HomeMy WebLinkAbout1009 Homestead AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
18 - 0oo 013 90 Dat.e 9/0'7/L8
4112 a 0
1OO 9 HOMESTEAD AVE
05 30 14 3 2 0450-0000,
ELECTRICAL ONI,Y
RS9 RESDNTII SINGLE FAI'I]LY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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CYApplication Number
Application pin number:
Property Address
ASSESSOR PARCEI NU}IBER:
Application twe description
subdrvision Name
Property Use
Property zoning
Application valuaEion
Applicat.ion desc
Duclles s heat pump
A.IIIY AllD SABAI{ A CONI,,IAY
1OO9 TiOMESTEA.D AVE
PORT ANGEI,ES WA
136al 41't -1724
BLACK D]A]'1OND ELECTR]CAL CONTR
502 BI.ACK DIA]VIOND &D
PORT ANGEIES WA 983 63(350) 56s-1035
9836 2
Permit
AdditionaL desc
Permlt Fee
Issue Date
Expiration Date
63.00
e/at /tB
3/06/t"e
Pfan check Eee
ValuatioR
ELECTRICAL ALTER RESIDENTIAI]
00
0
Qty Unlt Charge Per
1.OO 63.0000 ECH E],-R BRANCH CIR Wo/ sER FEED
Extension
63 .00
Pee sunmary Charged Paid Credi. tsed D!e
Permit Fee Total
Plan Check Total
Grand ToLal
53.00
.00
53.00
53 .00
.00
63 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE StX (6) MONMS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERYICE
ROUGH.IN c lH/tp =a/"DFINALa/t q [a "/>#
COMMENTS:
Signature ofowner or Electrical Coutractor X Date
1 - 2 SINGLE-FAIVIILY
ELECTRICAL PERM IT APPLICATION
Public Wbrks and Utilities Department
32i E. 5th Street, Port Angeles. WA 98362
360.417.4735 *rvw.cityofpa.us electricalpermits@cityo[pa.us
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"-!CProject Address
Project Description DvL'T1t6J tt-p
Single-Family Residential n Duplex / ARU Building Square footage
,4P r<n Email
N/lailing Address Phone
l\ilailing Address
Email:
License
Expiration Date
cnane. lGo ''/6 h?r,r7
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 20'l -400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -'l 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Servic€ Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 40'1-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA 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
am making the electrical i
468, The City of PortAng
nstallation or alteration in compli
Municipal Code, and Util
o 0-
Date
Quantitv Igbl (Quantity x LJnit Charge)
e electrical laws, N.E C., RCW Chapter 19.28, WAC. Chapter 296-
ns and PAMC 14.05.050 regarding Electrical Permit Applications.
llnit Cheroe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5.00
$75.00
$93.00
$ 11 0.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
!TOTAL
Owner as defined by RCW 19.28.26'1: (1) Owner will occupy the structure for tlvo 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 owner of the above named property or a licensed electrical contractor I
Print Name Signatu Owner I Electrical Contractor / Administrator)
[Electrical Permit Applications may be subm d to City Hall or epermi tyofpa.us or faxed to 360.417.471'll
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Name:
ELECTRICAL CONTRACTOR INFORMATION
Name: