HomeMy WebLinkAbout1320 S Cherry StRS7 RESDNTI] STNGLE FAMILY
0
REPORT STATE SAIES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
--D
=-$!J
ApplicaEion Nuftiber
ApplicaEion pin number
Property Address
ASSESSOR PARCET NI]MBER:
Applicatsion t)'pe descrip!.ion
Subdivision Name
Property use
Property zoning
Application valuation
19- 00000193 Date !/3a/t9
288983
1320 S CHERRY ST
05 -3 0 - 00 - 0 -3 - 8985- 0000 -
ELECTRICA]J ON]JY
Applicaeion desc
Boiler updatse
Owner Contractor
COLBY N WAIT
1320 S CHERRY ST
PORT ANGELES
ELECTRIC AMERICA
PO BOX 35 23
SEQUIM
(360) 912-5550
wA 983 82
Permit
AddiEional desc
Permit Eee
Issue Date
Expiration Date
ELECTRICAI AI,IER RES IDE}ITIAI
1-4 C]RCUITS
75.00 Plan Check Fee
1 / 1I/L9 vatuar.ion
7 /30 /t9
00
0
oty Unit Charge Per
BASE T'EE
Extension
75.00
Fee surnmary Charged Paid Credited Due
Permit Fee TotaI
Plan Check Total
Grand Total
75.00
.00
75.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
ROUGH-IN t/"tln #"uN
FINAI itiiln k 4W
COMMENTS:I
Signature of owner or Electrical Contractor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
wA 983 62
75.00
.00
15.00
DATE:
SER\'ICE
ELECTRICAL PERMIT APPLICATION
Public Works and Urilities Dbpartment
321 E.5th Street, Port Angeles, WA98362
360.417.4735 | www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: 1320 S Cherry St, Port Angeles. WA 98362
PEcElyrn
JAil 3 0 2;;
!o
*t-l-5l)
t__o
lrnl
Name: Colbv Wait Email: colhywa it6hotmail com
Mailing Address:Same as above Phone: 360-477-6624
Name Flenfrin Amar tc2 License ELECTALS 5600
Mailing Address: P O Roy 3523 Seqrrim, WA 98362 Exp iration Date: 11 11q19,
Emait: info@eilectdcamedca-J-s phone:360-797 -4 00'l
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Am p.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder ove|1 000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 40'1600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Podal to Portal Hourly
Signal CircuiyLimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: sKVA System or less
Thermostat (Notel g5 for each additionat)
UniiCharoe Ouantltv IOh[ (Ouantity x Unit Charge]
$_
$_
$-.-
u
$_
$_
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$7s,00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
$
sI $75 00
$
U
!
$
$
$
$
TOTAL s $75.00
Owner as defined by RCW.'19.28.261r (1) Owner wi,l occupy the structure for two years after this electrical permit is finalized. (2) Owner is
requiled to hlre an elechical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
Afier reading the above statement, I hereby certiry that I am the owner ofthe above named prop erty or a licensed electric€l contracto. I
am making the electrical installation or alteration in compliance wilh the electricat laws, N.E.C.,RCW C 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specilications and PAMC 14.05 rdi Pe.mit Applications
Date sis ure (Owner El Electrical tractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electlca permits@cityofpa.us or faxed to 360.417.4711]
1 .2 SINGLE-FAMILY
Project Description: Add boiler circuits
E Single-Family Residential E Duptex /ARU Buitding Square footage: _
3
Print Name