sF 1 - 2 SINGLE-FAIVIILY !Single-FamilyResidentialEDuplex/ARUBuildingSquarefootage:- L OWNER INFORMATION ELECTRICAL CONTRACTOR INFORMATION ( )i\o?t l?kV f (.tl-it( I 2 L- I TOTAL PROJECT DETAILS 1' * t-r | --o l-lr* l\,'r CF%sa..- ELECTRICAL PER MITAPPLICATION Pui: iic Wo lks iinri { ; ii i i ii e:; i,rcpzutn icnl -i21 !.r. 5th litrect. Poit 4 irgeles. 'f,,,r 98,3 'i2 l6C.4l 7.4735 l r.vwv,,:iii,oipa.us I eleciricalpci'rnitsir?lcit;'u.ipa-us 424 W3rd Street flEOEIUED \ry'':'-;. ELEIIRiCAL INSPESTIONS Project Address: Project Description 5 Be-:t t c*- CA >'* l" {z- X Single-Famity Residential ! Duplex/ARU Building Square footage .",t. Name:Paul Kolesnikoff Emal Mailing Address 424 W 3rd Street Phone ... ;i .:.,r.r:: r-:j.: .i Name License:northpe930mz Item SeBica/Feeder 200 Amp- SeNicElFeeder 201-400 Amp. Se.vicelFe6d6. 401€00 Amp. Service/Feeder 601 -'1000 Amp. SErvice/Feeder oler 1000 Amp- Branch Circl]it W/ Service Feeder Baanch Circuit W/O Service Feeder Each Additional Branch Circurt B.anch Cirorits l-4 Temp. Service/Feeder 200 ArYrp. Temp. Servioe/Feed er 201-400 Amp. Temp. SeNic€lFeeder 40't-600 Amp. Temp. Service/Feeder 601-1 000 Amp Portal to Portal Hourly Signal CircuiuLimited Energy - 1&2 OU. Manuiactured Home Conneciion Renewable Elec- Energy: 5KVA System or less Thermostat (Note: $5 for each additional) firS 1300 SquarE Feet Eaoh Additional 500 squErg feef' Each Oulbuilding I Oeta€fied Gardge Each Swimming Pool / Hot Tub QuBntlt, Iql8l (Ouarllity x Unit Charge) $ 120.00 Unit Charqe s120.00 $146.00 $205.00 $262.00 $37s.00 $s.00 $63.00 $5.00 $75.00 $93 00 $110.00 s149.00 $168.00 $96.00 $64.00 $120.00 $102 00 $58.00 $120.00 s40.00 $74.00 $110.00 1 $ $ $ $ I $ $ $ $ $ $ $ s $ $ i, $12 .00 O,n ner as d€fined by RCW 19.28.261: (l ) Ownerwll ocsupy the st.uclure for lwo years after this electrical permit is tinalized. (2) Owner is required to hi.e an electncal contractor if above said property is forsale. .ent or iease. P€rmjt expkes aftersix months of last inspection. Afler .eading the above statenEnt, I hereby certily ihal I am lhe ov/oer of the above named propedy or a licensed electric2l co.tractor I am making the etectrical installation or aiteration ln compiiance wrth the electrical laws, N.E.C., RCW Chapter 19,28, wAC. Chapter 296- 468, The City of PodAngeles Municipal Code, and Utlity Specifications and PAlvlC 14.05.050 regBrding Electrical Permit Applicalions. Jan ua 22 Kimberl Rae Walker Krhl ,€a. dal/r- Date Print Name Signature fi Owner fl ctrical Contractor / Administrator) lElect.ical Permit Applieations may be submited to City Hall or oleotricalpermil6@cityoFpa. us or iexed lo 360.417.4711] 1 - 2 SINGLE-FAhIILY ,t: ; Mailing Address: Expiration Date; - Emait: northpeninsulaelectric@yahoo.com Phone: 300lZZi!Z&!---- TOTAL