HomeMy WebLinkAbout424 W 3rd StELECTRICAL PERMTT
CITY OF PORTANGELES
360-417-4735
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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
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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
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I
TOTAL
PROJECT DETAILS
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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