HomeMy WebLinkAbout405 Vista View DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS? RESDI.ITL SINGLE FAIVIILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
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Applicatsion Nuhber .
AppficaEion pin number
Properly Address
ASSESSOR PARCEL NUMBER:
Application t,?e description
subdivision Name
Property Use
Property zoning
Applicatior vafuation
18 00001666 Date 1,0 /25/La
2680s8
405 VISTA VIEW DR
05 - 3 0 - 15 - 5 - 5 - 0130 - 0000 -
ELECTRICAI, ONI,Y
ConEractor
RYAN T AND RIC(I M CARR
405 VIS?A VIEW ST
PORT ANGELES WA 983523749
BI,ACK DIA]/IOND ELECTRICAI CONTR
502 BI.ACK DIA]VIOND R,D
PORT ANGELES WA 98353
(350) s5s-103s
Perrni !
AddiE ional
PeImit Fee
Issue DaEe
Expiration
desc
,"a.
53.00
to /26 / ta
4/24/a9
EI,ECTRICAI, AITER RESIDENTIAL
0
Qty Unit Charge Per
1.oo c3.oooo EcH EL-R- BRANCH crR wo/ sER FEED
Extension
53.00
Charged Paid credited Due
Permit Eee Total
Plan Check "otalGrand TotaI
63.00
.00
63.00
53 .00
.00
53 .00
00
00
00
00
00
00
PERMTI WILL EXPIRE SIX(6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN n ln)R .fV BF
FINAL ID!t"-"r'fig-=k w/
Signa hre ofowner or Electrical Contractor X Date:
Application desc
Ductless heaE pump
Pfan Check Fee
valuation
.00
COMMENTS:
EL{-2 sF
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E.5th Street. Port Angeles, \1A98362
360.417.4735 www.cityofpa.us electricalpermits@cityofpa.us
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REEEruED
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3
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EIEIAIAT
INSPECNONS
os
(\.\
s-tr-Project Address
Project Description
Single-Family Residential E Duplex / ARU Build jng Square footage
Name
Mailing Address
Email
Phone 6o ( - 3)( -tt" (
O\^/hIER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name
lvlailing Address
Email:
License
Expiration Date
Phone: )@ -?c /-J(d t
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201{00 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{00 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Srgnal Circuiulimited Energy - 1&2 Du.
lvlanufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Filst 1300 Square Feet
Each Additional 500 square feel"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Ouantitv IqE! (Quantity x Unit Charge)
ILL
gd
re Owner ! Electrical Contractor / Administrator) Z I Z
Unit Charqe
$120.00
$'146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$'r20.00
$40.00
$74.00
s110.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is fanalazed. (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 owner of the above named properly or a licensed electrical contractor I
am making the electrical installation or alteration in compliance th I laws, N.E.C., RCW Chapter 19.28, WAC Chapter 296-
468, The City of PortAngel lvlunicipal Co nd utility PAMC 14.05.050 regarding Electrical Permit Applications.
lo-{-
Date Print Name
IElectrical Permit Applications may be subm City Ha or eoermr ts@cityofpa.us or faxed to 360.417.471 1l
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