HomeMy WebLinkAbout138 Forest Ave (2)Applica'tsion Number
Application pin number
ProperEy Address
ASSESSOR PARCEL NUMBER:
Applicatsion Ey'pe descriptsion
Subdivision Name
Property use
Property zoning
Applicat j-on valuatsion
19 - 00000181 Date L/30/19
1467 92
138 FOREST AVE
06-3 0 - 09- 5 -2 -3 542 - 0000 -
ELECTRICAL OI.TLY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RS? RESDNTI SINGITE EAMILY
0
REPORTSTATE SAIES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
Application desc
Car charging sEation
Owner Contractor
BOBBI C E'ABEI,I.ANO ET AI]
138 FORREST AVE
PORT ANGEIES WA 983622515
OWNER
PermiE
Additional desc
Permits Fee
Issue Date
Expiration Datse
63.00
L/30/re
'7 /29/re
ELECTRICAI, ALTER &ESIDENTIAL
Plan Check Fee
Valuation
.00
0
oty Unit Charge Per1.OO 53.OOOO ECH EI, R- BAANCH CIR WO/ SER FEED
Extension
63 .00
Permit Eee Total
v1an LnecK'Iota1
Grand Total
63 .00
.00
53 .00
53.00
.00
53 .00
. o0
.00
.00
00
00
00
PERMIT WILL EXPTRE SIx (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
ROUGH.IN t lz,> lp JP WE
FINAL i /-'l,q dY w
Signature of owner or Electrical Contractor X Date
::T::: ::t: " ::::t::i .. :]:
DATE:
SERVICE
COMMENTS:
ELl-2 sF
1 2 SING E.FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Iltilities Department
321 E. 5th Streer, Port r\ngeles, WA 98362
360.417.1'7 35 | u wrv.cityofpa.us I electricalpermits(rlcitvotpa.us
RECEIVED
iAil ?I20le
!oI*
-,s
)N
138 Forrest AveProied Address:
Proied Description:lnstall Electric Car Charging station
E Single-Family Residential E Duplex /ARU Building &uars footage;-1000
Name:Emeil:
Mailing Addr€s€138 Fonest Ave
pus.
Phono:
ELECTRICAL CONTRACTOR INFORMATION
Name: Licans:
Matino AddrBss:
Email:Phone:
Expiration Date:
PROJECT DETAILS
lEm
SeMce/Feeder z@Amp.
SeMce/Feoder 20l-m Arp.
Service/Fe€der 401€@ Arnp.
S€rvics/Feeder 601-l m0 Amp.
S€.vica/Feeder owr 10OO Arp_
Brsncrl Cir(rrit w/ Sorvice Fesder
B$ncfi Circuit w/O Servica Fssder
Ea€fi Additional B.snctr Circuit
Br8nch Cir€riib 1{
Temp. Servica/F€edor 2OO Arnp.
Temp. Servioe/Fo€d.r 201-100 Amp.
Temp. SeMc./Fsc&r {01600 Amp.
Tem9. Servi(rF8e{ter 601-1000 Amp.
Po.t8l to Portal Hourly
Signal Cncrriulimited EneEy - 1&2 DU.
Manufu dlrBd Home Connedbo
Rengryabb Elec. En€rgy: sKVA Syst€m or bss
Thermostat (Nots: 95 fo. each
t')?-20t7 rn* Ilt qi,il>
o,t"tJ?-Al?(El orvner / Administrator)
thh Chr.p
$t20.00
$'r46.00
t20s.00
i262.00
0373.00
i5.00
s63.00
s5.m
s75.00
$93.00
$fi0.00
$r49.00
$r68.00
$s6.00
i84.00
$r20.00
$102.m
i56.00
Lotsl x Ch.r!e)
O3.UU
$
$
$
$
0
$
$
$
I
E
$
$
$
0
$
Owner as defined by RCW19.28.261: (1) O,vnsr willoccupy the struclure for two y€8r8 afrer this el€dric€lpormit is finalizod. (2) O^/nor i8rcquiod to hir€ an eleclrical contractot if abovg sau prop€,ty is for sale, r€nt or lees€. Permit expires afier six months of lesi inEpgction.
TOTAL
Afler Eading lhe abovg gt8tement, I h€.eby codify that I am ths g\,vner of ths gbove namod prqporty or E licangod olecirical contrSctor I8m maklng the ebctrtcal installation or slto.ation in compliance wlth th6 oloctrjcel lswg, N.E.C.. RCW. ChapEr 19.28, WAC. Chapts.296-
468, The City of PodAngelos Municipat Cod€, end Utitity and c14 rd P6rmit Applic€tions.
lElec{rical Permit Appli to City Hall or electricalpermits@cityofpa.us or taxed to 300.417.47111
O\^NER INFORMATION
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