HomeMy WebLinkAbout404 E Ahlvers RdApplication Number
Application pin numlce r
Properly Address
ASSESSOR PARCEL NUMBER:
Application fl?e descriptsion
Subdivision Name
Property Use
Property Zoning
ApplicaEion valuatsion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS9 RESDNTL SINGI]E FA},IIIJY
0
18 00 0 01661 Date t0/24/LA
324172
404 E AJILVERS RD
05- 30 15 3-1-9050-0000-
EIJECTRICA.II ONLY
REPORT STATE SAI-ES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Appfication desc
GeneraLor stand by
JACK L/TERRT L HAE!4oN
404 E AI]I,VERS RD
PORT ANGE],ES WA 983523708
(360) 460 1211
GENTECH NORTHWEST I,I,C
PO BOX 219 5
SEQUTM WA 98382(360) 808-6188
Per-mit
Additional desc
Permrt Fee
Issue Date
ExpiraEion Date
120.00
to / 24 /1a
4/22/1e
ELECTR]CAL ALTER RES]DENTIAL
Plan Check Fee
ValuaEion
00
0
oty Unit Charge Per
1.00 120.0000 EcH EL 0 200 sRV EEEDER 120.00
Charged Paid Credited Due
Permi! Fee ToEal
Plan Check ToEal
Grand Total
120
!24
120
120
00
00
00
00
00
00
00
00
00
00
00
00
INSPECTION TYPE RESULTS:INSPECTOR:
SERVICE
ROUGH.IN plzz lrB #N
FINAL bl*'lte R
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST TNSPECTION
DATE:
DITCH
F
COMMENTS:
Signature of owner or Electrical Contractor X Date:
flEGLIUTD
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
3 60.4 I 7 .47 3 5 | wwucityofpa.us I electricalpermits@cityofo a.us
1OY f Al,l,to,s PA.
-o
3
ETIIIRICAI-
tNsfEcn0ils (I)
I
s\
o-.
Project Address
ELr-2 sF
il,Project Description
f,L Single-Family Residential n Duplex / ARU Building Square footage
Name Email
E1 l.\eA Phonel\ilailing Address
Name:
lvlailing
Email.
L c_
Expiration Date
License; 6 5f{ItrN 685a6
Address
,tl<.E_*[."*{6)b,Phone:
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Servic€/Feeder 201400 Amp.
Service/Feeder 401€00 Amp.
ServicdFeeder 601-1000 Amp.
Service/Feeder overl 000 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 20'l-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 60'11000 Amp.
Portalto Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactuled Home Conneciion
Renewable Elec. Enelgy: sKVA System or less
Thermostat (Note: $5 for eacfi additional)
First 1300 Square Feet
Each Additional 5O0 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charoe
$120.00
$146.00
920s.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
$56.00
$'r20.00
$40.00
$74.00
$110.00
Ouantity Igib!(Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
/)0.o a
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years afler 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 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.
Date
--l {lr^
Print Name Signature (! Owner Electrical Contractor / Administrator)
lEleckical Permit Applications may be submitted to City Hall or epermits@cityofpa us or faxed to 360.417 .4711)
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