HomeMy WebLinkAbout136 W 11th StELECTRICAL PERMIT
CMY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE FAMILY
0
REPORT STATE SATES IAX
on your excise tax form
to the City of PorT Angeles
(Location Code 0502)
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$ApplicaEion Number
Applicatsion pin nuriber
Proper:tsy Address
ASSESSOR PARCEI NUMBER:
Appllcatio4 E)?e descriptsion
Subdivision Name
ProperLy Use
Propertsy zoning
Application valuat ion
18 - 00001582 DaEe 10/30/18
303900
135 W 11TH S?
05 -3 0 - 00 - 0 - 3 -44 s0 - 0000 -
ELECTRICAI ONLY
Application desc
FURNACE REPLACEMENT
Contsractor
ROBERT CATES
zrz wxipev evs
PORT ANGEI,ES
\360) 452-527s
BLACK DIA]UOND ELECTRICAI] CONTR
502 BITACK DIAMOND RD
PORT ANGELES WA 98363
(3 6O) s65-1035
wA 983 62
Pemit
Additional desc
Permit Fee
Issue Date
Expiration Date
58 .00
to /3o /tB
4 /28 /t9
ELECTRICAL AITER RESIDENTIA],
Valuat.ion
00
0
oty Unit Charge Per
1. O0 5 .0000 Ecr.r1.00 63.0000 EcH
EL.ECH ADDNT BRANCH CIRCUIT
EL-R- BBANCH CIR WOl SER FEED
Extension
5.00
53 .00
Eee summary Credited Due
Permi! Eee Total-
Plan Check ToLal
Grand Total
58 .00
.00
68 .00
58. 00
.00
68.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE
ROUGH.IN t) lb/)B A -H8
FINAL tt'Ju l#,F =BP
COMMENTS
Date:
Charged
INSPECTOR:
Signatur€ ofowner or Electrical Contractor X
ELECTRI CAL PERIVI IT APPLICATION
Pubiic Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us electricalpermits@cityoflpa.us
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,IIISPECTOflS
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DA
NPOect Address
P Description Pqp^ra-<r.- b,;r-..-
ngle-Family Residential E Duplex / ARU Building Square footage
4.r,6-5
lvlailing Address
Name Email
Phone: vs:z- sL7{
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Name
Mailing Address
Email:
License
Expiration Date: _pnon",76o@rt q&/-7?.Q
PROJECT DETATLS
Item
Service/Feeder 200 Amp.
Service/Feeder 20'l -400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601-1 000 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 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 6011000 Amp.
Portal to Portal Houdy
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable EIec. Energy: sKVA 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
Quantitv leta! (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$-68-TOTAL
Owne. as defined by RCW 19.28.26'l: (1) Owner will occupy the structure for two years after 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 the above named property or a licensed electrical contractor I
am making the electrical installation or alteration in complian ectrical laws, N.E.C., RCW. Chapter 19.28, WAC Chapter296-
468, The City of PortAngel Mun I Code and Utility and PAMC 14.05.050 regarding Electrical Permit Applications.
-t
Date nt Name S nature Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitte City Hall or epermits@cityofpa.us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY